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Diseases » Insomnia » Treatments
 

Treatments for Insomnia

Treatments for Insomnia

The list of treatments mentioned in various sources for Insomnia includes the following list. Always seek professional medical advice about any treatment or change in treatment plans.

  • No treatment - mild cases may require no treatment.
  • Sleeping pills - only for transient cases (e.g. jet lag); longer-term use requires strict medical supervision and is controversial.
  • Treating the underlying cause of insomnia
  • Sleep therapies
    • Relaxation therapy
    • Sleep restriction therapy
    • Sleep reconditioning
    • Consistent sleep schedule - if possible avoid jet lap, shift work, or other problems.
    • Avoid daytime naps
  • Changes to behavior
    • Avoid stress
    • Avoid worrying about not sleeping
    • Avoid caffeine
    • Avoid nicotine - especially not smoking near bedtime.
    • Avoid alcohol - especially near bedtime.
    • Avoid using bed for non-sleep activity - except perhaps sex.
  • Changes to sleep environment
    • Avoid nosing environment
    • Avoid cold environment
  • Magnesium - possibly used for related magnesium deficiency
  • The management of insomnia depends upon its etiology. However, even comorbid insomnia can benefit from cognitive behavioral therapy and a short-term course of a sedative-hypnotic or melatonin receptor agonist
  • Hypnotherapy
  • Avoid stimulants
  • Relaxation techniques
  • When the situation is resolved or the precipitating factor disappears, the condition goes away, usually without medical treatment
  • Sleep hygiene
  • Sleep-restriction therapy
  • Cognitive behavioural therapy
  • Hypnotics
  • Benzodiazepines
  • Restyl
  • Temazepam
  • Flunitrazepam
  • Midazolam
  • Zolpidem
  • Zaleplon
  • Zopiclone
  • Amitrypline
  • Antidepressants
  • Antihistaminics
  • Chlorpheniramine

Insomnia: Is the Diagnosis Correct?

The first step in getting correct treatment is to get a correct diagnosis. Differential diagnosis list for Insomnia may include:

Hidden causes of Insomnia may be incorrectly diagnosed:

  • Common problems with the sleeping environment include:
    • Sleeping area distractions
    • Noise
    • Extreme temperatures
    • Poorly ventilated bedroom
    • Stuffy bedroom
  • more causes...»

Insomnia: Marketplace Products, Discounts & Offers

Products, offers and promotion categories available for Insomnia:

Insomnia: Research Doctors & Specialists

Research all specialists including ratings, affiliations, and sanctions.

Drugs and Medications used to treat Insomnia:

Note:You must always seek professional medical advice about any prescription drug, OTC drug, medication, treatment or change in treatment plans.

Some of the different medications used in the treatment of Insomnia include:

  • Diazepam
  • Apo-Diazepam
  • Diastat
  • Diazemuls
  • Diazepam Intensol Oral Solution
  • Dizac
  • E-Pam
  • Meval
  • Novo-Dipam
  • Q-Pam
  • Rival
  • Valcaps
  • Valium
  • Valrelease
  • Vazepam
  • Vivol
  • Zetran
  • Flurazepam
  • Apo-Flurazepam
  • Dalmane
  • Durapam
  • Novo-Flupam
  • Somnol
  • Zaleplon
  • Sonata
  • Starnoc
  • Zolpidem
  • Ambien
  • Acetaminophen and Diphenhydramine - mainly used to treat insomnia associated with pain
  • Excedrin P.M - mainly used to treat insomnia associated with pain
  • Goody's PM Powder - mainly used to treat insomnia associated with pain
  • Legatrin PM - mainly used to treat insomnia associated with pain
  • Percogesic Extra Strength - mainly used to treat insomnia associated with pain
  • Tylenol PM Extra Strength - mainly used to treat insomnia associated with pain
  • Tylenol Severe Allergy - mainly used to treat insomnia associated with pain
  • Amobarbital
  • Amytal
  • Estazolam
  • ProSom
  • Tasedan
  • Eszopiclone
  • Lunesta
  • Quazepam
  • Doral
  • Secobarbital
  • Seconal
  • Zopiclone
  • Imovane
  • Flunitrazepam
  • Rohypnol
  • Hypnoderm
  • Nitrazepam
  • Alodorm
  • Mogadon

Unlabeled Drugs and Medications to treat Insomnia:

Unlabelled alternative drug treatments for Insomnia include:

  • Lorazepam
  • Alzapam
  • Apo-Lorazepam
  • Ativan
  • Loraz
  • Intensol
  • Novo-Lorazepam
  • Nu-Loraz
  • Mirtazapine - mainly used to treat presurgical insomnia
  • Remeron - mainly used to treat presurgical insomnia
  • Remeron Sol Tab - mainly used to treat presurgical insomnia

Latest treatments for Insomnia:

The following are some of the latest treatments for Insomnia:

Hospital statistics for Insomnia:

These medical statistics relate to hospitals, hospitalization and Insomnia:

  • 0.001% (98) of hospital consultant episodes were for insomnias in England 2002-03 (Hospital Episode Statistics, Department of Health, England, 2002-03)
  • 98% of hospital consultant episodes for insomnias required hospital admission in England 2002-03 (Hospital Episode Statistics, Department of Health, England, 2002-03)
  • 74% of hospital consultant episodes for insomnias were for men in England 2002-03 (Hospital Episode Statistics, Department of Health, England, 2002-03)
  • 26% of hospital consultant episodes for insomnias were for women in England 2002-03 (Hospital Episode Statistics, Department of Health, England, 2002-03)
  • more hospital information...»

Medical news summaries about treatments for Insomnia:

The following medical news items are relevant to treatment of Insomnia:

Discussion of treatments for Insomnia:

Insomnia: NWHIC (Excerpt)

Transient and intermittent insomnia may not require treatment since episodes last only a few days at a time. For example, if insomnia is due to a temporary change in the sleep/wake schedule, as with jet lag, the person's biological clock will often get back to normal on its own. However, for some people who experience daytime sleepiness and impaired performance as a result of transient insomnia, the use of short-acting sleeping pills may improve sleep and next-day alertness. As with all drugs, there are potential side effects. The use of over-the-counter sleep medicines is not usually recommended for the treatment of insomnia.

Treatment for diagnosed chronic insomnia include identifying behaviors that may worsen insomnia and stopping (or reducing) them, possibly using sleeping pills (although the long-term use of sleeping pills for chronic insomnia is controversial), trying behavioral techniques to improve sleep, such as relaxation therapy, sleep restriction therapy, and reconditioning. (Source: excerpt from Insomnia: NWHIC)

A Good Night's Sleep - Age Page - Health Information: NIA (Excerpt)

A good night's sleep can make a big difference in how you feel. Here are some suggestions to help you:

  • Follow a regular schedule - go to sleep and get up at the same time. Try not to nap too much during the day - you might be less sleepy at night.
  • Try to exercise at regular times each day.
  • Try to get some natural light in the afternoon each day.
  • Be careful about what you eat. Don't drink beverages with caffeine late in the day. Caffeine is a stimulant and can keep you awake. Also, if you like a snack before bed, a warm beverage and a few crackers may help.
  • Don't drink alcohol or smoke cigarettes to help you sleep. Even small amounts of alcohol can make it harder to stay asleep. Smoking is dangerous for many reasons including the hazard of falling asleep with a lit cigarette. The nicotine in cigarettes is also a stimulant.
  • Create a safe and comfortable place to sleep. Make sure there are locks on all doors and smoke alarms on each floor. A lamp that's easy to turn on and a phone by your bed may be helpful. The room should be dark, well ventilated, and as quiet as possible.
  • Develop a bedtime routine. Do the same things each night to tell your body that it's time to wind down. Some people watch the evening news, read a book, or soak in a warm bath.
  • Use your bedroom only for sleeping. After turning off the light, give yourself about 15 minutes to fall asleep. If you are still awake and not drowsy, get out of bed. When you get sleepy, go back to bed.
  • Try not to worry about your sleep. Some people find that playing mental games is helpful. For example, think black - a black cat on a black velvet pillow on a black corduroy sofa, etc.; or tell yourself it's 5 minutes before you have to get up and you're just trying to get a few extra winks. (Source: excerpt from A Good Night's Sleep - Age Page - Health Information: NIA)

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    Book Excerpts: Treatment of Insomnia

    Treatments of Insomnia: Online Medical Books

    16 MEDICAL BOOKS ONLINE! Review excerpts from medical books online, free, without registration, for more information about the treatments of Insomnia.

    Insomnia: Treatment
    (In a Page: Signs and Symptoms)

    • Acute transient insomnia: Reassurance, address stressors, treat identifiable underlying causes (e.g., pain), hypnotic agents for up to 7–10 days
    • Chronic insomnia
      –Improve sleep hygiene (e.g., consistent bed/wake time, sleep environment, medications/drugs, daytime exercise, avoid naps, hot bath near bedtime)
      –Treat pain and underlying medical/psychiatric issues
      –Behavioral treatments: Relaxation therapy, sleep restriction therapy (curtail time in bed to improve sleep efficiency), stimulus control therapy (bed only for sleep), cognitive therapy (restructure negative thoughts about sleep/daytime functioning)
      –Medications are often used but none has demonstrated long-term efficacy nor safety
    • Obstructive sleep apnea: Weight loss, CPAP, surgery
    • RLS: Dopaminergic agents (e.g., carbidopa/levodopa, pergolide), benzodiazepines, opiates
    • Narcolepsy: Modafinil, amphetamines
    >

    » READ BOOK EXCERPT ONLINE »

    Source: In a Page: Signs and Symptoms, 2004

    Insomnia: Patient counseling
    (Professional Guide to Signs & Symptoms (Fifth Edition))

    Teach the patient comfort and relaxation techniques to promote natural sleep. (See Tips for relieving insomnia.) Advise him to awaken and retire at the same time each day and to exercise regularly. When he can’t sleep, advise him to get up but remain inactive. Urge him to use his bed only for sleeping, not for relaxation or watching television.

    Advise the patient to use tranquilizers or sedatives for acute insomnia only when relaxation techniques fail. If appropriate, refer him for counseling or to a sleep disorder clinic for biofeedback training or other interventions.

    » READ BOOK EXCERPT ONLINE »

    Source: Professional Guide to Signs & Symptoms (Fifth Edition), 2006

    Insomnia: Patient counseling
    (Signs & Symptoms: A 2-in-1 Reference for Nurses)

    Teach the patient comfort and relaxation techniques to promote natural sleep. (See Tips for relieving insomnia.) Advise him to awaken and retire at the same time each day and to exercise regularly. When he can’t sleep, advise him to get up but remain inactive. Urge him to use his bed only for sleeping, not for relaxation or watching TV.

    Advise the patient to use tranquilizers or sedatives for acute insomnia only when relaxation techniques fail. If appropriate, refer him for counseling or to a sleep disorder clinic for biofeedback training or other interventions.

    » READ BOOK EXCERPT ONLINE »

    Source: Signs & Symptoms: A 2-in-1 Reference for Nurses, 2007

    Insomnia: Nursing considerations
    (Nursing: Interpreting Signs and Symptoms)

    ▪ Prepare the patient for tests to evaluate his insomnia, such as blood and urine studies for 17-hydroxycorticosteroids and catecholamines, polysomnography (including an EEG, electro-oculography, and electrocardiography), and sleep studies.

    ▪ Institute measures to help relieve insomnia. (See Tips for relieving insomnia, page 341.)

    Patient teaching

    ▪ Teach the patient comfort and relaxation techniques to promote natural sleep.

    ▪ Advise him to awaken and retire at the same time each day and to exercise regularly, but not close to bedtime.

    ▪ Encourage the patient to avoid caffeinated beverages at least 3 hours before bedtime.

    ▪ Refer the patient to counseling or a sleep disorder clinic as needed.

    » READ BOOK EXCERPT ONLINE »

    Source: Nursing: Interpreting Signs and Symptoms, 2007



     » Next page: Alternative Treatments for Insomnia

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