The Cause of Primary and Secondary Insomnia

May 10, 2011 by admin  
Filed under Disruptions

gladys906 asked:


Although we often ask ‘what causes insomnia’, it is important to understand that the causes will depend very much on whether you are suffering from primary or secondary insomnia.

Primary insomnia is insomnia which does not have a specific medical or emotional root. For example, primary insomnia is insomnia that does not appear as a side-effect of medication or as a symptom of an emotional or medical disorder. In other words primary disorder can be linked directly to its cause and is a primary, rather than a secondary, result of that cause.

A good example of primary insomnia would be insomnia resulting from long-haul air travel. Here it is the shift in your body’s internal clock, which is a direct result of air travel, which causes your insomnia. Another good example is shift work insomnia in which you are asking your body to sleep when its internal clock says you should be awake and to work when your clock says you should be sleeping.

Secondary insomnia is often much more complex and can be caused by a whole variety of different things.

A common cause of secondary insomnia is an emotional disorder such as anxiety, depression or post-traumatic stress disorder. Other emotional disorders also giving rise to insomnia as a secondary symptom might include Parkinson’s and Alzheimer’s diseases.

There are also a number of common medical conditions which can give rise to insomnia including those with accompanying chronic pain, such as arthritis; those which affect breathing, such as asthma or certain heart problems and a range of general conditions including an overactive thyroid, gastrointestinal difficulties and heartburn.

Other sleep problems can themselves also give rise to insomnia and a good example of this would be restless leg syndrome.

Perhaps the commonest cause of secondary insomnia however is seen in the side-effects of a range of medications and in other chemical substances which we put into our bodies.

Medicines used to treat the common cold, asthma, allergies and heart conditions can often lead to insomnia. In addition, alcohol, caffeine and nicotine account for a substantial proportion of people suffering from insomnia.

Perhaps the most surprising cause of secondary insomnia however is to be found in sedatives – the common sleeping pill. Although sleeping pills can be very helpful in the short-term many people continue to take them for extended periods and unwittingly cause rather than cure their insomnia.



Insomnia: Rozerem and Other Sleep Aids Explained

May 10, 2011 by admin  
Filed under Correct Diagnosis

Antonio LeMaire asked:


You’ve likely seen the popular TV ad campaign for Rozerem… the insomnia guy who keeps late-night company with Abe Lincoln, a beaver, and other colorful characters from his dreams?

Insomnia is such a common problem (one in three adults report having some type of insomnia) that sleep aids such as Rozerem are more popular than ever.

In this article, we’ll look at the different types of insomnia, self help treatments you can try, and Rozerem as a sleep aid for the treatment of insomnia.

What Causes Insomnia

Insomnia happens when your sleep-wake cycle, or your internal clock, is disrupted. It can be caused by many factors: stress, illness, pain, jet lag, sleep apnea, excessive physical or emotional arousal, shift work, a sedentary lifestyle, worrying about sleep, depression, and other factors.

Certain types of drugs can cause or worsen your insomnia:

* Antidepressants

* Antihypertensives

* Antiarrhythmics

* Antibiotics

* Antihistamines

* Antivirals

* Bronchodilators

* Central nervous system stimulants

* Corticosteroids

* Decongestants

* Diuretics

* Non-steroidal anti-inflammatory drugs (NSAIDs)

Insomnia is more common in people over age 60 and especially in women over 40. It’s estimated that up to one third of the population suffers from some type of insomnia.

Types of Insomnia

Insomnia presents itself in a variety of different ways… once-in-a-while insomnia, chronic insomnia, insomnia that keeps you from falling asleep, insomnia that wakes you up frequently during the night, insomnia that wakes you up too early, and insomnia that allows you to sleep, but poorly.

There are three main types of insomnia:

1. Transient Insomnia: This is short-term insomnia that typically lasts from a few nights to a few weeks. Transient insomnia may cause next-day sleepiness, mood changes, and performance impairment.

2. Intermittent Insomnia: This is when you have periods of transient insomnia that occur on and off over months or years. It can lead to chronic insomnia.

3. Chronic Insomnia: This is long term insomnia – difficulty sleeping for more than a month. Chronic insomnia is often related to more serious problems like depression, memory impairment, accidents, missed work, and increased visits to the doctor.

Self Help for Insomnia

* Open the bedroom windows if possible. Fresh air may help you sleep.

* Don’t read or watch TV in bed… reserve the bed for sleep so the mind begins to associate lying down with sleeping

* Keep a tight schedule going to bed and waking up at the same time each day.

* Avoid daytime naps so you’re more tired at bedtime.

* Don’t eat heavy meals before going to bed. Avoid caffeine, alcohol and tobacco.

* Exercise, even 15 minutes a day, can help you relax and get a better sleep.

* Warm milk before bed really works because it causes a chemical reaction that increases serotonin in the brain, making you feel relaxed and calm.

If self help doesn’t improve your insomnia, it may be time to discuss sleep aids with your doctor.