Insomnia
Medications
Insomnia medications play an important role in treating both short-term
transitory and long-term chronic insomnia. Transitory insomnia may
be experienced by most people sometime in their lifetimes. Chronic
insomnia, however, is experienced for over 4 weeks and does not
go away by itself. This is why insomnia medications play an important
role in the treatment for those with chronic issues.
In the 1960's benzodiazepines were the medication primarily used
in the treatment of chronic insomnia. Safe and effective, benzodiazepines
showed they had fewer side effects than early forms of medication,
which included alcohol, bromide and laudanum. Benzodiazepines are
still used today, though newer classes of sleep drugs have come
to the forefront.
The newer medications are non-benzodiazepine drugs and use a different
mechanism to induce and maintain sleep. Lunesta (eszopiclone) is
one of the newer class of drugs and has been approved by the FDA
as safe and effective. Studies of Lunesta have shown that this medication
is safe, effective and have few side effects for those who take
it for over 6 months.
Ambien (zolpidem tartrate) is in the same class as Lunesta and
also has been approved by the FDA. With Ambien, however, there are
some tolerance and dependency issues, so strict adherence to the
guidelines of use is advised. Ambien is generally used for insomnia
of shorter durations.
Sonata (zaleplon) is in the same class as Lunesta and Ambien and
is the third medication in the class approved by the FDA. Sonata
helps people fall asleep fast and leaves the body faster than other
medications. This means the insomnia medication can be taken by
those who go to bed late, have tried unsuccessfully to fall asleep
or have less than 8 hours to devote to sleep.
Rozerem is similar to Sonata in that it helps those who have issues
with sleep onset. Rozerem also has shown to have no problems in
regards to abuse and dependence and thus is not classified as a
controlled substance by the U. S. Drug Enforcement Agency (DEA)
as are other insomnia medications.
Besides the benzodiazepine and non-benzodiazepine insomnia medications
there are also a few more drugs worth mentioning that help in sleep
aid. Sedating antidepressants will help some patients with underlying
issues of depression or anxiety achieve more sound sleep. Also,
those with fibromyalgia many times find that sedating antidepressants
will help decrease pain at night.
Herbal and natural remedies are a route that some people take in
the battle to get a good night's sleep. Melatonin, valerian, chamomile
and kava kava are all reported by many to help achieve favorable
outcomes in regard to sleep.
No matter what, though, treatment can be complicated, so it is
no wonder that many different insomnia medications are sometimes
tried before the right one at the correct dosage is found to be
effective. The most important aspect is to work with one's physician
to find out the insomnia medications that will work most favorably
in your particular case.
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