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Chinese health 中医保健 >>
Family health medicine 家庭
2016年07月19日
Over and over to sleep? May be your medication "position" is not correct!
08:37 July 19, 2016
Source: People's Daily life times
Drowsiness, over and over is can't sleep, let a person very pain. In fact, besides some common causes of insomnia, some are likely to be caused by drugs.
Blood pressure medication. Clinical commonly used antihypertensive agents are mainly calcium antagonists, such as amlodipine, sympathetic inhibitors such as metoprolol, diuretics, such as injunctions Sammy, renin - angiotensin inhibitors such as captopril. Among them, diuretics, beta-blockers antihypertensive agents are more likely to lead to insomnia, etc. Diuretics in common use such as injunctions Sammy and hydrochlorothiazide amounts of drugs can cause nighttime urination and cause insomnia, such drugs should be taken in the morning, avoid taken within 4 hours before you go to bed; Beta blockers such as propranolol, atenolol, such as drug can cause adverse reactions such as insomnia, much dream, these adverse reactions should be under the guidance of switch to other drugs or reasonable use sleeping; Captopril, bei that split drugs can cause a dry cough and sputum affect sleep quality or cause insomnia, can choose in the guidance of cough side-effect medicine such as lighter f cinepolis; In addition, all of a sudden increase the dose of antihypertensive drugs can cause low blood pressure at night, cause insomnia, and all of a sudden withdrawal can cause high blood pressure, heart beat faster, irritability, headaches, etc cause insomnia, so blood pressure medication can increase the dose or discontinuation, should be under the guidance of gradually increasing or decreasing doses.
Glucocorticoid hormones. Long-term large dose of glucocorticoid drugs such as dexamethasone, prednisone and other medicines can cause insomnia, the reason may be that this hormone can make central nervous in the excited state, so as to cause anxiety, excitement, euphoria, insomnia and other adverse reactions. If insomnia symptoms, but in the short-term use of sleeping drugs under the guidance of doctors, at the same time, the medicine should grasp opportunity, taking 8 ~ 10 in the morning, it can be appropriately reduced side effects. In addition, appropriate exercise, keep buoyant, reduce the psychological burden, have a good habit of life and also helps to alleviate insomnia.
Antiasthmatic. Asthma patients in the use of the antiasthmatic such as theophylline, due to the central excitation of theophylline insomnia, irritability, etc. But due to asthma itself affect sleep, so can't therefore refused to take medicine. At the same time, strictly control dose theophylline, could be selected under the guidance of theophylline zyban, try to reduce the occurrence of adverse reactions. If there is a serious insomnia, can be used under the guidance of doctors short-term sleeping medication.
Antidepressants. Commonly used antidepressant drugs such as sertraline, paroxetine, venlafaxine, bupropion and other drugs can induce or worsen insomnia, the reason may be related to 5 - HT2 receptors activation and destroy the continuity of sleep. Insomnia can be under the guidance of taking sedatives or choosing improve sleep of the antidepressant mirtazapine, letrozole ketone, etc.
Antibiotics. Some have stimulation on gastrointestinal tract antibiotics such as metronidazole, erythromycin, such as medicine, or take before going to bed before dinner sleep easy to produce the influence such as nausea, epigastric discomfort. In addition, quinolones for sand magnitude as levofloxacin, medicine can cause central nervous excitement, leading to adverse reactions such as headache, insomnia, nightmare. Such drugs should avoid taking at bedtime, if appear this kind of adverse reactions may be under the guidance of switch to other antibiotics.
Strong heart medicine. Because of digitalis drugs strong heart medicine has side effects of nervous system, using digitalis medications such as digoxin, also easily lead to insomnia. The adverse reactions such as insomnia, but under the guidance of sleeping pills. In addition, when such drugs prescribed dose, strictly control regular monitoring of blood drug concentration, lest produce toxic effects. Bring (life times special experts The third affiliated hospital, southern medical university medicine department is in charge of the pharmacist Feng Huan village)