Insomnia – What Medication?

I am over 70 years old, often insomnia. 10 days I kept awake all night, who was very tired. I often use rotunda but it doesn't seem to work. Please consult my doctor about medications I can use to treat my current insomnia.

Reply
Insomnia is a common symptom in the elderly

. As the ages increase, people's need for sleep decreases. By the age of 65-70 on average, each person sleeps only about 4-5 hours in the night. There are several illnesses that can lead to insomnia in your age group:
This is the most common disease causing insomnia in the elderly In adolescence, depression accounts for 6% of the population.



But by the age of 45, this rate had skyrocketed to 25% of the population.

Patients often complain of difficulty falling asleep (2-3 hours after going to bed to be able to sleep), not deep sleep, easy to wake up halfway, difficulty falling back to sleep, waking up early and feeling very tired after get up.
In a night, the patient only sleeps about 2-3 hours, if the disease worsens, the patient may lose sleep completely.
In fact, early in the evening, patients often fall asleep, so there was a phenomenon of drowsiness when watching TV, listening to the radio ... But when they got into bed, they felt very awake and could not sleep

In many cases, patients feel drowsy in the morning but slightly excited at night so they do not feel sleepy.




Because of not being able to sleep, patients find that the night is very long, they feel uncomfortable with people simply because these people can sleep and they do not (criticize one person, the other snore loudly when sleeping). Accompanied by insomnia, patients feel very tired in the morning, less tired in the afternoon.
They always worry too much about their insomnia, sadness, boredom. These patients often have poor attention and memory. Many of them are pessimistic, depressed and always thinking of death (possibly suicidal behavior).

In fact, in elderly patients, they often suffer from chronic diseases such as diabetes, hypertension, prostate tumors, peptic ulcers, duodenum, heart failure, chronic obstructive bronchopulmonary disease. ..



. It is these conditions that make the clinical situation of depression much more complicated.
These same chronic diseases and the drugs that treat them can make a patient's depression worse and more difficult to treat.
Treatment
Depressed patients are elderly who often respond well to treatment, but have many side effects that appear when taking the drug.

Elderly patients are often treated with new antidepressants, with few side effects, non-toxic to the heart ... and the usual dose is only half the dose of young people.




Because the dose used is often low, the effectiveness of treatment also appears slower (usually after 6-8 weeks of treatment will be effective).
Thus, after a definite diagnosis of depression is needed, a specific antidepressant treatment strategy is appropriate for each patient.
It should be noted that the doctor can coordinate with new sedative drugs that cause narcotic such as olanzapine, low-dose thioridazxin to increase the effectiveness of treatment.
The duration of treatment of these patients lasts a lifetime.
Primary insomnia. Primary insomnia can occur in the elderly but less than in adolescence and middle age. The patient exhibits insomnia just like in depression.

But they do not have other symptoms of depression such as fatigue, loss of appetite, poor memory and attention .



.. They often appear sluggish during the day but slightly excited about the evening.
The treatment of primary insomnia in the elderly is usually the use of low-dose sedatives or antidepressants.
As olanzapine 1 tablet / day, drink at night. Note not to use for people who are too fat or people with diabetes. Or mirtazapin 1/2 tablet / day, taken after dinner.
The duration of treatment must also last a lifetime because of chronic disease and recurrent.




Thus, both types of diseases are not indicated for use of rotunda. So it is easy to understand why you use rotunda not effective. Therefore, you should go to the doctor to be diagnosed and treated appropriately. Wish you recover quickly!.

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