Wednesday, August 24, 2016

When to take a sleeping pill for insomnia?


Insomnia is defined as difficulty falling asleep, difficulty staying asleep, or waking up early in the morning and not being able to return to sleep. In general, people with insomnia sleep less or sleep poorly despite having an adequate chance to sleep. The poor sleep causes difficulty functioning during the daytime. Insomnia is not defined by the number of hours slept because the amount of sleep needed varies from one person to another.


In many cases, insomnia occurs when there is another problem, such as stress, pain, or a medical condition. In these cases, treatment of the underlying problem may help to improve sleep. In other cases, either the cause of insomnia is not clear or the insomnia does not get better when the co-existing problem is treated; therefore, the insomnia itself needs to be specifically addressed.

Sleeping pills can be an effective treatment for chronic insomnia. But like any other drug, sleep medications can have side effects. One potential side effect of sleeping pills is daytime drowsiness.

Sleep medications are powerful hypnotics. They can be helpful because they cause a strong urge to sleep. But you don’t want this sleepiness to persist after you wake up. 

One way to minimize the risk of daytime drowsiness is to take a sleeping pill at the right time of night. Most sleeping pills – such as Zolpidem (Ambien) or Zimovane (Zopiclone) - should be taken right before you get in bed. 

You should only take these sleeping pills when you are able to get a full night of sleep. This means that you should take the medication at least seven to eight hours before you need to wake up. 

In every case you should follow your doctor's advice with regard to medication – starting, changing or finishing a course of medication can have serious effects. Ensure that you consult your GP if you have any questions on this.

Monday, August 8, 2016

Depression and the Elderly


Depression is a mental health condition. It is a mood disorder in which feelings of sadness, loss, anger, or frustration interfere with daily life for weeks or longer.
Depression in older adults is a widespread problem, but it is not a normal part of aging. It is often not recognized or treated.

Major depression (also known as clinical depression) is a medical illness. It is a chemical imbalance in the brain and can appear in people regardless of age, race or economic status. The illness can appear after a triggering event or for no apparent reason at all.

Depressive symptoms that occur in the older patient are similar to the symptoms in younger adults.

Signs & Symptoms
- Constant “blue” or sad mood that does not improve even with happy occurrences
- Reduced total sleep time
- Frequent waking during the night
- Frequent physical complaints (example: stomachaches, headaches, dizziness, and/or joint pain that does not respond or responds inconsistently to treatment, despite a thorough medical evaluation and therapy)
- Increased fatigue or lack of energy
- Decreased interest in usual pleasurable activities
- Withdrawal from social interaction · Hopelessness
- Thoughts of suicide
- Decreased appetite
- Guilt or preoccupation with past events
- Decreased concentration and/or increased forgetfulness
- Irritability
- Frequent tearfulness or crying without an obvious precipitating event.

A complete physical examination to rule out other problems is critical before a diagnosis of depression is made. A complete physical examination to rule out other problems is critical before a diagnosis of depression is made. Other physical diseases (Parkinson's, multiple sclerosis, diabetes, thyroid disorders, certain viral infections, strokes, tumors) and certain medications (steroids, hormones, blood pressure and arthritis medications) used to treat those illnesses can mimic the symptoms depression; they can cause a chemical imbalance in the brain. Therefore, a thorough exam is extremely important, as well as a complete medical history and list of medications currently being taken (both over-the-counter and prescription drugs). Family history of depressive illness should also be noted, due to the genetic component of brain illnesses.