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Insomnia Treatment

Written by Dr. Anitha Paderla, MBBS | Medically Reviewed by dr. reeja tharu, M.Phil.,Ph.D on Dec 30, 2021
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Insomnia Treatment

Prior to initiating any therapy for insomnia, the patient needs to be educated about sleep hygiene measures. Therapy for insomnia is ideally aimed at the underlying cause. This is usually carried out with hypnotics and behavioral therapy. Melatonin, a hormone, is also employed in the treatment of certain insomnias. Once the cause has been identified and dealt with, the person may have his sleep restored.

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Hypnotics: These are sedatives that are given to induce sleep. The ideal dose is the lowest dose that adequately induces and maintains sleep. To prevent rebound insomnia, longer acting hypnotics are used. These medications should be used with caution in patients with suspected sleep apnea syndrome, hepatic, renal or pulmonary disease, pregnant women, and also in individuals with excessive alcohol consumption.

Commonly used hypnotics are:

a. Benzodiazepines like Furazepam and Triazolam.

b. Imidazopyridine medication Zolpidem, which is currently widely used due to its rapid onset of action, limited abuse potential, and low incidence of side effects.

c. Cyclopyrrolone medication like Zopiclone, which is a relatively safe drug to be used for the elderly.

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Adverse effects of hypnotics occur more commonly in patients above 55 years of age in whom there can be increased daytime sleepiness and cognitive impairment.

Over-the-counter (OTC) hypnotics have antihistamine (which is used to treat cold) as the sedative ingredient that is less effective and has properties that can cause dizziness and urinary retention in the elderly.

Behavioral therapy The basis of behavioral therapy is to help overcome phobias related to sleep, and to achieve ideal sleeping habits. Based on the type of insomnia and the associated history the appropriate therapy is chosen. The techniques employed are:

  • Relaxation therapy effectively reduces mental or muscular tension in a person who has difficulty in initiating and maintaining sleep. Relaxation techniques like meditation help to relax the mind, and physical exercises help to relax the muscles.
  • Sleep restriction therapy This therapy imposes strict limits on the time of getting into bed and arising from the bed. This helps the person to tune his internal clock so that he can easily fall asleep and maintain good sleep.
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  • Stimulus control therapy is based upon the fact that the time spent in bed worrying about sleep is counterproductive to initiating sleep. The patient is advised to go to bed only when sleepy, and to associate bed with falling asleep quickly.
  • Cognitive therapy – This therapy seeks to alter the negative emotions like fear and anxiety that are associated with sleep.

Melatonin

Melatonin is a hormone that is produced by the pineal gland. This hormone is secreted in the dark and helps to shift the time of sleep and so may be useful in the treatment of circadian rhythm sleep disorders, such as jet lag. However, questions have been raised as to its safety, particularly with regard to its effect on the cardiovascular system and reproduction.

Easy to follow methods

If you are suffering from insomnia then it may be related to some emotional upheaval. Try these simple techniques before thinking of popping in a sleeping pill.

  1. Take an evening walk for 30 to 40 minutes
  2. Have a glass of milk before hitting bed if it suits you
  3. If you have recently started drinking tea or coffee in the evening, you should stop it
  4. Keep your cell phone away at a distance
  5. Do deep breathing exercises for 10 minutes in bed inhale for 4 seconds, hold for 7 seconds and exhale for 8 to 10 seconds
  6. Count backward from (300, 299, 298, ... to 1). Do it once or twice till you doze off to sleep.

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Comments

aimee

insomnia...please help me how to treat or overcome this.. its hard for me to find asleep at night.. i felt asleep by 11 0'clock night and then i woke up at around 2 am in the morning.. after that i cant sleep anymore until 6 am in the morning.

marly7

its ok. just dont panic. see a therapist if the problem persists because there could be an underlying anxiety problem. work out different methods of what to do if you cant fall asleep instead of stressing out over the problem

primerxmart

This can have an effect on you not solely physically however mentally still. In such cases zopiclone plays a awfully essential role in natural action your sleep issue. It offers you a sound and peaceful sleep throughout the night in order that you get up recent within the morning. Besides that, it conjointly helps you to try and do all of your tasks actively and paying attention. You can also buy zopiclone online on primerxmart

Saferxmart

Zopiclone is Associate in Nursing antibiotic medication used for the treatment of sleep disorder. This medication is obtainable to you in pill kind. just in case you're not obtaining correct sleep or if you're not capable to sleep the least bit, this medication will assist you get a sound sleep. those who face hassle in sleeping use this medication.

Saferxmart

Saferxmart provide Zopiclone is Associate in Nursing antibiotic medication used for the treatment of sleep disorder. This medication is obtainable to you in pill kind. just in case you're not obtaining correct sleep or if you're not capable to sleep the least bit, this medication will assist you get a sound sleep. those who face hassle in sleeping use this medication.

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