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Insomnia
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• Sleeping Is So Hard When You Cant Stop Thinking

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Insomnia
US No. 1 Online Drug Store

• Sleeping Is So Hard When You Cant Stop Thinking

Zolpidem The Best Drug For To Cope With
Sleeping Disorder
Visit https//xritepharmacy.com
3
What Causes Us To Be Sleepy?

• If the average amount of sleep is not met, a
  sleep debt is created.
• All lost sleep accumulates progressively as a
  larger and larger sleep indebtedness.
• The size of your sleep debt is zero, sleep is
  impossible.
• If your sleep debt is very low, only a small
  amount of stimulation is required to keep you
  awake.
• If your sleep debt is very large, no amount of
  stimulation can keep you awake (Dement, 2).

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What is Insomnia?

• The perception of inadequate or poor-quality
  sleep accompanied by significant distress or
  impaired function.
• Chronic if it occurs on most nights and lasts a
  month or more (National Institute of Health).
• You might suffer from insomnia if
• It takes you more than 30 to 45 minutes to get to
  sleep
• You wake up during the night
• If you wake up early and cannot get back to sleep
• You wake up feeling un-refreshed in the morning
• You can only get to sleep with the aid of
  sleeping aids or alcohol (Alpha Sleep, 1999)

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What Causes Insomnia?

• Most reasons for insomnia are subtly woven into
  the fabric of your life (Dryer, 17)
• Changes in sleep patterns because of different
  work hours or travel.
• Depression, anxiety, worries, or stress
• Use of caffeine or other stimulants
• Use of alcohol or other sedatives which are
  depressants of the central nervous system but can
  alter normal sleep patterns, especially if used
  long-term
• Sleeping or napping during the day (Alpha Sleep,
  1999)
• Death of a loved one, job loss or failing in
  school (Kirkwood Community College, 1).

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Types of Insomnia

• There are five types of insomnia, including
• Initial Insomnia, where an individual finds
  difficulty in falling asleep
• Mental Insomnia, where an individual wakes up
  frequently from sleep
• Terminal Insomnia, characterized by waking up
  early and not being able to get back to sleep
• Hypersomnia, where one has trouble staying awake
  during the regular day
• Parasomnia, shown through abnormal behaviors
  occurring during sleep (Morin, 3)

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Treatment Modalities

• Treatment of insomnia includes alleviating any
  physical and emotional problems that are
  contributing to the condition and exploring
  changes in lifestyle that will improve the
  situation.
• There are a myriad of treatments available for
  insomniacs, which fall into three major
  categories
• Drug Therapy
• Cognitive-Behavioral Therapy
• Alternative Treatments

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Treatments Drug Therapy

• Sedative-Hypnotic Medications (aka Sleep-Meds)
• Benzodiazepines can be used on an as-needed
  basis
• These reduce the length of time to fall asleep
• Medications include Dalmane, Doral, Halcion,
  Prosom, and Restoril
• Non-benzodiazepines, such as benzodiazepine
  receptor agonists
• Zoldipem, which is associated more with the
  effects that persist later into the night
• Zaleplon, which may be taken at bedtime or later,
  as long as there are four hours of more time left
  to sleep (American Insomnia Association.org)

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Zolpidem Dosing Information

• Initial Dose 5 mg (Women) OR 5 mg or 10 mg
  (Men)
• Maintenance Dose if the 5 mg dose is not
  effective, then the dose can be increased to 10
  mg.
• Maximum Dose 10 mg once a day.

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Treatments Prescription Drug Therapy

• Sedative-Hypnotic Medications (Continued)
• Eszopiclone is a new drug that recently completed
  testing at Duke University.
• It has displayed improvement in the patients
  ability to fall asleep, stay asleep, in the
  quality of their sleep, without evidence of loss
  of effect over time.
• The data further demonstrates that improvements
  in sleep were associated with consistent
  improvements in the patients ratings of their
  capacity to function well during the day, .

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Treatments Prescription Drug Therapy

• Sedating Antidepressants are prescription
  medications that have been developed for the
  treatment of depression, but are known to have
  sedative side effects.
• The most common of these are
• Desyrel
• Elavil
• Sinequan
• A major concern is the association with more
  troubling, adverse effects than prescription
  sedative-hypnotic medications.

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Treatments Over-the-Counter Drugs

• Over-the-counter medications can be purchased
  from a pharmacy without a prescription.
• These include medications such as Nytol,
  Sleep-Eze, Sominex, and Benadryl.
• Undesirable side effects include vivid dreams and
  next day hang-over effects (AmericanInsomniaAsso
  ciation.org, 3).

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