Insomnia

Insomnia

There is both pharmaceutical and non-pharmaceutical treatment for insomnia. Your doctor can talk to you about what treatments might be suitable for you. You may need to try a number of different treatments before finding the one that is the most effective for you.

Sleep hygiene training may be recommended. Sometimes, behaviors that interfere with sleep are causing insomnia. Sleep hygiene training can help you change some of these disruptive behaviors, such as:

  • Ignore caffeinated beverages near bedtime.
  • Ignore Avoiding exercise near bedtime.

Insomnia

Insomnia is a sleep disorder. Individuals who suffer from insomnia find it hard to fall asleep, stay asleep, or both. They don’t feel refreshed when they wake up from sleeping. This can lead to fatigue and other sign. Insomnia can be diagnosed as short-term, acute, or long-term, also referred to as chronic.

Insomnia can be caused by physical factors as well as psychological factors. There is often an underlying medical condition that causes chronic insomnia, while transient insomnia may be due to a recent event or occurrence.

Insomnia is commonly separated into three types:
    • Transient insomnia – occurs when symptoms last from a few days to a few weeks.
    • Acute insomnia – also called short-term insomnia. Symptoms persist for several weeks.
    • Chronic insomnia – this type lasts for months, and sometimes years. According to the National Institutes of Health, the majority of chronic insomnia cases are secondary, meaning they are side effects or symptoms resulting from another primary problem.

Insomnia has also been associated with a higher risk of developing chronic diseases.

According to the National Sleep Foundation, 30-40 percent of American adults report that they have had symptoms of insomnia within the last 12 months, and 10-15 percent of adults claim to have chronic insomnia.

What causes insomnia?

Insomnia can be caused by physical factors as well as psychological factors. There is often an underlying medical condition that causes chronic insomnia, while transient insomnia may be due to a recent event or occurrence. Insomnia is commonly caused by:

    • Disruptions in circadian rhythm– jet lag, job shift changes, high altitudes, environmental noise, heat, or cold.
    • Psychological issues– people with mood disorders such as bipolar disorder, depression, anxiety disorders, or psychotic disorders are more likely to have insomnia.
    • Medical conditions– brain lesions and tumors, stroke, chronic pain, chronic fatigue syndrome, congestive heart failure, angina, acid-reflux disease (GERD), chronic obstructive pulmonary disease, asthma, sleep apnea, Parkinson’s and Alzheimer’s diseases, hyperthyroidism, arthritis.
    • Hormones– estrogen, hormone shifts during menstruation.
    • Other factors– sleeping next to a snoring partner, parasites, genetic conditions, overactive mind, pregnancy.
    • Media technology in the bedroom– researchers from the University of Helsinki, Finland, reported in the journal BMC Public Health that media technology in the bedroom disrupts sleep patterns in children. They found that children with TVs, computers, video games, DVD players, and mobile phones in their bedrooms slept considerably less than kids without these devices in their bedrooms. In addition, a study conducted by Rensselaer Polytechnic Institute found that back-lit tablet computers can affect sleep patterns.

Medications – according to the American Association of Retired Persons (AARP), the following medications can cause insomnia in some patients:

  • Corticosteroids– used for treating patients with allergic reactions, gout, Sjögren’s syndrome, lupus, rheumatoid arthritis, and inflammation of the muscles and blood vessels. Examples include prednisone, triamcinolone, methylprednisolone, and cortisone.
  • Statins– medications used for treating high cholesterol levels. Examples include simvastatin, rosuvastatin, lovastatin, and atorvastatin.
  • Alpha blockers– used for treating hypertension, Raynaud’s disease and BPH (benign prostatic hyperplasia). Examples include terazosin, silodosin, alfuzosin, prazosin, doxazosin, and tamsulosin.
  • Beta blockers– used for treating hypertension and irregular heartbeat (arrhythmias). Examples include carvedilol, propranolol, atenolol, metoprolol, and sotalol.
  • SSRI antidepressants– used for treating depression. Examples include fluoxetine, citalopram, paroxetine, escitalopram, and sertraline.
  • ACE inhibitors– used for the treatment of hypertension and other heart conditions. Examples include ramipril, fosinopril, benazepril, enalapril, lisinopril, and captopril.
  • ARBs (Angiotensin II-receptor blockers)– used for treatment of hypertension (generally when patient cannot tolerate ACE inhibitors). Examples include candesartan, valsartan, and losartan.
  • Cholinesterase inhibitors– used for treating memory loss and other symptoms in patients with dementia, including Alzheimer’s disease. Examples include rivastigmine, donepezil, and galantamine.
  • Second generation (non-sedating) H1 agonists– used for treating allergic reactions. Examples include loratadine, levocetirizine, desloratadine, and cetirizine.
  • Glucosamine/chondroitin– dietary supplements used for relieving the symptoms of joint pain and to reduce inflammation.

Who gets insomnia?

Some people are more likely to suffer from insomnia than others; these include:

  • Travelers
  • Shift workers with frequent changes in shifts (day vs. night)
  • The elderly
  • Drug users
  • Adolescent or young adult students
  • Pregnant women
  • Menopausal women
  • Those with mental health disorders