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Liu
Chang-Shan
SLEEP
DISORDERS
OFTHE
ELDERLY
Elderly patients
often
have
problems
of
sleeping:
they
require
a
longer
time
to
fall
asleep; on waking
up
at night, they also
have
difficulties
in going
back
to sleep
again; they
tend to sleep short hours at night
but
feel sleepy
in
the
day time;
their sleep
is
not sound enough
and
insomnia
is quite common. Despite all
these,
the
elderly
should avoid
taking
sleeping pills, especially on a
long-
term basis.Taking
increasing doses
of
these drugs
is
very dangerous
in
the
elderly
-
the larger the dose, the longer
the duration
of
usage,
the
greater
would be the complications. Barbitu-
rates
are the worst, as they
may
even have
serious
withdrawal
symptoms including marked
anxiety,
anorexia
or
even convulsions. Other
milder sleeping
pills
have
relatively
less
withdrawal symptoms
but
still
can
never be
ignored.
Hence, in man-
aging sleep disorders
of
the
elderly,
it
is
better
to find
out
the
reason for
the
insomnia
and
manage
accordingly
rather than relying on sleeping
pills
all the time.
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72
