Insomnia, Insomnia Cure, Insomnia Treatment
Insomnia is a sleep disorder characterized by an inability
to sleep and/or the inability to remain asleep for a suitable period
of time. Hundreds of millions of people suffer from insomnia every year,
and the average person does not get the recommended 8-10 hours of sleep
a night. Women are twice as likely as men to suffer from insomnia.
Insomnia can be caused by stress or anxiety, fear, depression, other
medication, or sometimes for no discernible reason at all. Finding the
underlying cause of insomnia is usually necessary to cure it, but temporary
relief can be found through various sleeping aids, from warm milk and
meditation, to herbal remedies such as valerian root, to sleeping pills
- sedative hypnotics designed to relieve the symptoms of insomnia and
sleep deprivation.
The most commonly used type of hypnotics used to treat insomnia are
benzodiazepines, including the popular drugs temazepam, diazepam, lorazepam,
flurazepam, nitrazepam and midazolam. These work by targeting receptors
in the brain in order to depress the central nervous system and cause
drowsiness, allowing people to get to sleep.
Non-Benzodiazepine hypnotics are newer, short-acting sleeping pills
which are more specific than benzodiazepines in the receptor sites that
they target in the brain. Consequently they have fewer side-effects
and substantially less of the next day ‘hangover’ that older sleeping
pills are associated with.

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The most common forms of non-benzodiazepines
are:
Zolpidem (Ambien) - may be taken ‘as needed’ and is the first extended
release sleeping pill, formulated to help people fall asleep, and then
stay asleep with two different actions. In a recent study, Ambien users
were able to cut down their usage after a short period of time without
any loss in sleep quality.
Xanax ( Alprazolam ) - is a tranquilizer used in the short-term relief of symptoms of anxiety or the treatment of anxiety disorders or insomnia. Anxiety disorder is marked by unrealistic worry or excessive fears and concerns. Anxiety associated with depression is also responsive to Alprazolam
Zaleplon (Sonata) - the shortest-acting hypnotic currently available.
Therefore it is better for people who have trouble falling asleep, but
not staying asleep.
Zopliclone (Limovan) - aids both sleep maintenance and daytime alertness.
Can be taken for a prolonged period of time with little risk of side-effects.
Ramelteon (Rozerem) - targets different receptors from other non-benzodiazepines,
and has no risk of forming a dependance as other sedative hypnotics
may do.
Some antidepressants with sedative properties are used to combat insomnia
and other sleep disorders, the most popular of which are mirtazapine,
trazodone and doxepin. These are useful when the insomnia is presenting
with other psychological factors such as depression.
Melatonin is a hormone found in all living creatures, which is a powerful
anti-oxidant and assists in the maintenance of the circadian cycle,
or sleep patterns. It has been shown in numerous studies that taking
low doses of melatonin (0.3mg) regularly reduces the time taken to fall
asleep and increases the amount of time spend asleep. It is also very
effective in combating jetlag and other instances where a persons regular
sleep pattern has been disrupted. Melatonin may have many other beneficial
and curative properties, which are currently under further investigation.
Antihistamines such as those found in over-the-counter allergy medication
or often used to treat mild cases of insomnia. Diphenhydramine is the
most common antihistamine used non-prescription sleep aids. Some drugs
contain diphenhydramine alone (Sonodor) while others
contain combinations of diphenhydramine with pain relievers (Anacin
P.M., Excedrin P.M., Tylenol P.M.). Antihistamines are not an ideal
solution because of their tendency to cause next day ‘hangovers’.
In addition to medication, there are many lifestyle factors you can
address in order to facilitate a good nights sleep. These include going
to bed at the same time each night, avoiding caffeine, alcohol and nicotine
late in the day, getting regular exercise and keeping your sleeping
area dark, peaceful and free of distractions (such as a television).
If you cannot fall asleep within 20 minutes, get up and do something
else for a while, to avoid associating your bedroom with sleeplessness.
If you suffer from insomnia, or have any of the classic signs of sleep
deprivation (exhaustion, inability to concentrate, irritability, slowed
reactions), you should seek medical help. Keeping a sleep diary may
also help you and your doctor to better analyze the problem and find
a solution. If you do not address the problem, you are endangering your
own health as well as the health of those around you.
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Insomnia