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Sleeping Aids
The most common prescription Sleeping aids approved to be used in treating insomnia are as follows: benzodiazepines (for example temazepam, estazolam,and others); the newer, non-benzodiasepines (for example zolpidem [Ambien,Ambien CR], Zaleplon [Sonatal], and eszopiclone [Lunesta]; and the melatonin receptor agonist ramelteon (Rozerem).
These three Sleeping aids perform best when 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 form of therapy may be required. For example, Sonata includes a one hour amount of action, so it can be used for middle-of-the night awakenings. Giving the relatively level "therapeutic playing field" among the hypnotic sleeping aids, the cost to the patient should be considered when selecting a medication. Obviously, the list of approved medications within the patient's health plan much be looked at.
The medications usually have a minimal incidence of side effects, and a low abuse potential. For example, based on a published study within the American journal of Medicine in 1996 in which they analyzed various outcomes in 170 adult patients with long-standing sleep-disruptive disorders who have been given nightly benzodiazepine therapy (usually clonazepan) for at least 6 months, and often for many years. Among these patients, 146 (86 percent found that this therapy completely or substantially controlled their sleep problems, 8 percent had negative effects (for example 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 common side effects include morning, "hangover", dizziness, problems with balance, memory, or confusion.
Zolpidem, zaleplon, and eszopiclone are imidazopyridine medications that connect to a benzodiazepine receptor in the brain. Their advantages are rapid absorption, lack of active metabolites, and safe for side effects or abuse. Zolpidem continues to be extensively studied, by having an excellent therapeutic profile during nightly use for approximately 6 months, although in our experience it may be used safely on the nightly bsis for more than annually in patients who're carefully followed. The usual dose is 5-10 mg. at night, with doses with doses of 15-20 mg at times being used. Zaleplon is definitely an ultra-short-acting agent that's effective in promptly restoring sleep in patients having issues with nocturnal awakenings. The typical dose is Two or three mg at bedtime.
