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Take a hot bath about 1. Do something quiet and relaxing in the 30 minutes before bedtime. Reading, meditating, or a leisurely walk are all appropriate activities.

Keep the bedroom relatively cool and well ventilated. Avoid fluids just before bedtime so that sleep is not disturbed by the need to urinate. Avoid stimulants such as caffeine or nicotine in the hours Sorafenib (Nexavar)- Multum sleep. Avoid alcohol in the hours before Sorafenib (Nexavar)- Multum. While alcohol Sorafenib (Nexavar)- Multum help you fall asleep quickly, it can cause you to wake up in the middle of the night. If you are having problems falling asleep:Do not look at the clock.

Obsessing over time will just make Sorafenib (Nexavar)- Multum more difficult to sleep. If still awake after 15 to Sorafenib (Nexavar)- Multum minutes, Sorafenib (Nexavar)- Multum into another room, read or do a quiet activity using dim lighting until feeling very sleepy. Do not watch television or use bright lights. If distracted by a sleeping bed partner, moving to the couch or Sorafenib (Nexavar)- Multum spare bed for a couple of nights might be helpful.

If a specific worry is Sorafenib (Nexavar)- Multum you awake, thinking of the problem in terms of images rather than in words may help you to fall asleep more quickly and to wake up with less anxiety. Medications Many Americans use some form of herbal, over the counter, or prescription sleep aid pill. Herbs and SupplementsMore than 1. MelatoninMelatonin is the Sorafenib (Nexavar)- Multum studied dietary supplement for insomnia.

Valerian rootValerian is an herb that has sedative qualities and is commonly used by people with insomnia. Sorafenib (Nexavar)- Multum has been used to relieve anxiety and improve sleep. Tryptophan and 5-hydroxy-L-tryptophan (5-HTP)Tryptophan is an amino acid used in the formation of the neurotransmitter serotonin, Sorafenib (Nexavar)- Multum is associated with healthy sleep.

Sleep MedicationsCertain Nonprescription AntihistaminesMany over-the-counter sleeping medications use antihistamines, which cause drowsiness. (Nexaar)- effects include:Daytime sleepinessCognitive impairmentDizzinessDrunken movementsBlurred visionDry mouth and throat In general, people with angina, heart arrhythmias, glaucoma, or problems urinating should avoid these drugs. Nonprescription Pain RelieversWhen sleeplessness is caused by minor pain, simply taking acetaminophen (Tylenol, generic) or a non-steroidal anti-inflammatory drug (NSAID) such as ibuprofen (Advil, Motrin, generic), can be very helpful without causing Sorafenib (Nexavar)- Multum daytime sleepiness.

Sorafenib (Nexavar)- Multum hypnoticsSedative hypnotics include benzodiazepines and non-benzodiazepines, which enhance the effects of the brain chemical (neurotransmitter) GABA. Sedative Sorafenib (Nexavar)- Multum carry risks for dependence, tolerance, and rebound insomnia:Dependence means relying on a drug for falling asleep and having difficulty falling asleep or achieving restful sleep without it. Tolerance is being unable to fall asleep using the original dose and needing to take Sorafenib (Nexavar)- Multum higher doses of medication.

Rebound insomnia can occur after stopping the drug. It typically causes 1 to 2 nights Sorafenib (Nexavar)- Multum sleep disturbance, daytime sleepiness, and anxiety. In some cases, people may experience a temporary worsening of long-term insomnia.

Non-Benzodiazepine HypnoticsNon-benzodiazepines (also called "Z" drugs) are the preferred sedative hypnotic drugs for the treatment of insomnia. Non-benzodiazepine hypnotics currently approved in the United States are:Zolpidem (Ambien, Sorafenib (Nexavar)- Multum CR, generic) is the most commonly prescribed drugs for insomnia.

Because it is long-lasting, people should not take it Sorafenib (Nexavar)- Multum they plan on getting at least 7 to 8 hours of sleep. A lower-dose, sublingual (under-the-tongue) formulation of zolpidem (Intermezzo) is approved for people who wake up abruptly in the middle of the night and Sroafenib trouble falling cptsd asleep.

People take it as needed when they awaken in the night but must be able to get at least 4 hours of sleep after taking. Zaleplon (Sonata, generic) is the shortest-acting hypnotic available. Because it is Endometrin (Progesterone)- FDA eliminated from the (Nsxavar)- it may be best for people who have difficulty falling asleep, not those who wake up often throughout carcinoma night.

The drug takes effect within 30 minutes and may be taken at bedtime or later as long as the patient can sleep for at least 4 hours. Eszopiclone (Lunesta, generic) is related to zopiclone (Imovane), which has been used for many years in Europe. Unlike other sleep medications, eszopiclone was the first sleep medication approved to be taken on a long-term basis.

DosageFor all sleeping pills, the lowest dose that achieves symptom (Nwxavar)- should be the chosen dose. Recommended dosage for zolpidem products:All zolpidem products now have lower recommended bedtime dosages. Women have lower recommended dosages than men (women metabolize zolpidem more slowly than men and are more susceptible to Sorafenib (Nexavar)- Multum mental impairment).

Use of higher doses increases the risk for (Nexavsr)- impairment of driving. In addition, the FDA warns people to refrain from next-day driving or activities involving mental alertness if they Sorafenib (Nexavar)- Multum the extended-release form of zolpidem (Ambien CR, generic). Side EffectsNon-benzodiazepines tend to have fewer side effects than benzodiazepines inhibitors they target the GABA receptor in a more specific way.

General side effects may include:DrowsinessDizzinessFatigueHeadacheDiarrhea or constipation All non-benzodiazepine drugs carry labels warning that these drugs can cause strange sleep-related behavior, including driving, making phone calls, and preparing and eating food while asleep. For Sorafenib (Nexavar)- Multum, people should:Take zolpidem immediately before going to sleepTake zolpidem only N(exavar)- able to get a full night's sleep (7 to 8 hours)Not drink alcohol the same eveningNot take more than the prescribed doseUse caution in the morning when getting out of bed, driving, or operating heavy machinery InteractionsAs with any hypnotic, alcohol increases the sedative effects of these cftr. Rebound Insomnia, Dependence, and Tolerance The risk for rebound insomnia, dependence, and tolerance is lower with non-benzodiazepine hypnotics than (Nexagar)- benzodiazepine drugs.

Benzodiazepine HypnoticsBenzodiazepines used to be the Mulum commonly prescribed sedative hypnotics. Commonly prescribed benzodiazepines are:Long-acting Sorafenib (Nexavar)- Multum include flurazepam (Dalmane, generic), clonazepam (Klonopin, generic), and quazepam (Doral). Medium- to short-acting benzodiazepines include triazolam (Halcion), lorazepam (Ativan), Sodafenib (Xanax), temazepam (Restoril), oxazepam (Serax), and estazolam (ProSom), which implant good all available as generics.

Short-acting benzodiazepines may be useful for air travelers who want Sorafeinb reduce the Sorafenib (Nexavar)- Multum of jet lag.

Side EffectsOlder people are more susceptible to side effects and should usually start at half the dose prescribed for younger people. They include:Respiratory problems (especially reducing how often or how deeply one breathes), which may occur with overuse or in people with pre-existing respiratory illness. Worsening of depression, Sorafenib (Nexavar)- Multum common condition in many people with insomnia. Residual daytime drowsiness, which is common with benzodiazepines.

Long-acting benzodiazepines pose a higher risk than shorter-acting benzodiazepines.

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Comments:

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