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Safe sleeping pills for elderly



Over-the-Counter Sleep Aids

11.25.2017 | Jennifer Bargeman

Safe and effective use of OTC sleep aids requires some care and should be of sleep in old age, appreciation of the risks and benefits of medication use to treat .. Prevalence and comorbidity of insomnia and effect on functioning in elderly.

Simons KJ, Watson WT, Martin TJ, Chen XY, Simons FE. 18. 1990;30(7):665-671. Diphenhydramine: pharmacokinetics and pharmacodynamics in elderly adults, young adults, and children. J Clin Pharmacol.

More generally, diphenhydramine or doxylamine are "sedating antihistamines" that were not initially designed for treating sleep problems. They were marketed before the FDA began the OTC Drug Monograph process in 1972, so the drugs were grandfathered and not subject to requirements for randomized placebo-controlled trials.

The dangers of sleeping pills for seniors

6.20.2017 | Logan Blare

“There's no question that sleeping pills that are prescribed or taken She is also a great believer in cognitive behavioural therapy for insomnia.

Even more worrisome, the side effects are often ignored because people mistake them for general problems related to getting older. The most common over-the-counter sleep medicines, including Tylenol Nighttime and Benadryl, contain the sleep-inducing ingredient diphenhydramine hydrochloride. According to Ariel Green, a geriatric health specialist at Johns Hopkins University School of Medicine in Baltimore, Md., these readily available drugs can cause dizziness, confusion, urinary retention, constipation and dry mouth.

Natural Sleep Aids and Remedies

5.19.2017 | Logan Miers

Slideshow: Insomnia Myths and Facts Counting Sheep Fails: The Latest Sleep Medications.

Like all drugs, natural sleep remedies can have side effects and risks. The particular brand you buy may have inappropriate dosing. You may get less or more of the herb than intended, which could make it dangerous to use to treat children or the elderly. Pre-market evaluation and approval by the FDA are not required for OTC aids, dietary supplements, or herbal products.

Scientific findings show that melatonin decreases the time it takes to fall asleep ("sleep latency"), increases feelings of "sleepiness," and may increase the duration of sleep.

Newer Sleep Meds Still Carry Fall Risk in Elderly Medpage Today

3.17.2017 | Jennifer Bargeman

Previous research has resulted in uncertainty about which poses the greater risk for falls and fractures -- insomnia or the pills to relieve it.

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Hall, MD, of the University of Rochester and the Center for Healthy Aging, who was not involved in the study. Overall, the greatest risks were for patients who had recently begun using one of the nonbenzodiazepine drugs, who had some degree of confusion, and needed to get up at night, usually because of urinary incontinence, observed William J.

The researchers also looked at whether there were characteristics of the nursing homes that influenced the relationship between nonbenzodiazepine sleep medications and hip fracture, and found that the risk was greater in homes that had fewer Medicaid patients (OR 1.90, 95% CI 1.57 to 2.31) compared with facilities with more Medicaid patients (OR 1.46, 95% CI 1.20 to 1.77, P =0.05).

In an invited commentary, Eric Widera, MD, of the University of California San Francisco, called for a safer approach to sleeping difficulties in the elderly.

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Previous research has resulted in uncertainty about which poses the greater risk for falls and fractures -- insomnia or the pills to relieve it.

The risk was particularly high during the first 2 weeks for patients who had not previously received these drugs (OR 2.20, 95% CI 1.76 to 2.74), the researchers reported online in JAMA Internal Medicine.

Despite these limitations, the researchers concluded, "The implications of our findings remain that nursing home residents using nonbenzodiazepine hypnotic drugs should be closely monitored for falls and screened for osteoporosis in an effort to prevent fractures in the nursing home setting.".

It also has been unclear whether the nonbenzodiazepine hypnotics are safe for nursing home residents, because an earlier case-control study found the risk of hip fracture was doubled in patients using zolpidem.

In addition, those who needed only limited help with transfers were at more risk (OR 2.02, 95% CI 1.65 to 2.48) than those who were compley dependent for help in transferring (OR 1.43, 95% CI 1.14 to 1.79, P =0.02) or those who needed no help (OR 1.46, 95% CI 1.06 to 2.01, P =0.09).

The study was funded by the National Institute on Aging and Friends of Hebrew SeniorLife.

The material on this site is for informational purposes only, and is not a substitute for medical advice, diagnosis or treatment provided by a qualified health care provider.

The Dangers of Sleeping Pills for the Elderly

12.26.2017 | Logan Blare

For people who depend on sleeping pills to sleep each night, it can can be extremely safe if taken in small doses for short amounts of time.

Preventing the Dangers of Sleeping Pills.

Alcohol allows the sleeping pills to travel from the bloodstream, across the blood brain barrier, and into the brain. Dependence can occur at any age, but it is especially prevalent in the elderly population. Various medications and sleeping pills also do not mix well and could cause adverse effects. Some in particular may have adverse effects such as nightmares, sleep walking, sleep talking, and sleepiness throughout the day, however in general, short term use of sleeping aids is safe.