Zolpidem ( Ambien and generic) Eszopiclone ( Lunesta ) Zaleplon ( Sonata and generic)
There are several nonpharmacological options for the treatment of insomnia , including relaxation techniques, improving sleep hygiene, and cognitive behavioral therapy. These options are effective in managing insomnia for extended periods of time, even in patients with cognitive impairment.
That’s because a mounting body of evidence suggests that long-term use of certain sleep meds containing diphenhydramine, a common active ingredient found in OTC products such as Sominex, Tylenol PM, and ZzzQuil ; antihistamines such as Benadryl; and some cold and cough medicines may increase your chances of developing
Although melatonin is usually considered safer than benzodiazepines, an increased fracture risk has recently been reported with this drug, and caution should be advised for elderly patients at risk for falls. Melatonin is only one option in the armamentarium of sleep solutions for older adults.
The EFSA recommends using a dose of no more than 0.3 to 1 mg of melatonin to obtain the claimed effect, noting that the relationship between melatonin and reduction of sleep latency was established in studies including such doses.
Types of prescription sleeping pills
|Sleep medication||Helps you fall asleep||Helps you stay asleep|
|Temazepam (Restoril )||✔||✔|
|Zolpidem ( Ambien , Edluar , Intermezzo, Zolpimist)||✔|
As you age your body produces lower levels of growth hormone, so you’ll likely experience a decrease in slow wave or deep sleep (an especially refreshing part of the sleep cycle). When this happens you produce less melatonin, meaning you’ll often experience more fragmented sleep and wake up more often during the night.
What Causes Excessive Sleep in the Elderly ? Sleep deprivation is the most common cause of daytime sleepiness. This can be caused by something as simple as a too-warm room, too much coffee during the day or achy joints at night. Sometimes daytime fatigue stems from boredom.
Best Over-the-Counter-Sleep-Aids Editor’s Pick ( Diphenhydramine HCl ) – Vicks ZzzQuil Nighttime Sleep Aid. Best Value ( Diphenhydramine HCl ) – ValuMeds Nighttime Sleep Aid. Editor’s Pick ( Doxylamine Succinate ) – Kirkland Signature Sleep Aid. Best Value ( Doxylamine Succinate ) – Basic Care Sleep Aid.
Thus, diphenhydramine should be strongly discouraged for chronic use. Because age -related changes occur in the cholinergic system, there is concern that strong anticholinergic effects may lead to a decline in cognitive function or even precipitate delirium in older adults.
Buspirone is an anti-anxiety drug that has been shown to be effective for older adults. Benzodiazepines , another anti-anxiety drug, are effective but should be prescribed carefully to older adults because of risk of memory impairment, unsteadiness, and falls.
Other ways to promote sleep include these healthy lifestyle tips: Avoid large meals shortly before bedtime. Avoid stimulants such as caffeine after mid-afternoon. Get regular exercise early in the day. Go to bed and wake up at the same time every day. DO NOT take naps. Use the bed only for sleep or sexual activity.
The antioxidant, mitochondrial and antiamyloidogenic effects of melatonin indicate its potentiality to interfere with the onset of the disease. This is of particularly importance in mild cognitive impairment (MCI), an etiologically heterogeneous syndrome that precedes dementia .
Melatonin has been used safely for up to 2 years in some people. However, it can cause some side effects including headache , short-term feelings of depression, daytime sleepiness , dizziness , stomach cramps, and irritability. Do not drive or use machinery for four to five hours after taking melatonin.
Establish a regular sleep schedule. Go to bed and wake up at the same time each day. Be physically active each day, but exercise early in the day and no later than four hours before going to bed. Sleep in a dark, quiet, cool room (between 60 and 67 degrees Fahrenheit).