Affected patients often have concomitant pathological disorders that

Affected patients often have concomitant pathological disorders that disturbs their sleep patterns Only those problems that persist for longer than one month are considered clinically significant

Botanical Medicines for Sleep Disorders German Chamomile Passion Flower Hops Lemon Balm

Advisable to use sleeping pills as a last resort, many different non-pharmacological approaches Establish a regular sleep schedule Ensure a comfortable temperature & noise-free surroundings

It is suggested not to associate the bed with frustration of not falling asleep. The patient should not use the bed for such non-sleep activities such as reading or watching TV. If the patient cannot fall asleep for more than 30 minutes, the person should leave the bedroom, do something else, & return

4.

Antidepressants Benzodiazepines (ie. Diazepam)

Development of tolerance to dosage. (increase in serum anticoagulants) Anticholinergic effects can result in mental confusion & urinary changes

Definitions

Any noxious, unintended or undesired effect of a drug, which occurs a doses use in humans for prophylaxis, diagnosis or treatment. Does not include therapeutic failures, intentional or accidental overdoses, errors in administration or non-compliance.

The most commonly misused prescription medication are

Kidney: 30% decline in glomerular function rate, renal mass and blood flow. Liver: Decline in hepatic function, mass and blood flow. Less drug clearance and Increase in Bioavailability of Drug.

* Often used to reduce gastric reflux from diabetes and antimetic after chemotherapy

Sedation Drowsy, sleepy Confusion Disoriented delirium

Depression Orthostatic hypotension Dizziness Syncope Fatigue or Weakness Decrease in strength

The 5 I’s of Geriatrics