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Cure for insomnia

My wife cannot sleep and has been taking Restoril for years. The most she can get is an hour or two with the medication. A lot of times she becomes very temperamental. She feels tired all the time, however very objectively, she motivates herself to do things for the persons she loves.
71 yr old, Male
71 yr old, Male
asked Jul 19, 2009 at 08:28AM in Other
6 Answers
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  • 4
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    answered Jul 24, 2009 at 01:47PM
    Without a good-faith (in-person) evaluation + examination it's impossible to give specific advice, but maybe some general ideas will get you thinking. Some people benefit from switching medications - - perhaps after a few years people may become refractory to benzodiazepines. There's no shortage of other drugs (Rx and OTC) to try. Also, some may benefit from improving "sleep hygiene" which means basic things like cutting down on caffeine and alcohol, having a quiet and dark bedroom when it's time to go to sleep, having a nice shower before bed, etc. Good luck! -jbw
  • 5
    Votes
    answered Jul 29, 2009 at 05:06PM
    Sleep hygeine is a very important part of maintaining good sleep cycles. As mentioned above, cutting down on caffeine and alcohol are good first steps. Turning out the lights even before it's time to sleep can also help.

    Benzadiazapines like restoril may be good for short-term use against insomnia, but should not be used long term, as dependence can develop. A good treatment for poor sleep habits in people over 65 is melatonin. Studies have shown that the pineal gland, which produces melatonin, produces less as we age. Melatonin is the major hormone that regulates out sleep/wake cycle. The most effective dose has been found to be 0.3mg, though the more common 3mg has also been shown to be effective. It is an over-the-counter supplement, and should be taken at least 1/2 hour before going to sleep.
  • 1
    Votes
    answered Nov 12, 2009 at 06:36PM
    There are many possible causes of insomnia, including one's emotional and/or physical well-being, as well as life situations. Your wife should consult her doctor to find out what other medications might work.

    I agree about good sleep hygiene. Psychologists will say that there should be no television in the bedroom, as that can be overstimulating, preventing one from getting a good night's sleep.
  • 1
    Votes
    answered Nov 14, 2009 at 05:22AM
    While there are a variety of physiological reasons for sleep problems, extended use of medication for good sleep is probably not advised without also exploring the mental health of the patient/client. After years of medicating this problem, it may be time to seek a good therapist to help with whatever thoughts or emotions might be interfering with the sleep process. Many people with sleeping difficulty report that they "just can't get my mind to shut down" or that they can't stop worrying. These symptoms may indicate an underlying anxiety disorder that, once treated, might relieve the sleep problems altogether.
  • 0
    Votes
    answered Nov 14, 2009 at 08:48PM
    The best combination of treating a possible anxiety disorder is psychotherapy plus possible medications. Of course, it depends on what is causing the insomnia, but anxiety is often the culprit. Medications like Xanax XR can be particularly effective, but you'd have to see a psychiatrist for this.
  • 1
    Votes
    answered Jan 30, 2010 at 11:50AM
    A psychiatrist should examine her and rule out a major depression and mood disorders ( bipolar affective disorder). I have found that when we talk about the treatment of insomnia, we do not focus enough attention on dietary changes and life style changes.
    A good sleep hygiene, with no light or sound disturbance, is essential. A good morning meditation and exercise program ( even if it means a little walk) is essential in dealing with the day's stresses. The day's activities should be organized and focused. A counsellor/psycho-therapist may be beneficial for the person and possibly the family. I have found out that one person's sleep problem, usually affects the whole house-hold.
    A small bowl of oats in the evening is a good, cheap sleep aid. Potatoes tend to encourage sleep Guavas are a mild sleep aid.
    A life style coach may be beneficial. We may be doing too many un- focussed activities during the day and our expectations are not being met.
    Yoga and accupuncture may be helpful. Try alternative medicine and herbal treatments. I have found that persons tend to become too dependent on benzodiapines and sleep medicines.
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