Archive for September, 2007

The story of women lying awake for hours while their male partner manages to enjoy a sound restful sleep is all too familiar.The impaired quality of a woman’s sleep is often in response to hormonal fluctuations, PMS has often been blamed for causing abnormal hormone levels, however, it’s not always because the hormone level is abnormal, but rather that the woman’s response to the change is abnormal. Correcting PMS may require lifestyle changes, reduction of stress levels, and dietary improvements. Although theories abound as to the possible causes of PMS, a cure with the normal medical approach seems a long way off.

It is far better to treat the sleep disturbances by natural means rather than resort to prescription medications such as Ramelteeon which is a melatonin agonist used for people who have delayed sleep onset. Often the side effects of the drug are far worse than the initial symptom which required treatment.

Pregnancy brings with it many problems connected to sleep, these are mostly related to physical changes which cause urinary frequency, back ache, increased size , cramps, fetal movements, and indigestion. These discomforts are best dealt with by natural means, which include, maintaining a regular sleep pattern, eliminating daytime napping, eating light meals at night, possibly having a bedtime snack of a high protein spread with a thin slice of toast. The combination of protein with carbohydrate will assist the passage of tryptophan across the blood brain barrier and so assist sleep.

If daytime sleepiness is excessive, then it may be necessary to have your sleep monitored, to check for sleep apnea. If this condition exists, then it may be necessary to have a CPAP machine fitted which will alleviate any breathing difficulties.

Post partum sleeping problems are universal, what’s needed here is some sort of adaptive process to the upheaval caused by the arrival of the baby. Once baby arrives home everything changes, stress levels may increase exponentially as a result of hormonal changes, physical changes, family relationships, and overall lifestyle changes. Disrupted sleep may be something the new mother has to cope with for many months, and in some case much longer.

Peri menopausal and post menopausal women may experience many sleep disturbances, again resulting from hormonal fluctuations. Not all women will experience problems, some appear to have better coping mechanisms in place, either because their home life is more stable, or because their career interests are all absorbing, or both.Some of the changes may be mood disorders, increased anxiety, fatigue, migraines, depression, and many tissue changes as a result of declining estrogen levels.

There appears to be no doubt that women experience far more insomnia and other sleep disturbances in response to the fluctuations in their hormone levels throughout their lives. Once having passed menopause,  sleep disturbances appear to occur equally in both men and women, according to the health of the individual, and their life interests.

Of the three kinds of sleep apnea- obstructive, central and mixed- obstructive sleep apnea is by far the most common type, affecting approximately twelve million American people on an annual basis. Some individuals suffer from a combination of more than one kind of sleep apnea. The most common symptoms of all three kinds are loud snoring and extreme tiredness during the daytime.Sleep apnea is most likely to affect men over the age of forty and those who are overweight or obese. However women can also suffer from sleep apnea and in some cases, children as well. Women past the age of menopause are more likely to develop sleep apnea than are younger women.

One of its worst symptoms, that of “excessive daytime sleepiness” can be detrimental because it can cause sufferers to fall asleep at moments when it can be dangerous to do so such as when driving. It can also cause concentration problems and inattention, which can lead to difficulties at work. Sleep apnea can also increase the risk of stroke as well as TIA’s (or transient ischemic attacks, also known in layman’s terms as “mini-strokes”).

If sleep apnea goes undiagnosed and untreated it can also be connected with high blood pressure, irregular heartbeat, coronary heart disease, heart attack and heart failure. As well sleep apnea can cause weight gain, sexual problems (such as impotency and lack of desire), memory problems and headaches. Studies into sleep apnea have shown some promising results. With successful methods of treatment, high blood pressure and incidences of heart disease can be reduced.

Research is ongoing to find ways to improve the quality of life for sleep apnea sufferers. Presently the National Institute of Neurological Disorders and Stroke (NINDS) and other branches of the National Institutes of Health (NIH) conduct a variety of studies in sleep laboratories at the NIH. Besides the studies, research that is sponsored by grants takes place in hospitals and medical establishments all over the United States. The bulk of the research is concentrated on finding ways to help prevent the onset of sleep apnea as well as ways to treat it effectively. The ultimate goal is to find a way to cure the disease for good. New studies are being undertaken on a consistent basis and there is tremendous potential in regards to the outlook of these studies.

The FDA has requested that all manufacturers of sedative-hypnotic drugs strengthen their product labeling to make the consumer aware of the possible risks involved in taking these drugs. Some of the possible side effects include anaphylaxis which may occur on first taking the drug. Anaphylaxis is a severe allergic reaction which may be life threating.

Another of the possible side effects include sleep driving with no memory of it having occurred, this is a major worry, one can only hope that the drug taken doesn’t impair driving skills.

Others have managed to eat their way through massive quantities of food  leaving a trail of food scraps and disorder in the kitchen without any memory of the incident.

The drugs to beware of include:

Ambien/Ambien CR (Sanofi Aventis)

Butisol Sodium ( Medpointee Pharm HLC)

Carbrital ( Parke Davis)

Dalmane ( Valeant Pharm)

Doral ( Questcor Pharm)

Halcion ( Pharmacia and Upjohn)

Lunesta ( Sepracor)

Placidyl ( Abbott)

Prosom ( Abbott)

Restoril ( Tyco Healthcare)

Rozerem ( Takeda)

Seconal ( Lilly)

Sonata ( King Pharmaceuticals) .

The possible side effects could prove to be live threatening, hardly worth taking such huge risks just to get a sleep.