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Wakefulness - Insomnia


Treatment & Monitoring

What are the treatments for the condition?

The best way to prevent insomnia is to develop good sleep habits. This includes maintaining a regular and predictable sleep schedule. Substances known to cause insomnia, such as nicotine, caffeine and alcohol, should be avoided. Creation of a quiet, comfortable sleep environment is also useful. Regular exercise is important, but should not be done within 2 hours of going to bed. Quiet, relaxing activities before bedtime, such as reading, listening to music, or watching TV, can help. Using medications such as zolpidem, zaleplon, or temazepam to induce sleep should be considered a last resort. Long-term use of these medications can actually cause more sleep problems.

What are the side effects of the treatments?

Side effects of the many medications used to induce sleep include:

  • day time sleepiness
  • physical tolerance to and dependence on some of the medications
  • memory impairment
  • rebound insomnia when medication is stopped
  • psychological dependence on the medication
  • poor quality sleep produced by some medications
  • What happens after treatment for the condition?

    Good sleep habits should be followed for life. Early identification and resolution of contributing factors may help reduce the number of sleepless nights.

    How is the condition monitored?

    Insomnia may be self-monitored. Healthcare providers can be notified of persistent sleeping problems.


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