«No one has died from the lack of sleep, and people die from overdose of sleeping medicines by thousands» (M. Stratum). Insomnia greatly worsens the quality of life, and many are resorted to the reception of sleeping pills, regardless of the causes of insomnia. And it does not care what to drink aspirin in any increasing temperature.
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Using sleeping pills can be compared to obtain a loan in a bank. You can «lend» Sleep time with tablets. However, ultimately you will have «debt» - at the price of even greater insomnia. No other funds will save you from this pile. Starting to apply sleeping pills, remember that you may have a drug addiction. That is why many experts in sleep consider unacceptable to try to improve sleep with long-term reception of sleeping pills.
According to American scientists on sleep and gerontologists «It is very rare to find the elderly people who are really required to receive sleeping preparations». Older people have exaggerated ideas about what should be a dream, «spend too much time in bed, trying to sleep» or use sleep as a remedy for boredom.
Causes of insomnia that can «treat» Without use of drugs, the following:
In addition, insomnia may be due to negative effects when receiving sleeping pills, tranquilizers and antidepressants. If you have a sleep disturbance, and you use one of these drugs, or if the problem arose when you started accepting another drug, please let me know. To improve the flood process, you can adjust the dose or change the drug.
Treat the cause and not a consequence
If the cause of sleep disorders is depression, then it is necessary to treat precisely depression, and not consider it as an indication for the purpose of the sleeping pills. If the cause is pain, then it is necessary to treat a disease that causes pain, and not try to fall asleep with the help of sleeping preparations.
In the annotations of the FDA (control of drug control and food) to all tranquilizers, it is indicated: «Insomnia or stress in everyday life usually do not require the use of tranquilizers. Older people should not use barbiturates as hypnotics or tranquilizers».
Consequently, only benzodiazepines remain in the doctor's arsenal - eight tranquilizers, five sleeping pills, zopiclon and injured. The last two are one of the safest sleeping pills. All these drugs are equally effective both as tranquilizers, and as sleeping pills.
The remaining 13 drugs differ from each other with a set of side effects, the risk of which is especially high in the elderly. WHO does not recommend the elderly to use such sleeping pills as flurazes and triazolas, due to the high probability of side effects. In 1992. Public Sitizen's Health Research Group filed a petition in the FDA to ban the use of triazolam.
The most secure nosheps, pupises, templazes, signes. «Noshepsa is the safest of all benzodiazepines for the elderly», as a result «short time and lack of active metabolites» (T.E. substances in which the body converts the drug, and which can create negative effects). Noshepsa significantly less often than other drugs of this group causes a worsening memory.
Younger patients can also use Temezapam and Skipide. However, these drugs can be addictive and should not be used for more than 2-3 weeks. If you take one of the benzodiazepines continuously more than a few weeks, you have all the chances of developing drug addiction.
Sharp discontinuation of the drug is very dangerous. Together with the doctor, develop a schedule, according to which gradually reduce the number of sleeping pills or tranquilizer on average by 5-10% per day. This will significantly reduce the likelihood of the development of cancellation syndrome when the drug is discontinued.
Still drinking sleeping pills, ask yourself - Do you have enough courage and will stop? If you do not follow yourself, ask the doctor to write you a recipe only for a small amount of tablets. Ask him not to appoint you a medicine at once for several weeks. And in a week, the development of addiction is unlikely.
At the end of each day, evaluate yourself or with the help of your loved ones, what you did during the day to find and eliminate the causes of insomnia. When taking the drug, do not drive a car and do not work with dangerous mechanisms. Do not drink alcohol - the combination of sleeping pills with alcohol can be fatal.
Before taking medications, make sure the doctor knows about all other drugs that we receive, depressing CNS, such as: antidepressants, narcotic analgesics, antipsychotic and sleeping pills, antihistamines and anti-epileptic drugs. Reception of sleeping pills together with other preparations with a sedative effect, dangerously increases the risk of side effects.
You can also contact the specialized laboratory of sleep, where possible:
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Clarification of the reasons for insomnia (about 30 them), from which the tactics of treatment is largely dependent
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Conducting polysomnography - method of long registration of various physiological functions of the body during sleep
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Application of non-drug treatment methods for insomnia
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Application of methods for treating sleeping pills that reduce the risk of drug dependence
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Assistance in the abolition of sleeping pills in the development of drug addiction.
