Do you have to take sleeping pills in insomnia?Pharmacist gives a little trick to improve sleep

Author:Shenzhen Evening News Time:2022.07.11

As the pace of life accelerates, more and more people with insomnia. No matter whether it is young or elderly, many of them have the problem of insomnia, but they only have a different degree. In the face of insomnia, most people do not think it is a big deal, and feel that taking sleeping pills is enough. The pharmacist of the Futian District Chronic Disease Prevention pointed out that insomnia is one of the most common sleep disorders. Long -term insomnia will not only reduce the quality of life and affect social functions, but also cause a series of physical and mental illness. When sleep disorders occur, you should take the doctor in time. With the guidance of professional doctors and pharmacists, standardize treatment and reasonable medication.

Insomnia does not have to use sleeping pills

The results of epidemiological research show that 45.4%of the investigators in China have experienced different degrees of sleep disorders in the past month. About 1/3 people in the world have symptoms of insomnia and accompanied by day dysfunction. About 50%of them are chronic diseases. So, how should you deal with insomnia? Do you have to take medicine? uncertain.

The results of the study show that 40%-92%of insomnia symptoms are caused by mental illness, and insomnia, depression and anxiety are common clinical symptoms. Patients with short -term insomnia should actively find and eliminate possible inductive factors while actively dealt with the symptoms of insomnia. A considerable part of short -term insomnia patients choose self -adjustment first, but due to the improper behavior of sleep cognition or inappropriate response, short -term insomnia can be transformed into chronic insomnia. At this time, other treatment methods should be carried out on the basis of establishing good sleep and hygiene habits. Patients with short -term insomnia should be treated early when they cannot complete cognitive behavior treatment. Drug treatment can play a good hypnosis, quickly eliminate the symptoms of insomnia, and avoid delay in the course of the disease.

Drug treatment of insomnia should follow the doctor's order

At present, drugs for clinical insomnia include: benzodia nitrogen receptor agonists, melatonin receptor agonists, appetite receptor antagonists, and antidepressants with hypnotic effects. However, the medication needs to be used reasonably with the guidance of professional doctors and pharmacists. The clinical evidence of prescription medicine plus chin spray, sulfur flat, and ozapine for insomnia is weak. It is not recommended as a regular medication for insomnia treatment; And although non -prescription medicines such as grass extracts have hypnotic effects, the existing clinical research evidence is limited, and it is not advisable to treat ordinary adults for normal medication for ordinary adults; alcohol (ethanol) cannot be used to treat insomnia.

The pharmacist pointed out that when taking drugs for treatment, if it is expected to fall asleep, it can be taken 5-10 minutes before going to bed; according to the needs of night sleep, you should still be taken immediately when you can't fall asleep after going to bed; And it is necessary to take drugs suitable for short half -life before the expected time of getting watched; for patients with chronic sleep, it is necessary to take it for a long time. It is recommended to use non -pier nitrogen drugs (NBZDS) for intermittent medication. Antimamines (phenyllaming, poker sensitivity, etc.) and other auxiliary sleep non -prescriptions should not be used for chronic insomnia. A antidepressants and melatonin receptors with sedative effects can be taken before bedtime.

It is recommended to use it as short -term as possible for the treatment of medication. Generally, it does not exceed 4 weeks. Drug intervention within 4 weeks can be selected for continuous treatment. It is necessary to re -evaluate more than 4 weeks.

When patients feel that they can control their sleep, they can consider stopping the drug. For example, insomnia is associated with other diseases (such as depression disorders, etc.) or life events, when the cause is removed, the sedative hypnotic drugs should be considered. It should be noted that patients who have received continuous treatment for a long time should avoid sudden stopping drug treatment, which may bring potential insomnia rebound and severe mental symptoms. Commonly used reduction methods include gradually reducing the dosage of night and changing continuous treatment for intermittent treatment.

To develop good sleep and hygiene habits

The pharmacist pointed out that most patients with insomnia have bad sleep habits, destroying normal sleep mode, and forming a wrong concept of sleep, which leads to insomnia. Maintaining good sleep hygiene is a prerequisite for eliminating insomnia, but it is not enough to rely on sleep hygiene education to treat insomnia.

Patients with insomnia should pay attention to the following points: avoid contact with excitement such as coffee, strong tea or smoking within 4-6 hours before bedtime; do not drink alcohol before going to bed, especially if you do not use alcohol to help fall asleep; arrange moderate physical exercise daily, Avoid strenuous exercise within 3 to 4 hours before going to bed; it is not advisable to overeating or eating foods that are not easy to digest before going to bed; do not do the hard work of excitement within 1 hour before bedtime or watch the book and television programs that are easy to cause excitement; the bedroom environment It should be quiet and comfortable to maintain appropriate light and temperature; maintain a regular schedule.

Shenzhen Evening News reporter Zhou Qian correspondent Liu Ye

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