PHRM 211 Lecture Notes - Lecture 10: Jet Lag, Insomnia, Sleep Disorder
Document Summary
Sleep disorder is characterized by 1 or more of the following subjective features: Early morning awakening without being able to fall back to sleep. For diagnosis to be made, features must : result in distress or impairment in daytime functioning, occur at least 3 nights per week for at least 3 months, not be substance-related. 32. 6% prevalence of symptoms among primary care patients in international sample. Telephone survey of 2000 adults > 18 years old. Presence of 1 insomnia symptom > 3 nights/wk for > 1 month with distress or daytime impairment. Hctz, furosemide, spironolactone, caffeine (in combo products, e. g. tylenol #3) Codeine, oxycodone (note: if pain is the cause insomnia, opioids may improve sleep) Alcohol, corticosteroids, levodopa, thyroid supplements, nicotine, cholinesterase inhibitors. Quantify daytime impairment through the use of insomnia assessment tools. Insomnia severity index (isi) 7-item self-report questionnaire assessing the nature, severity, and impact of insomnia. Determine outcome of previous pharmacologic and nonpharmacologic interventions.
