Using hypnotics can be compared withobtaining a bank loan. You can "borrow" a dream at the time of using the tablets. Ultimately, however, you have to "repay" - the price even more insomnia. No other means will not save you from this reckoning. Starting to use sleeping pills, remember that you may have a drug dependency. That is why many experts believe sleep unacceptable attempt to improve sleep by a long-term use of sleeping pills.
According to American scientists on sleep andGerontology "is very rare to find older people who receive sleeping pills really needed." Older people have exaggerated ideas about what should be a dream, "spending too much time in bed, trying to sleep," or use sleep as a remedy for boredom.
Causes of insomnia, which can be "treated" without the use of drugs, the following:
Furthermore, insomnia can be causednegative effects when taking sleeping pills, tranquilizers and antidepressants. If you have a sleep disorder, and you use one of these drugs, or if the problem occurred when you started taking another drug, inform your doctor. You can adjust the dose or change the medication to improve sleep process.
If the cause of sleep disorders is depression,then you need to treat it depression, rather than treating it as an indication for the purpose of sleeping pills. If the cause is a pain, it is necessary to treat the disease that causes pain, and not try to sleep with the help of sleeping pills.
The FDA annotations (control over managementdrugs and food) to all tranquilizers, states: "insomnia or stress of everyday life usually does not require the use of tranquilizers. Older people should not use barbiturates as hypnotics or tranquilizers. "
Consequently, there are only a physician's arsenalbenzodiazepines - tranquilizers, eight, five hypnotic drugs, zopiclone and imovan. The last two - one of the safest sleeping pills. All these drugs are effective, and equally as tranquilizers and as hypnotics.
Other preparations 13 differ from each othera set of side effects, which risk is particularly high in the elderly. WHO does not recommend for older people to use hypnotics such as flurazepam and triazolam due to the high probability of side effects. In 1992, the Public Sitizen's Health Research Group petitioned the FDA to ban the use of triazolam.
Most are safe nozepam, tazepam, temazepam,signopam. "Nozepam is the safest of all benzodiazepines for the elderly", due to "short-time action and lack of active metabolites" (i.e. substances which the body converts the drug, and that can create adverse effects). Nozepam much less frequently than the other drugs in this group, causing memory loss.
Younger patients can also usetemazepam and zolpidem. However, these drugs can be addictive and should not be more than 2-3 weeks. If you are taking one of the benzodiazepines continuously for more than a few weeks, you have every chance of drug dependence.
Abrupt discontinuation of the drug is very dangerous. Together with your doctor to develop a schedule, according to which gradually reduce the amount of hypnotic or anxiolytic an average of 5-10% per day. This will significantly reduce the likelihood of developing withdrawal symptoms when you stop taking the drug.
Since drinking sleeping, ask yourself - will sufficeDo you have the courage and the will to stay? If you do not vouch for myself, ask your doctor to write you a prescription only for a small number of tablets. Ask him also to appoint you medicine to several weeks. And this week the development of addiction is unlikely.
At the end of each day's estimate alone orwith the help of loved ones what you have done during the day to find and eliminate the causes of insomnia. Before the drug does not drive a car or operate hazardous machinery. Do not drink alcohol - a combination of sleeping pills with alcohol can be fatal.
Before taking this medicine, make sure that the doctor knowsabout all other medications you are taking, oppressive central nervous system, such as antidepressants, narcotic analgesics, antipsychotics and hypnotics, antihistamines and anti-epileptic drugs. Acceptance of sleeping pills in conjunction with other drugs, has a sedative effect, increases the risk of dangerous side effects.
You can also refer to a specialized sleep laboratory, where possible:
clarify the causes of insomnia (about 30), by which the treatment strategy depends largely
conducting polysomnography - the method of continuous recording of various physiological functions of the body during sleep
the use of non-drug treatments for insomnia
the use of hypnotic treatment methods that reduce the risk of drug dependence
help in the abolition of sleeping pills during the development of drug dependence.