Alternatives: As with insomnia (see benzodiazepine hypnotics, above), it's important to identify the cause of excessive daytime sleepiness. Other medications you're taking — whether prescription or over the counter — could be responsible. Drugs with sedating effects, for example, are among the most common causes of excessive daytime sleepiness. (These include alpha- and beta-blockers, anti-diarrheal agents, antihistamines, antipsychotics, antispasmodics, cough suppressants, epilepsy drugs, skeletal muscle relaxants, Parkinson's drugs and some antidepressant medications.)
I am a 43 year old male. I had been diagnosed with autoimmune polymyositis four years ago. I was previously a sportsman for most of my life with a reasonably healthy diet. I have been on Prednisolone and Azathioprine for four years, on Methotrexate for four years and Folic acid. I just had a DXA bone scan with a Z-score of - in the spine, and - in the hip . I know corticosteroids can contribute to reducing BMD, but is this extent normal in less than four years? My rheumatologist is away for few weeks. Please help. What do these results mean? Does it imply osteoporosis? Please advice as to what I can do next. Should we eliminate causes other than corticosteroids ?