DiseasesAnalytical, Diagnostic and Therapeutic Techniques and EquipmentPsychiatry and PsychologyPhenomena and ProcessesDisciplines and OccupationsAnthropology, Education, Sociology and Social PhenomenaInformation ScienceHealth Care
Sleep Initiation and Maintenance DisordersSleepSleep, REMSleep DisordersWakefulnessSleep DeprivationGeriatric AssessmentPolysomnographySleep StagesGeriatricsCircadian RhythmGeriatric NursingGeriatric DentistryDisorders of Excessive SomnolenceArousalGeriatric PsychiatryElectroencephalographySleep Apnea, ObstructiveTime FactorsSleep Apnea SyndromesNight CareNight BlindnessBipolar DisorderHealth Services for the AgedMental Disorders
InsomniaApneaPediatricZolpidemBipolar disorderPatientsOnsetCognitive2021AwakeDepressionImprove related daytime impairmentsBehaviorsDoseAdequateAnxietyPsychiatric disorderSleepinessAdultsLatencyDisturbancesAdolescentsOrallyChronicHumansDurationDepressiveAcuteDeprivationTimeBehaviorIntermezzoWakefulnessMajorInadequateRestrictionTreatmentDiaryInterfereAASMPillsImpairmentsSevereHoursDecreaseCenterConsistent
Insomnia31
  • One area researchers have been focusing on is the effect of poor sleep - such as sleep apnea and insomnia - on the brain. (medicalnewstoday.com)
  • A study in June 2023 says sleep-initiation insomnia may elevate dementia risk. (medicalnewstoday.com)
  • Insomnia and worsening memory also form a vicious cycle, and having memory impairment can lead to more problems with getting adequate sleep. (medicalnewstoday.com)
  • Insomnia is a common problem involving trouble falling asleep, staying asleep, or getting quality sleep. (wikipedia.org)
  • People with insomnia should evaluate or have their sleep patterns evaluated and take into account all possible factors that may be affecting the person's ability to sleep. (wikipedia.org)
  • After identifying the possible underlying cause and the factors contributing to insomnia, the person can begin taking steps towards getting better sleep. (wikipedia.org)
  • It is also effective in treatment of insomnia related to or caused by mood disorders. (wikipedia.org)
  • People with insomnia are guided to do the following: go to bed only when they are tired limit activities in bed to sleep and sex get out of bed at the same time every morning get up and move to another room when sleep onset does not occur within twenty minutes Sleep hygiene aims to control the environment and behaviors that precede sleep. (wikipedia.org)
  • Insomniacs typically spend a long time in bed not sleeping, which CBT-I sees as creating a mental association between the bed and insomnia. (wikipedia.org)
  • 58% women) with confirmed insomnia disorder and no major depression within the previous 12 months found CBT significantly reduced risk of depression in patients with insomnia. (medscape.com)
  • The treatment of primary (psychophysiologic) insomnia begins with education about the sleep problem and appropriate sleep hygiene measures (elements of good sleep hygiene are described in Patient Education). (medscape.com)
  • Cognitive-behavioral therapy (CBT) can be used to ameliorate factors that perpetuate or exacerbate chronic insomnia, such as poor sleep habits, hyperarousal, irregular sleep schedules, inadequate sleep hygiene, and misconceptions about sleep. (medscape.com)
  • They are excellent choices for treatment of sleep-onset insomnia. (medscape.com)
  • Both eszopiclone and sustained-release zolpidem are effective for both sleep-onset and sleep-maintenance insomnia, with a reduced abuse potential and long-term efficacy of up to 6 months as compared with nonselective benzodiazepine receptor agonists. (medscape.com)
  • Short-acting (eg, triazolam) and intermediate-acting (eg, estazolam, temazepam) benzodiazepine receptor agonists are useful for sleep-onset insomnia. (medscape.com)
  • Selective melatonin agonists are indicated for insomnia characterized by difficulty with sleep onset, particularly for individuals who lack dim-light melatonin-onset stimulation. (medscape.com)
  • A sedative-hypnotic of the pyrazolopyrimidine class, zaleplon has a rapid onset of action and an ultra-short duration of action, making it a good choice for treatment of sleep-onset insomnia. (medscape.com)
  • It is a good first choice for treatment of sleep-onset insomnia and produces no significant residual sedation in the morning. (medscape.com)
  • The extended-release product (Ambien CR) consists of a coated 2-layer tablet and is useful for insomnia characterized by difficulties with sleep onset and/or sleep maintenance. (medscape.com)
  • an oral spray (Zolpimist) is also available for sleep-onset and/or sleep-maintenance insomnia. (medscape.com)
  • Zolpidem tartrate extended-release tablets, a gamma-aminobutyric acid (GABA) A receptor positive modulator, is indicated for the short-term treatment of insomnia characterized by difficulties with sleep onset and/or sleep maintenance. (nih.gov)
  • Insomnia is defined as repeated difficulty with sleep initiation, maintenance, consolidation, or quality that occurs despite adequate time and opportunity for sleep and that results in some form of daytime impairment. (medscape.com)
  • Physical examination may offer clues to underlying medical disorders predisposing to insomnia. (medscape.com)
  • He was also provided behavioral strategies to improve his initiation and maintenance insomnia. (psychiatrist.com)
  • It affects chemicals in the brain that may be unbalanced in people with sleep problems (insomnia). (macromass.com.ph)
  • Do not take Intermezzo for middle-of-the-night insomnia unless you have 4 hours of sleep time left before being active. (macromass.com.ph)
  • Tell your doctor if your insomnia symptoms do not improve, or if they get worse after using this medication for 7 to 10 nights in a row. (macromass.com.ph)
  • Zolpidem tartrate extended-release tablets are indicated for the treatment of insomnia characterized by difficulties with sleep onset and/or sleep maintenance (as measured by wake time after sleep onset). (drugs-library.com)
  • ROZEREM is indicated for the treatment of insomnia characterized by difficulty with sleep onset. (guidelinecentral.com)
  • Since sleep disturbances may be the presenting manifestation of a physical and/or psychiatric disorder, symptomatic treatment of insomnia should be initiated only after a careful evaluation of the patient. (guidelinecentral.com)
  • Worsening of insomnia, or the emergence of new cognitive or behavioral abnormalities, may be the result of an unrecognized underlying psychiatric or physical disorder and requires further evaluation of the patient. (guidelinecentral.com)
Apnea4
  • One study in May 2023 found sleep apnea may lead to a loss in brain volume , affecting memory. (medicalnewstoday.com)
  • Another study in May found that obstructive sleep apnea was associated with increased white matter abnormalities in the brain, and noted that such abnormalities may contribute to an increased risk for both dementia and stroke . (medicalnewstoday.com)
  • Not only does poor sleep interfere with the body's natural recovery processes, but sleep disorders like sleep apnea can actually increase your risk of heart disease and stroke, both of which also increase your risk of dementia. (medicalnewstoday.com)
  • Patients with severe sleep apnea: ROZEREM is not recommended for use in this population. (guidelinecentral.com)
Pediatric1
  • Patients with major depressive disorder (MDD), both adult and pediatric, may experience worsening of their depression and/or the emergence of suicidal ideation and behavior (suicidality) or unusual changes in behavior, whether or not they are taking antidepressant medications, and this risk may persist until significant remission occurs. (wikidoc.org)
Zolpidem5
  • Zolpidem yielded no significant difference in MNSD despite a significant 22 min reduction in WASO (95% CI: -52.5, 8.3) and a reduction of 1 awakening each night (95% CI: -3.4, 1.2) in relation to placebo. (nih.gov)
  • Complex sleep behaviors including sleep-walking, sleep-driving, and engaging in other activities while not fully awake may occur following use of Zolpidem tartrate extended-release tablets. (nih.gov)
  • Discontinue Zolpidem tartrate extended-release tablets immediately if a patient experiences a complex sleep behavior. (nih.gov)
  • If this happens to you, stop taking zolpidem and talk with your doctor about another treatment for your sleep disorder. (macromass.com.ph)
  • Zolpidem Tartrate (Zolpidem Tartrate) TABLET, FILM COATED, EXTENDED RELEASE for ORAL use.Initial U.S. Approval: 1992RECENT MAJOR CHANGES Dosage and Administration (2) 4/2013 Dosage and Administration, Dosage in Adults (2.1) 4/2013Warnings and Precautions (5) 4/2013INDICATIONS AND USAGE Zolpidem tartrate extended-release tablets, USP a gamma-aminobutyric acid (GABA) A agonist are indicated for the treatment of insomnia characterized by difficulties with sleep onset and/or sleep maintenance. (drugs-library.com)
Bipolar disorder3
  • Oxcarbazepine may also be used to treat bipolar disorder and nerve pain (neuralgia) and nerve damage (neuropathy) that result from certain neurological diseases. (medicinenet.com)
  • Screen patients for bipolar disorder prior to initiating treatment. (nih.gov)
  • Patients with serious psychiatric illness such as schizophrenia, bipolar disorder, and major depressive disorder did not participate in the premarketing studies of CHANTIX, and the safety and efficacy of CHANTIX in such patients has not been established. (drugs-library.com)
Patients10
  • Before therapy is instituted, most patients are asked to maintain a sleep diary for 1-2 weeks (see Sleep Diary). (medscape.com)
  • Orexin inhibitors (eg, lemborexant, suvorexant) are options for patients with difficulties of sleep onset and/or sleep maintenance. (medscape.com)
  • My message to psychiatrists and other physicians is simple: Take sleepiness seriously in patients or yourself, as it may have a basis in sleep pathology. (psychiatrictimes.com)
  • Approximately 31% of patients with T2DM suffer from depressive symptoms, with 11.4% having major depressive disorders, which is twice as high as the prevalence of depression in patients without T2DM. (frontiersin.org)
  • This claim is supported on the basis of two positive studies with Alprazolam Vetiquima 0,5 mg Comprimidos conducted in patients whose diagnoses corresponded closely to the DSM-III-R/IV criteria for panic disorder (see Clinical Efficacy Trails ). (pillintrip.com)
  • Intervention Monitor patients for signs and symptoms of serotonin syndrome, particularly during treatment initiation and dosage increases. (druginteractionchecker.com)
  • METHODS: In this multi-center, cross-sectional clinical study, adult patients with GCS (Glasgow Coma Scale) ≥ 8 and RASS (The Richmond Agitation-Sedation Scale) ≥ -3, without a history of mood disorders before ICU admission, were eligible for inclusion. (deliriumnetwork.org)
  • The pooled analyses of placebo-controlled trials in children and adolescents with MDD, obsessive compulsive disorder (OCD), or other psychiatric disorders included a total of 24 short-term trials of 9 antidepressant drugs in over 4,400 patients. (wikidoc.org)
  • The pooled analyses of placebo-controlled trials in adults with MDD or other psychiatric disorders included a total of 295 short-term trials (median duration of 2 months) of 11 antidepressant drugs in over 77,000 patients. (wikidoc.org)
  • Il s'agit d'une étude transversale, monocentrique et descriptive, durant 12 mois, incluant les patients âgés d'au moins 18 ans admis en réanimation polyvalente pour un sepsis ou choc septique. (bvsalud.org)
Onset1
  • Primary endpoint was the main nocturnal sleep duration (MNSD), whereas secondary outcomes were the proportion of the night time slept, awake time after sleep onset (WASO), nocturnal awakenings, total daytime sleep time and daytime naps. (nih.gov)
Cognitive3
  • Dr. John Showalter , chief product officer at digital cognitive assessment platform provider Linus Health, said sleep is also important because it is restorative, meaning it is when the brain and body slow down to recover from the activities of the day. (medicalnewstoday.com)
  • As chief of the division of sleep and chronobiology in the department of psychiatry at the University of Pennsylvania School of Medicine, David F. Dinges, Ph.D., focuses on ways sleep and the endogenous circadian pacemaker interact to control wakefulness and waking neurobehavioral functions such as physiological alertness, attention, cognitive performance, fatigue, mood, neuroendocrine profiles, immune responses and health. (psychiatrictimes.com)
  • You will experience problem sleepiness, with its attendant risk for reductions in attention, recall and cognitive throughput, and increased errors and uncontrolled sleep attacks [National Heart, Lung, Blood Institute and National Center on Sleep Disorders Research Working Group, 1999]. (psychiatrictimes.com)
20211
  • Total Points Possible = 100 points my topic is: the bereaved individual volume 24 number 2 / March 2021 / 15 CLINICIANS OFTEN encounter sleep disturbances in older people who have recently experienced the death of a partner or spouse (Li et al 2018). (efficientpapers.com)
Awake3
  • Far too many people are sleep-deprived to the point of requiring caffeine, exogenous stimulation and compensatory effort to remain awake. (psychiatrictimes.com)
  • The longer you're awake, or the less sleep you get night after night, the greater the drive to sleep. (psychiatrictimes.com)
  • 5.3) "Sleep-driving" and other complex behaviors while not fully awake. (drugs-library.com)
Depression5
  • Restricting sleep has also been shown to be an effective but usually temporary measure for treating depression. (wikipedia.org)
  • Depression and certain other psychiatric disorders are themselves associated with increases in the risk of suicide. (rxlist.com)
  • A thorough psychological history should be obtained to screen for psychiatric disorders, focusing particularly on anxiety and depression. (medscape.com)
  • Suicide is a known risk of depression and certain other psychiatric disorders and these disorders themselves are the strongest predictors of suicide. (wikidoc.org)
  • However, there is substantial evidence from placebo-controlled maintenance trials in adults with depression that the use of antidepressants can delay the recurrence of depression. (wikidoc.org)
Improve related daytime impairments1
  • The American Academy of Sleep Medicine (AASM) guideline states that the 2 primary goals of treatment are to improve sleep quality and to improve related daytime impairments. (medscape.com)
Behaviors2
  • CBT-I aims to improve sleep habits and behaviors by identifying and changing the thoughts and the behaviors that affect the ability of a person to sleep or sleep well. (wikipedia.org)
  • Abnormal thinking, behavioral changes, complex behaviors: May include "sleep-driving" and hallucinations. (guidelinecentral.com)
Dose5
  • A second dose can be used during the middle of the night without residual sedation in the morning (this is believed to be an advantage of this hypnotic over others). (medscape.com)
  • The low-dose sublingual product (Intermezzo) is indicated for middle-of-the-night awakening. (medscape.com)
  • Monitor closely, especially upon initiation or following a dose increase. (drugs.com)
  • Which dose of heparin is most effective in the prevention of thromboembolic disorders after elective gynecological or abdominal-thoracic surgery? (findmedarticle.com)
  • The recommended initial dose is 6.25 mg for women and either 6.25 or 12.5 mg for men, taken only once per night immediately before bedtime with at least 7 to 8 hours remaining before the planned time of awakening. (drugs-library.com)
Adequate1
  • The stability of the wake state, alertness, and how well the brain functions cognitively and emotionally all depend upon an adequate duration of quality sleep. (psychiatrictimes.com)
Anxiety2
  • Lexapro (escitalopram) is type of antidepressant called a selective serotonin reuptake inhibitor ( SSRI ) used to treat anxiety in adults and major depressive disorder in adults and adolescents who are at least 12 years old. (rxlist.com)
  • Mr A returned 2 weeks later and reported no improvement in anxiety symptoms and a recurrence of his irritability, but he continued to sleep well. (psychiatrist.com)
Psychiatric disorder1
  • If the patient has a psychiatric disorder, the disorder should be treated. (medscape.com)
Sleepiness4
  • Daytime sleepiness is a side-effect during the first week or two of treatment, so those who operate heavy machinery or otherwise cannot safely be sleep deprived should not undergo this process. (wikipedia.org)
  • Research has showed that sleep restriction therapy does create side effects such as "fatigue/exhaustion", "extreme sleepiness", "reduced motivation/energy", "headache/migraine", irritability, and changes in appetite. (wikipedia.org)
  • In an interview with Psychiatric Times, Dinges discussed neurobehavioral consequences of sleep loss, factors that impair sleeping, the pervasiveness of sleepiness and new ways to manage sleepiness. (psychiatrictimes.com)
  • It is not uncommon to hear people attribute their sleepiness and even uncontrolled sleep attacks to a boring or sedentary activity-not appreciating that their own inherent biological drive for sleep overwhelms wakefulness when stimulation or compensatory effort are no longer enough. (psychiatrictimes.com)
Adults6
  • Although it is recommended most adults receive 7 or more hours of sleep each night, many people struggle with getting enough shut-eye. (medicalnewstoday.com)
  • VIIBRYD is indicated for the treatment of major depressive disorder (MDD) in adults ( 1 ). (nih.gov)
  • Antidepressants increased the risk compared to placebo of suicidal thinking and behavior (suicidality) in children, adolescents, and young adults in short-term studies of major depressive disorder (MDD) and other psychiatric disorders. (rxlist.com)
  • Mirtazapine tablets are indicated for the treatment of major depressive disorder (MDD) in adults. (nih.gov)
  • blackBoxWarningBody= Increased risk of suicidal thinking and behavior in children, adolescents and young adults taking antidepressants for major depressive disorder (MDD) and other psychiatric disorders. (wikidoc.org)
  • Pooled analyses of short- term placebo-controlled trials of antidepressant drugs (SSRIs and others) showed that these drugs increase the risk of suicidal thinking and behavior (suicidality) in children, adolescents, and young adults (ages 18 - 24) with MDD and other psychiatric disorders. (wikidoc.org)
Latency1
Disturbances1
  • The Drug of choice" for the short term treatment of sleep disturbances is: A. Phenobarbitalum B. Diazepamum C. Medazepamum ar oxazepamum D. Clonazepamum E. Nitrazepamum ar triazolamum 19. (findmedarticle.com)
Adolescents1
Orally1
  • Administer orally once daily, preferably in the evening prior to sleep. (nih.gov)
Chronic2
  • Without consistent deep sleep , we have an incomplete clearing of adenosine and other waste products like blood cells and the result is chronic inflammation . (medicalnewstoday.com)
  • Chronic inflammation is the cause or exacerbator of many brain diseases and disorders. (medicalnewstoday.com)
Humans1
Duration2
  • Alzheimer's: Could sleep duration and quality impact risk? (medicalnewstoday.com)
  • Although the duration of sleep needed for stable waking functions varies among individuals and across the life span, daily sleep in our species is an average duration of eight hours. (psychiatrictimes.com)
Depressive1
  • Mr A was started on fluoxetine 10 mg for unspecified depressive disorder ( DSM-5 criteria) and increased to 20 mg after a week. (psychiatrist.com)
Acute1
  • to triaging and treating acute disorders, like suicidality, that rise to the level of a psychiatric emergency. (issuu.com)
Deprivation1
Time3
  • Sleep Efficiency (SE) is the measure of reported Total Sleep Time (TST), the actual amount of time the patient is usually able to sleep, compared with their TIB. (wikipedia.org)
  • Because time is viewed in the information age as a commodity that can be bought, sold, traded and generally controlled at will, large segments of modern society have chronically reduced sleep durations. (psychiatrictimes.com)
  • Even though your circadian system may be promoting wakefulness at the right time of day, if you have too great a sleep debt, your ability to function will be compromised. (psychiatrictimes.com)
Behavior1
  • Stimulus control aims to associate the bed with sleeping and limit its association with stimulating behavior. (wikipedia.org)
Intermezzo1
  • Intermezzo, is used to help you fall back to sleep if you wake up in the middle of the night and then have trouble sleeping. (macromass.com.ph)
Wakefulness4
Major3
  • One major area receiving a lot of attention over this past year is the effect of sleep on both dementia in general and Alzheimer's disease. (medicalnewstoday.com)
  • There are several major functions that occur during sleep including memory consolidation, emotional processing, and a deep cleaning process. (medicalnewstoday.com)
  • BACKGROUND: The intrinsic damage and external hazards of smoking are major risk factors for poorer health and are recognized as a global health issue of concern in geriatric health. (bvsalud.org)
Inadequate1
  • Inadequate sleep interferes with your brain's ability to learn and remember new information," he continued. (medicalnewstoday.com)
Restriction2
  • Sleep restriction, also known as sleep restriction therapy, is probably the most difficult step of CBT-I. This is because CBT-I initially involves the restriction of sleep. (wikipedia.org)
  • Sleep Restriction and the Adolescent Diet: book multi agent machine learning a reinforcement approach 2014 and people. (media-maniacs.org)
Treatment3
  • But the frequency and ratings of how much these side effects interfered were associated with improvement in sleep quality over the course of the treatment. (wikipedia.org)
  • This provides a clearer picture of the degree of sleep disturbance and allows development of a tailored treatment. (medscape.com)
  • Alprazolam Vetiquima 0,5 mg Comprimidos Tablets are indicated for the treatment of panic disorder, with or without agoraphobia. (pillintrip.com)
Diary1
Interfere1
  • This involves limiting substances that can interfere with proper sleep, particularly within 4-6 hours of going to bed. (wikipedia.org)
AASM1
  • The American Academy of Sleep Medicine (AASM) evidence-based practice parameter found that CBT (all components), as well as individual components of stimulus-control, paradoxical intention, relaxation training, and biofeedback, were effective. (medscape.com)
Pills2
Impairments1
  • Analysis of the visceral hypothesis of sleep shows that many pathological states associated with the sleep-waking cycle can be explained in terms of impairments to the synchronicity of the switching of information streams in the cerebral cortex going from waking from sleep and vice versa. (researchgate.net)
Severe1
  • It is only indicated when the disorder is severe, disabling or subjecting the individual to extreme distress. (pillintrip.com)
Hours3
  • According to one expert, this should result in getting 7 to 8 hours of sleep within about six weeks. (wikipedia.org)
  • He was started on trazodone 50 mg, and at 1-week follow-up, he was sleeping for 8 hours per night. (psychiatrist.com)
  • Never take Ambien, Edluar, or Zolpimist if you do not have a full 7 to 8 hours to sleep before being active again. (macromass.com.ph)
Decrease1
  • Zopiclone produced an 81 min increase in MNSD (95% confidence interval (CI): -0.8, 163.2), a 26 min reduction in WASO (95% CI: -56.2, 4.8) and a 2-episode decrease in awakening per night (95% CI: -4.0, 0.4) in average compared to placebo. (nih.gov)
Center1
  • Large meta-analyses have shown a link between poor sleep quality and memory loss," Dr. Owen Deland , a geriatrician at Hackensack University Medical Center explained to MNT . (medicalnewstoday.com)
Consistent1
  • This review addresses studies seeking experimental confirmation of the author's visceral theory of sleep, along with independent investigations whose results are consistent with this hypothesis. (researchgate.net)