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Current revision (19:10, 21 July 2012) (view source) m (New page: Sleeping Aids The most common prescription Sleeping aids approved to be used for insomnia are listed below: benzodiazepines (such as temazepam, estazolam,yet others); the newer, non-benzo...) |
Current revision
Sleeping Aids
The most common prescription Sleeping aids approved to be used for insomnia are listed below: benzodiazepines (such as temazepam, estazolam,yet others); the newer, non-benzodiasepines (such as zolpidem (Ambien,Ambien CR), Zaleplon (Sonatal), and eszopiclone (Lunesta); and also the melatonin receptor agonist ramelteon (Rozerem).
These three Sleeping aids work best once the individuals who are treated for insomnia are diagnosed by a physician and follow-up treatment methods are regular. It is not uncommon by using these medications, some type of therapy may be needed. For instance, Sonata has a one hour duration of action, so it can be used as middle-of-the night awakenings. Giving the relatively level "therapeutic playing field" among the hypnotic sleeping aids, the cost to the patient should be thought about when selecting a medication. Obviously, the list of approved medications within the patient's health plan much be considered.
The medications will often have a low incidence of side effects, and a low abuse potential. For example, according to a published study within the American journal of Medicine in 1996 by which they analyzed various outcomes in 170 adult patients with long-standing sleep-disruptive disorders who have been given nightly benzodiazepine therapy (usually clonazepan) not less than 6 months, and frequently for several years. Of these patients, 146 (86 percent discovered that this therapy completely or substantially controlled their sleep issues, 8 percent had adverse effects (such as morning sedation ) requiring Sleeping aids changes, 2 percent had relapses of alcohol or chemical abuse requiring hospitalization, and 1 % at times misused their medications. Other less frequent negative effects include morning, "hangover", dizziness, problems with balance, memory, or confusion.
Zolpidem, zaleplon, and eszopiclone are imidazopyridine medications that interact with a benzodiazepine receptor within the brain. Their advantages are rapid absorption, insufficient active metabolites, and safe for side effects or abuse. Zolpidem has been extensively studied, by having an excellent therapeutic profile during nightly use for approximately six months, although within our experience it may be used safely on a nightly bsis for well over annually in patients who are carefully followed. The typical dose is 5-10 mg. at bedtime, with doses with doses of 15-20 mg at times getting used. Zaleplon is an ultra-short-acting agent that is effective in promptly restoring sleep in patients having issues with nocturnal awakenings. The typical dose is 2 or 3 mg at night.
