Читать книгу Understanding the Language of Silence - Sleep, Sleep Behavior and Sleep Disorders - Dr. Amrit Lal - Страница 21

A sleep disorder may be “primary” or may result from a variety of medical and psychiatric conditions. It presents a “catch-22” situation. A bad night sleep may be caused by a medical or psychological condition or medication to address it, but a lack of sleep itself worsens the condition. Some kinds of medications for health problems have well-marked anti-sleep effects. They include, for example, beta-blockers for hypertension, diuretics which are often taken for hypertension or glaucoma, anticholinergics or bronco-dilators for asthma and emphysema/COPD , corticosteroids to treat conditions like rheumatoid arthritis, pain and other conditions, decongestants, diuretics, anti-depressants and some types of cardio-vascular, neurologic, psychiatrist and gastro-intestinal medicines. But medication ‘per se’ continues to be most common plank for treatment of sleep disorders. In particular, some type of medicine to treat insomnia such as sedatives, hypnotics, anti-histamines, anti-depressants, anti-psychotics and anti-convulsants can be ranked among the most common anti-sleep remedies sought by the elderly. More medical conditions demand more medications to address them and more is the likelihood of some type of sleep disorder.