Материал из База данных ДЮО "Остров Сокровищ"
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| − | Sleeping Aids
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| − | The most common prescription Sleeping aids approved to be used in treating insomnia are as follows: benzodiazepines (such as temazepam, estazolam,yet others); the newer, non-benzodiasepines (for example zolpidem (Ambien,Ambien CR), Zaleplon (Sonatal), and eszopiclone (Lunesta); and the melatonin receptor agonist ramelteon (Rozerem).
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| − | These three Sleeping aids perform best once the individuals who are treated for insomnia are diagnosed with a physician and follow-up treatment methods are regular. It is not uncommon that with these medications, some form of therapy may be needed. For instance, Sonata has a one hour duration of action, therefore it can be used as middle-of-the night awakenings. Giving the relatively level "therapeutic playing field" among the hypnotic sleeping aids, the cost towards the patient should be thought about when choosing a medication. Obviously, the list of approved medications within the patient's health plan much be considered.
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| − | [http://www.incompany.com/blog.php?user=autumndiaz794&blogentry_id=1236692 buy Zolpidem]
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| − | The medications usually have a low incidence of side effects, along with a low abuse potential. For example, according to a published study in the American journal of Medicine in 1996 in which they analyzed various outcomes in 170 adult patients with long-standing sleep-disruptive disorders who have been given nightly benzodiazepine therapy (usually clonazepan) not less than six months, and often for several years. Of these patients, 146 (86 percent found that this therapy completely or substantially controlled their sleep problems, 8 percent had adverse effects (such as morning sedation ) requiring Sleeping aids changes, 2 percent had relapses of alcohol or chemical abuse requiring hospitalization, and 1 % sometimes misused their medications. Other less frequent side effects include morning, "hangover", dizziness, problems with balance, memory, or confusion.
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| − | Zolpidem, zaleplon, and eszopiclone are imidazopyridine medications that interact with a benzodiazepine receptor in the brain. Their advantages are rapid absorption, insufficient active metabolites, and safe for side effects or abuse. Zolpidem has been extensively studied, with an excellent therapeutic profile during nightly use for approximately six months, although in our experience it can be used safely on the nightly bsis for more than a year in patients who are carefully followed. The usual dose is 5-10 mg. at bedtime, with doses with doses of 15-20 mg sometimes being used. Zaleplon is definitely an ultra-short-acting agent that is good at promptly restoring sleep in patients having issues with nocturnal awakenings. The typical dose is Two or three mg at bedtime.
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