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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What causes difficulty to sleep?

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Dr. Alexander H. Sheppe

Psychiatrist

Practicing since :2014

Answered : 2241 Questions

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Posted on Wed, 30 May 2018 in Mental Health
Question: SOMETIMES, ONE OR TWO TIMES PER MONTH, I WILL WAKE UP AND BE ALL AGITATED AND UNABLE TO
GET BACK TO SLEEP VERY UNPLEASANT WHAT TO YOU RECOMMEND
I AM A RETIRED PHARMACIST AND HAVE NEVER ABUSED ANY DRUG
I HAVE USED DIAZEPAM WHEN THIS HAS HAPPENED PERHAPS 10 TIMES PER YEAR
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Answered by Dr. Alexander H. Sheppe 3 hours later
Brief Answer:
Consultation

Detailed Answer:
Hello, and thanks for your question.

Benzodiazepines are contraindicated for people over 65 given risk of falls, delirium, dementia, withdrawal, coma, and death. Furthermore, benzodiazepines alter sleep architecture resulting in an inefficient sleep particularly in older people. Instead, try non-benzodiazepine medications such as melatonin, Ramelteon, or trazodone. Even better is cognitive behavioral therapy for insomnia (CBTi).

Dr. Sheppe
Above answer was peer-reviewed by : Dr. Yogesh D
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