Insomnia
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Notes
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Insomnia
Daily Treatment Report
Cognitive Therapy-CBT-Psychotherapy
Evidence-based psychological treatments for insomnia in older adults. (Psychol Aging. 2007)
Device Therapy
Drug Side-Effects and Interactions
Sleeping pills and the elderly
Sedative-hypnotic drug products "[Posted 03/14/2007] FDA notified healthcare professionals of its request that all manufacturers of sedative-hypnotic drug products, a class of drugs used to induce and/or maintain sleep, strengthen their product labeling to include stronger language concerning potential risks. These risks include severe allergic reactions and complex sleep-related behaviors, which may include sleep-driving."
Drugs
Consumer Reports Best Buy Drugs: Treating Insomnia--The Newer Sedative Drugs
Exercise
General Information
Treatment Options for Insomnia (Am Fam Physician 2007)
The effects of an intensive lifestyle modification program on sleep and stress disorders. (J Nutr Health Aging. 2007) "Conclusions. Changes in lifestyle behaviors after attending an educational program significantly reduced sleep and stress disorders in as little as four weeks, primarily explained by decreasing BMI and/or increasing exercise."
Advances in treating insomnia (Cleveland Clinic Journal of Medicine 2007)
Guidelines
Guidelines Issued for Management of Circadian Rhythm Sleep Disorders
Immunotherapy
Internet Sites
Treatment Information
Drug-Food-Supplement Information
DrugDigest (drug interactions)
FDA - Drug Interactions: What You Should Know
NIH - Botanical Dietary Supplements: Background Information
NIH - Drug, Supplements, and Herbal Information
NIH - Herbal Supplements: Consider Safety, Too
NIH - Vitamin and Mineral Supplement Fact Sheets
Nutrition
Snacking on simple carbs may fight insomnia "Dining on quickly digested, high glycemic index (GI) foods a few hours before bedtime may help people drift off to sleep a bit more easily, Australian researchers report."
Other
Other Treatments
Acupuncture for insomnia. (Cochrane Database Syst Rev. 2007) "AUTHORS' CONCLUSIONS: The small number of randomised controlled trials, together with the poor methodological quality and significant clinical heterogeneity, means that the current evidence is not sufficiently extensive or rigorous to support the use of any form of acupuncture for the treatment of insomnia. Larger high quality clinical trials employing appropriate randomisation concealment and blinding with longer follow-up are needed to further investigate the efficacy and safety of acupuncture for the treatment of insomnia."
Experimental
Radiotherapy
Supplements-Vitamins-CAM
Prolonged-release melatonin improves sleep quality and morning alertness in insomnia patients aged 55?years and older and has no withdrawal effects (Journal of Sleep Research 2007) "Melatonin, secreted nocturnally by the pineal gland, is an endogenous sleep regulator. Impaired melatonin production and complaints on poor quality of sleep are common among the elderly. Non-restorative sleep (perceived poor quality of sleep) and subsequently poor daytime functioning are increasingly recognized as a leading syndrome in the diagnostic and therapeutic process of insomnia complaints. … PR-melatonin is the first drug shown to significantly improve quality of sleep and morning alertness in primary insomnia patients aged 55?years and older-suggesting more restorative sleep, and without withdrawal symptoms upon discontinuation."
Complementary and Alternative Medicine for Sleep Disturbances in Older Adults (Clinics in Geriatric Medicine 2008)
Surgery
Transplantation
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