Sleep disorders can cause eye ...

Sleep disorders can cause eye drops containing b-blockers, and nasal drops having in its composition sympathomimetics. Due to the indirect pharmacological mechanism may occur while taking sleep diuretics (including as a result of fear of incontinence), antidiabetics (polyuria, hypoglycemia, and others). Identify the main causes of insomnia, as well as clarifying the features of sleep disorders on the basic parameters (time to sleep, sleep duration, night awakening, presence and nature of dreams, the assessment of sleep quality and quality of awakening) is necessary not only for diagnostic purposes, but also important for the choice of methods and therapies. Basic principles of elderly patients with insomnia: Identifying causes of insomnia with a possible correction, patient education, recommendations for optimizing the process of falling asleep; drug therapy. The first task is the physician's differential diagnosis of sleep disorders in patients with middle and old age, clarifying the main manifestations dissomnii and only after this action of therapeutic intervention. Education of patients suffering from insomnia, reduced to the following recommendations: the need to go to bed only when the offensive needs to sleep, and the transition from the bedroom to another room to read if you can not fall asleep after 15-20 minutes of being in bed and returning to the bedroom in the newly emerged need for sleep . The purpose of this maneuver is to assotsirovalas bedroom is sleep, not with insomnia, getting up from bed in the morning at the same time, regardless of the duration of sleep last night, avoiding sleeping in the daytime or its reduction to a minimum (no more than 30 minutes while the need for sleep); limit of stay in bed only during sleep, going to bed at the same time avoiding undue impressions in the evening, eating, soft drinks, etc. Basic principles of drug treatment of insomnia: The presence of the indications for drug therapy for insomnia; appointment lowest effective dose, drug selection with optimal pharmacokinetic properties; intermittent therapy (2-3 times per week), short-term use of drugs (3-4 weeks), the phasing out of hypnotics ; monitoring of patients during treatment and after discontinuation of hypnotic. Medication should only be a state with long-existing sleep disorders. Transient episodes dissomnii not require medical appointments, as well as physiological changes in the nature of sleep in the elderly and the elderly. Primary sleep disorders require a differentiated approach to treatment. If, myoclonus may be useful tranquilizers, then sleep apnea, these drugs are not shown because they can aggravate breathing disorders. Some effect is achieved in the appointment tsiklopirolonov (zopiclone, zolpidem). Basic principles of therapeutic correction of secondary sleep disorders can be reduced to an active and adequate treatment of underlying disease (physical, mental neurological) symptoms are sleep disorders, adjustment of drug therapy for iatrogenic dissomniyah.