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SLEEP DISORDER

Types

  • Temporary disturbance of sleep pattem: disruption related to change in routine / travel.
  • Sleep disorder secondary to other cause, eg. depression, anxiety, pain, itch.
  • Permanent insomnia without obvious underlying cause, eg. change in sleep requirement as part of ageing process.

Danger signs

  • Depression/psychiatric disease. May present with any disturbance of sleep pattem. Have a hard look for underlying cause and if suspected contact GP. Psychologically disturbed people have a high risk of taking overdoses.
  • Underlying Physical Cause. If considered likely refer to GP

Notes for children

Notes for the elderly

  • Beware increased risk of side effects from Antihistamines and possible drug reactions.
  • Elderly do not need to medicate for falling sleep requirement.

General advice

  • Look at routine - no caffeine in the evening, relaxing plan before bedtime
  • Exercise / socialisation to reduce stress.

Therapy

  • Antihistamines for sedative side effects. Short term use in over 16 years.
  • Herbal remedies.
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