Several types of medications have been known to cause insomnia in older people. These include central nervous system (CNS) stimulants (diet pills or amphetamines), antidepressants, corticosteroids, diuretics, anticonvulsants, and certain antihypertensives (e.g., beta-adrenergic blockers).
Physiologic changes of aging, environmental conditions, and chronic medical illnesses contribute to insomnia in the elderly. Sleep disturbance in the elderly is associated with decreased memory, impaired concentration, and impaired functional performance.
In these settings, melatonin is considered the preferred pharmacological option for elderly patients. It is also an option for patients who are blind and suffer from non–24-hour sleep–wake rhythm disorder, given evidence supporting circadian entrainment.
Medications such as beta blockers, glucocorticoids, nonsteroidal anti-inflammatory drugs, decongestants, and antiandrogens may be one of the factors contributing to insomnia.
Suvorexant or low-dose doxepin can improve sleep maintenance. Eszopiclone or zolpidem extended release can be utilized for both sleep onset and sleep maintenance. Low-dose zolpidem sublingual tablets or zaleplon can alleviate middle-of-the-night awakenings. Benzodiazepines should not be used routinely.
Common health conditions that can disrupt sleep in older adults include: Heart and lung conditions which affect breathing, such as heart failure and chronic obstructive pulmonary disease. Gastroesophageal reflux disease, which causes heartburn symptoms and can be affected by big meals late at night.
Not only can magnesium help you get to sleep, but it plays a part in helping you achieve deep and restful sleep as well. In one study, older adults were given 500 mg of magnesium or a placebo. Overall, the magnesium group had better quality of sleep.
Interestingly, older adults need about the same amount of sleep as younger adults — seven or more hours of sleep per night.
Causes of insomnia in elderly adults
Other sleep disorders, such as sleep apnea or restless legs syndrome. Other health conditions, like dementia, Alzheimer's, chronic pain, diabetes, or respiratory diseases. Mental illness, including depression and anxiety. Lifestyle habits, such as napping or lack of physical ...
A recent study conducted in older adults reported that insomnia was associated with a significantly increased risk of all-cause dementia [18]. Another recent study also demonstrated that sleep disturbances can enhance the risk of developing dementia, and insomnia may increase the risk of Alzheimer's disease.
It's not always clear what triggers insomnia, but it's often associated with: stress and anxiety. a poor sleeping environment – such as an uncomfortable bed, or a bedroom that's too light, noisy, hot or cold. lifestyle factors – such as jet lag, shift work, or drinking alcohol or caffeine before going to bed.
Try Melatonin
Melatonin can help some people fall asleep. If you try a melt tab, you can literally hit dreamland in under 12 minutes. Some people find if they use melatonin every day that it doesn't work as well, but others do fine with 1-2 mg or more per night.
We generally recommend taking magnesium 1-2 hours before bed to support sleep.
Umeda recommends taking the supplement about 30 minutes before bedtime. And don't take more than the recommended amount. More won't help you sleep better, but it may cause stomach upset. While magnesium might improve your slumber, it's no substitute for a good sleep routine, Dr.
Magnesium supplements should be taken with meals. Taking magnesium supplements on an empty stomach may cause diarrhea.
Ambien, Lunesta, and Sonata are three non-benzodiazepine medications used to help with sleep. The medications are similar in how well they work and their side effects. All three medications have a generic form available. Talk with a healthcare provider if you are considering or have questions about these medications.
Most healthy older adults aged 65 or older need 7-8 hours of sleep each night to feel rested and alert.
If you're tired but can't sleep, it may be a sign that your circadian rhythm is off. However, being tired all day and awake at night can also be caused by poor napping habits, anxiety, depression, caffeine consumption, blue light from devices, sleep disorders, and even diet.
Examples of conditions linked with insomnia include chronic pain, cancer, diabetes, heart disease, asthma, gastroesophageal reflux disease (GERD), overactive thyroid, Parkinson's disease and Alzheimer's disease.