he is already on meds to wake him up
i would add nothing in the way of medication
but look at the lamictal and cymbalta as far as side effects
also the degree of sugar control
but mostly i would want to try to stabilize sleep...check his pulse oxes on the machine and see if it is set well enough
get him up at sunrise, have him watch the sunrise [not look at the sun of course] which would set melatonin secretion in the evening.
and allow the naps while discussion medication effects with his doc.
he is probably magnesium deficient and this is safe to supplement and might help
Let me know if you have further questions
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