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.
The Meds Cause Dangerous Side Effects Because of these dangers, the American Geriatric Society includes the more potent prescription sleep drugs—eszopiclone (Lunesta), zaleplon (Sonata), and zolpidem ( Ambien )—on its list of medications that adults age 65 and older should avoid.
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 .
If you require a little extra help to get a good night’s sleep, consider trying the following 9 natural sleep-promoting supplements. Melatonin . Melatonin is a hormone that your body produces naturally, and it signals to your brain that it’s time to sleep ( 7 ). Valerian root . Magnesium . Lavender . Passionflower . Glycine.
Chamomile is widely available in health food stores and supermarkets. Chamomile’s effectiveness as a sleep aid has not been widely researched in humans, but in animal studies it has been shown to be a safe and mild sleep aid.
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.
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.
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.
If you are an adult over 60 management or monitoring precaution: Neuro/Psych-Anticholinergic effects may cause sedation, worsen cognitive impairment and increase fall risk. Non-sedating antihistamine preferred. Gastrointestinal-May cause or worsen pre-existing constipation.
Most healthy older adults age 65 or older need 7-8 hours of sleep each night to feel rested and alert. But as you age, your sleep patterns may change.
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 .
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.
Advertisement Establish a quiet, relaxing bedtime routine. Relax your body. Make your bedroom conducive to sleep . Put clocks in your bedroom out of sight. Avoid caffeine after noon, and limit alcohol to 1 drink several hours before bedtime. Avoid smoking. Get regular exercise. Go to bed only when you’re sleepy .
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 .