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Disease INSOMNIA
   
Quotation “When action grows unprofitable, gather information, when information grows unprofitable, sleep”
   
Definition A subjective perception of inadequate sleep with complaints of – Difficulty in falling asleep, early morning walking, frequent interruptions of sleep, or unrefreshing sleep.
   
Prognosis Usually resolves with time. Background depression is often missed, but treatment is very helpful. Otherwise treatment of underlying symptoms important.
   
Treatment

Walking or exercise in the evening.

Early dinner and glass of milk before sleep.

Reading books, particularly philosophical books at night.

Try to engage the mind in some work, which will be useful to the family or the society, OR in some religious activity.

 

Sedative drugs should be prescribed only if necessary.

Tab. CALMPOSE 5mg 1.2 to 1 HS.

Tab. ATIVAN 1-2 mg HS

Tab. ALPRAX 0.25mg HS

Tab. Gardenal 30-60mg HS

Tab. HYPNOTEX 5-10 mg HS

 

Use sedatives in rotation. Do not use the same sedative for long periods.

 

As age advances, sleep becomes less. And the old person, with no active work to do, feels restless without sleep. This fact must be understood by the patient and he/ she should engage his/ her mind somewhere.

 

Tab. Gardenal

Tab. HYPNOTEX

 

 

 

HYPNOTEX ALPRAX CALMPOSE ATIVAN 
   
General Measures To avoid daytime napping. Develop rituals conducive to sleep.A thoruugh review of patient’s habits, drug intake, diet patterns, exercise, etc. may unravel cause. Avoid hot or cold bath just before retiring Bed/bedroom too cold or too warm.Avoid coffee, tea, alcohol within six hours of retiring. Avoid late bed time snacks especially heavy ones. Relaxation therapy. – Specific techniques known for relaxing body and mind and can be learnt by patients by practice. Likewise various meditation techniques. Reconditioning – Patient goes to bed only for sleep and will not lie in bed when not feeling sleepy. Slowly a conditioning takes place so that lying in bed gets associated with sleep and the body gets tamed to sleep.
   
Advice to Patient Must understand sleep patterns and sleep hygiene. Risk of dependence of hypnotics has to be understood.
   
Follow Up To ensure that the durtgs do not continue to be taken without supervison.
   
Inadequate Response Go over possible causes again as depression is missed often.
   
Prevention Of all possible causes.
   
Reference From Www.rxed.org/drugtopics/ce/1999/ce010499.pdf File Format: PDF/Adobe AcrobatWww.rxed.org/drugtopics/ce/1999/ce010499.pdf File Format: PDF/Adobe Acrobat
   

 

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