What Should You Do If Your Medications Are Causing Insomnia
Sleep is important to your health, so insomnia that doesnt go away isnt something to overlook.
If you think your medications are causing insomnia, you should talk to your healthcare provider about it. They may:
- Recommend an alternative medication
- Recommend a supplement like melatonin to help promote sleep
- Prescribe a stronger medication to help you sleep
What To Do If You Suspect Your Medications Are Causing Insomnia
First things first: never stop taking a medication without first asking the prescribing physician about doing so. Some medications cannot be stopped without tapering off safely, and you could do more harm than good.
Doctors generally have a list of medications they routinely prescribe for certain conditions which includes alternatives for those who do not respond to their first choices.
It should not be a problem to tell your doctor you suspect your medication is keeping you awake at night and ask for an alternative prescription.
When you receive new medications, make sure you read all the labels and packaging information provided to you by the pharmacy. You can also take labeled medications to your local pharmacist to ask them if insomnia or fragmented sleep is a common side effect.
The United States Food and Drug Administration also curates a drug website you can search for information about any given prescription . If you believe you are experiencing sleep problems previously documented as side effects fora medication youre taking, you can also report your experience at their MedWatch drug safety database.
AARP Mayo Clinic
What Is Hydrochlorothiazide/valsartan
Valsartan/hydrochlorothiazide is a prescription drug. It comes as an oral tablet.
This drug is available as the brand-name drug Diovan HCT. Its also available as a generic drug. Generic drugs usually cost less than the brand-name version. In some cases, they may not be available in every strength or form as the brand-name version.
This drug is a combination of two drugs in a single pill. Its important to know about all the drugs in the combination because each drug may affect you in a different way.
This drug may be taken with other drugs that reduce blood pressure. These include beta blockers, angiotensin-converting enzyme inhibitors, calcium channel blockers, and diuretics.
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Warnings For Other Groups
For pregnant women: This drug is a category D pregnancy drug. That means two things:
Talk to your doctor if youre pregnant or planning to become pregnant. Ask your doctor to tell you about the specific harm that may be done to your pregnancy. This drug should be only used if the potential risk is acceptable given the drugs potential benefit.
For women who are breastfeeding: This drug may pass into breast milk and may cause side effects in a child who is breastfed. Talk to your doctor if you breastfeed your child. You may need to decide whether to stop breastfeeding or stop taking this medication.
For seniors: Older adults may process drugs more slowly. A normal adult dose may cause levels of this drug to be higher than normal in your body. If youre a senior, you may need a lower dose or a different schedule.
For children: This medication hasnt been studied in children and shouldnt be used in children.
All possible dosages and forms may not be included here. Your dose, form, and how often you take it will depend on:
- your age
- how severe your condition is
- other medical conditions you have
- how you react to the first dose
Tips For Better Sleep
There are also some strategies you can take on your own to promote better sleep. Here are a few you can try, starting today:
- Establish a bedtime routine: Turn off bright screens and any sources of blue light , keep your room dim or dark, and engage in a calming activity like a bath, shower, or meditation.
- Avoid physical activity several hours before bedtime: Getting your heart rate up throughout the day is a great way to stay healthy and promote more sound sleep. But if you exercise too close to bedtime, your body may not have enough time to settle, which can cause trouble falling asleep.
- Avoid caffeine late in the day: Save your coffee and tea breaks for the morning and early afternoon. Caffeine too late in the evening can disrupt your sleep. If you enjoy warm tea to relax before bed, try a caffeine-free option like chamomile or lavender.
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Nasal Decongestants Or Oral Decongestants
Decongestants can come in handy when youre suffering from a stuffy nose. They can be taken as a nasal spray, like , or as an oral decongestant, like . But one downside is that decongestants can cause insomnia.
If youre using a decongestant, its probably just for a short period of time, so you may decide to push through the nighttime annoyance until you dont need it anymore. You could also consider an alternative, drug-free option like a saline nasal spray or an antihistamine nasal spray like .
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Questions To Ask Your Doctor About Sleep Aids And Side Effects
If you are considering taking sleep medication, always consult your doctor and explain your situation in detail. Tell them what kind of sleep issues youve been having, when they started, and how frequently you experience them. This information can help them prescribe an appropriate treatment plan to relieve your sleep issues.
Regarding medication side effects, consider asking your doctor these questions:
- Are there other things in my life that could be contributing to my sleep issues, such as stress, diet, exercise, or a poor sleep environment?
- What types of sleep medication would be safe for me?
- How often should I take this medication, and at what time of day?
- How should I take the medication? Should I drink water or eat food at the same time, or before?
- Are there any activities I should avoid after taking the medication, such as driving?
- How long should I take this medication?
- Is there a generic version I can take that may be more affordable?
- What side effects can I expect from this medication?
- What side effects should I be concerned about, or cause me to stop taking the medication?
- Are there any food or substances I should avoid when taking this medication, like alcohol or grapefruit?
- Was this article helpful?
Warning Disclaimer Use For Publication
WARNING: Please DO NOT STOP MEDICATIONS without first consulting a physician since doing so could be hazardous to your health.
DISCLAIMER: All material available on eHealthMe.com is for informational purposes only, and is not a substitute for medical advice, diagnosis, or treatment provided by a qualified healthcare provider. All information is observation-only. Our phase IV clinical studies alone cannot establish cause-effect relationship. Different individuals may respond to medication in different ways. Every effort has been made to ensure that all information is accurate, up-to-date, and complete, but no guarantee is made to that effect. The use of the eHealthMe site and its content is at your own risk.
If you use this eHealthMe study on publication, please acknowledge it with a citation: study title, URL, accessed date.
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Be Sure The Temperature In Your Room Is Ideal
In order to fall asleep quickly and get a great rest during all the night long, your room shouldnt be too hot or too cold. Generally speaking, the perfect temperature in your bedroom should stay between 16 and 18 . An air conditioner or a heater can enable you to maintain the perfect temperature of your room.
Your children and older people may require a slightly warmer environment. It is a good idea buying a range of suitable bedding depending on the season: an excess layer of blankets or sheets will make you comfortable when its cold, as well a hot water bottle or a fantastic pair of bed socks for cold feet.
Does Exforge Cause Side Effects
Calcium channel blockers block the transport of calcium into the smooth muscle cells lining the coronary arteries and other arteries of the body, which relaxes the muscles that surround arteries, dilating the arteries and lowering blood pressure.
Angiotensin is a chemical that attaches to angiotensin receptors found in primarily on smooth muscle cells surrounding blood vessels. Angiotensin’s attachment to the receptors causes the blood vessels to narrow which leads to an increase in blood pressure. Angiotensin receptor blockers block the angiotensin receptors, which dilates blood vessels and reduces blood pressure.
Common side effects of Exforge include:
Drug interactions of Exforge include potassium-sparing diuretics, potassium supplements, and salt substitutes containing potassium, which when combined with Exforge may lead to hyperkalemia , and in heart failure patients, it increases serum creatinine, a test used for monitoring function of the kidneys.
When used in the second or third trimester of pregnancyvalsartan may cause injury and even death to the fetus. Valsartan should not be used during pregnancy. When pregnancy is detected, Exforge should be stopped as soon as possible.
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What Drugs Interact With Exforge
No drug interaction studies have been conducted with Exforge and other drugs, although studies have been conducted with the individual amlodipine and valsartan components.
Impact of Other Drugs on Amlodipine
Co-administration with CYP3A inhibitors results in increased systemic exposure to amlodipine and may require dose reduction. Monitor for symptoms of hypotension and edema when amlodipine is co-administered with CYP3A inhibitors to determine the need for dose adjustment.
No information is available on the quantitative effects of CYP3A inducers on amlodipine. Blood pressure should be closely monitored when amlodipine is co-administered with CYP3A inducers.
Impact of Amlodipine on Other Drugs
Co-administration of simvastatin with amlodipine increases the systemic exposure of simvastatin. Limit the dose of simvastatin in patients on amlodipine to 20 mg daily.
Amlodipine may increase the systemic exposure of cyclosporine or tacrolimus when co-administered. Frequent monitoring of trough blood levels of cyclosporine and tacrolimus is recommended and adjust the dose when appropriate.
Side Effects Requiring Immediate Medical Attention
Along with its needed effects, valsartan may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.
Check with your doctor immediately if any of the following side effects occur while taking valsartan:
- difficult breathing
- dizziness, faintness, or lightheadedness when getting up from a lying position
- numbness or tingling in the hands, feet, or lips
- swelling of the face, fingers, or lower legs
- unusual tiredness or weakness
- weakness of heaviness of the legs
- weight gain
- swelling of the mouth, hands, or feet
- trouble with swallowing or breathing
Incidence not known
- blood in the urine or stools
- dark urine
- general tiredness and weakness
- large, hive-like swelling on the face, eyelids, lips, tongue, throat, hands, legs, feet, or sex organs
- light-colored stools
- pinpoint red spots on the skin
- redness, soreness, or itching skin
- unusual bleeding or bruising
- upper right abdominal or stomach pain
- yellow eyes and skin
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Reduce The Pressure Level
Stress is directly associated with sleep. When you are stressed, you sleep badly and lack of sleep increases the levels of stress even more.
Fortunately, there are many ways to fight this vicious cycle. One effective way is making sure to include foods full of omega-3 on your diet, such as poultry fish or linseed. You can also try listening to music.
There are three common reactions to stress, none of them are good for your health nor to your sleep either:
- Overthinking a problem
Have Some Chamomile Or Lavender
Chamomile is one of the best remedies that might help you fall asleep quickly. This plant is known for its sedative, relaxing and stress relieving properties. It contains apigenin, an antioxidant that binds to specific receptors in your brain that may promote sleepiness and decrease insomnia, or the chronic inability to sleep.
Attempt infusions, capsules and essential oils made with chamomile that can help you take advantage of its many benefits.
If you would like to use chamomile to fight insomnia, consult a physician to find the ideal dose for you.
Lavender essential oil is just another powerful weapon against sleeping problems, particularly insomnia. By lowering your blood pressure, heart rate, and body temperature, it can help you fall asleep quicker.
Check with a health care professional to determine whether lavender essential oil will be ideal for you.
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Dont Go To Bed Too Early
While it might sound counterintuitive, some people with sleeping problems, such as insomnia, often go to bed too early, hoping to sleep longer. However, it is likely that going to bed when you arent tired will have the opposite effect and wind up making it difficult for you to break . Go to bed at exactly the same time, respecting the routine.
Cognitive Behavioral Therapy For Insomnia
Often referred to as CBT-I, cognitive behavioral therapy for insomnia can be an effective alternative to medication.
CBT-I involves regular visits to a certified therapist who assesses sleep patterns and helps adjust behaviors to achieve better sleep. Specifically, CBT-I works to change sleep hygiene and habits, as well as mitigate anxieties around sleep that may cause disturbances in normal sleep patterns.
CBT-I techniques include:
- Stimulus control therapy: This technique removes factors that condition the mind to resist sleep. For example, the therapist may recommend leaving the bedroom if sleep does not come within 20 minutes.
- Sleep restriction: Reducing the amount of time spent in bed can lead to increased feelings of sleepiness, which can help insomniacs fall asleep the next night.
- Sleep hygiene: Lifestyle habits like drinking caffeine and alcohol, smoking and limited exercise can negatively affect sleep. The therapist will recommend lifestyle changes to make it easier to fall asleep.
- Remaining passively awake: Also known as paradoxical intention, this technique involves trying to avoid sleep. Worrying about being unable to fall asleep can prevent sleep, so focusing on avoiding sleep can act as reverse psychology and trick the brain into sleeping.
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Dosage For High Blood Pressure
- 80 mg valsartan/12.5 mg hydrochlorothiazide
- 160 mg valsartan/12.5 mg hydrochlorothiazide
- 160 mg valsartan/25 mg hydrochlorothiazide
- 320 mg valsartan/12.5 mg hydrochlorothiazide
- 320 mg valsartan/25 mg hydrochlorothiazide
The starting dosage is 160 mg valsartan/12.5 mg hydrochlorothiazide taken by mouth once per day. Your doctor may increase your dosage after 1 to 2 weeks up to 320 mg valsartan/25 mg hydrochlorothiazide taken by mouth once per day.
This medication hasnt been studied in children and shouldnt be used in children younger than 18 years.
There are no specific recommendations for senior dosing. Older adults may process drugs more slowly. A normal adult dose may cause levels of this drug to be higher than normal in your body. If youre a senior, you may need a lower dose or a different schedule.
Disclaimer: Our goal is to provide you with the most relevant and current information. However, because drugs affect each person differently, we cannot guarantee that this list includes all possible dosages. This information is not a substitute for medical advice. Always to speak with your doctor or pharmacist about dosages that are right for you.
Purchase A Good Mattress
Dont you remember when you purchased the mattress you are using now? Then maybe its time to get a new one.
Despite the best care, your mattress will eventually wear out, usually after 8-10 years. Following this period, it may show wear, such as coils poking through or saggy borders or it might not, kind of like a pair of sneakers that you wear only on the treadmill.
In any case, you run the risk of hindering your rest. You may start to have trouble falling asleep, and the time you spend asleep may be less relaxed than it used to be.
If you feel that they become less comfortable, or if you realize that you are waking up with an achy back, it may be time to go shopping.
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The Causes Of Insomnia In Older Adults
As people age, changes to normal sleep patterns may occur. Seniors may produce less melatonin, the hormone that regulates sleep cycles and circadian rhythms. This often results in lighter, more fragmented sleep during the night.
While the normal aging process can cause symptoms of insomnia, there are other factors that may result in an inability to fall asleep naturally.
Side Effects Not Requiring Immediate Medical Attention
Some side effects of valsartan may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects.
Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:
- pain, swelling, or redness in the joints
- stomach pain
Applies to valsartan: oral capsule, oral tablet
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