Chronic insomnia causes8/18/2023 ![]() ![]() Periodic limb movement disorder, restless legs syndrome, sleep apneaĪnxiety disorders, bipolar disorder or schizophrenia, major depressive or dysthymic disorders, personality disorders, post-traumatic stress disorder Selected causes of chronic insomnia (≥ 30 days)Īrthropathies, cancer, chronic pain, congestive heart failure, COPD, end-stage renal disease, gastroesophageal reflux disease, HIV/AIDS, hyperthyroidism, nocturia caused by prostatic hypertrophy, strokeĪnticholinergic agents antidepressants (SSRIs, bupropion ), MAOIs antiepileptics (lamotrigine, phenytoin ) antineoplastics beta blockers bronchodilators (beta agonists) CNS stimulants (methylphenidate, dextroamphetamine, nicotine ) interferon alfa miscellaneous (diuretics, atorvastatin, levodopa, quinidine) steroids, oral contraceptives, progesterone, thyroid hormone Situational stress (e.g., occupational, interpersonal, financial, academic, medical) Selected causes of acute insomnia (< 30 days) * The better safety profile of the newer-generation non-benzodiazepines (i.e., zolpidem, zaleplon, eszopiclone, and ramelteon) makes them better first-line choices for long-term treatment of chronic insomnia. Benzodiazepines are most useful for short-term treatment however, long-term use may lead to adverse effects and withdrawal phenomena. Opiates are valuable in pain-associated insomnia. Alcohol has the potential for abuse and should not be used as a sleep aid. Routine use of over-the-counter drugs containing antihistamines should be discouraged. Hypnotics generally should be prescribed for short periods only, with the frequency and duration of use customized to each patient's circumstances. ![]() Exercise improves sleep as effectively as benzodiazepines in some studies and, given its other health benefits, is recommended for patients with insomnia. There is good evidence supporting the effectiveness of cognitive behavior therapy. Treatment should begin with nonpharmacologic therapy, addressing sleep hygiene issues and exercise. ![]() However, if insomnia is severe or long-lasting, a thorough evaluation to uncover coexisting medical, neurologic, or psychiatric illness is warranted. Physicians may initiate treatment of insomnia at an initial visit for patients with a clear acute stressor such as grief, no further evaluation may be indicated. If you think you have insomnia, Contact O2 Pulmonary & Sleep Group for an appointment.The frequency of sleep disruption and the degree to which insomnia significantly affects daytime function determine the need for evaluation and treatment. This type of insomnia can be caused by many things such as: Sometimes, it can last for months at a time and go away, or it can affect a person off and on for years. About 10% of people suffer from this type of insomnia. It is a disease that affects the person for most of their life. An illness that causes frequent waking or breathing problemsĬhronic insomnia is a long-term problem.Interrupted sleep pattern due to holidays or other unusual events.A relationship issue or nerves about a job interview.This type of insomnia is often due to some kind of interruption in a sleep schedule or an outside stressor. This type of insomnia is treated much differently than other types as the causes are often entirely different. In fact, it tends only last a few days or possibly a week. Transient insomnia is a type of insomnia that does not last very long. An estimated 30% of the population suffers from this disorder. ![]() These can be having unsatisfying sleep, feeling tired or having a lack of energy, mood issues, and trouble concentrating. There are also other symptoms associated with insomnia. Insomnia can encompass trouble getting to sleep and trouble staying asleep. There are actually two types of insomnia transient and chronic. Most people know that it is a condition involving difficulty sleeping, but they do not know much else. Have you been having trouble sleeping at night? Do you seem to toss and turn and never quite get to sleep? Do you wake up several times during the night? If you answered yes to these, and it’s been going on for several weeks, you may have insomnia. ![]()
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