AIDS, While The World SLeeps: The First Twenty Years of the Global AIDS Plague Sleep With the Angels: A Mother Challenges AIDS Rick Steves' Europe Through the Back Door 2004: The Travel Skills Handbook Sleep and Dream Research How to Get Your Baby to Sleep : America's Foremost Baby and Childcare Experts Answer the Most Frequently Asked Questions The Electric Kool-Aid Acid Test Baby 411: Clear Answers and Smart Advice for Your Baby's First Year A Woman's Guide to Sleep : Guaranteed Solutions for a Good Night's Rest Getting Your Child to Sleep...and Back to Sleep: Tips for Parents of Infants, Toddlers and Preschoolers

• Over-the-Counter Sleep Aids Need More Study.
• Over-the-Counter Sleep Aids Need More Study ------------------------------------------- Although over-the-counter sleep aids are being used in increasing numbers, little objective research has been done to determine their long-term effects, according to a Penn State research team. "Between 1987 and 1993, sales of OTC sleep aids increased from 5 to 15 percent, according to Nielsen Marketing Research data," says Janine L. ... "Despite increased popularity, however, OTC sleep aids such as Nytol, Sominex and Unisom have received little attention since being last reviewed by the Food and Drug Administration in 1989," Pillitteri notes. Pillitteri is primary author of the paper, "Over-the-Counter Sleep Aids: Widely Used but Rarely Studied," published in the Journal of Substance Abuse. In the paper, Pillitteri and her colleagues stress the need for more and better-quality sleep research. "For instance, many people do not realize that the active ingredient in OTC sleep aids, diphenhydramine, is found in numerous OTC preparations for colds and allergies," Pillitteri says. ... "The effects of OTC sleep aids can be unpredictable because individual responsiveness and sensitivity to these drugs vary," Pillitteri says. ... " Over-the-counter sleep aids may pose a risk for some individuals with liver and kidney problems such as the elderly, Pillitteri says. ... Issues such as these were not addressed by the review of over-the-counter sleep aids by the Food and Drug Administration, Pillitteri says. ... "The usefulness of one-night studies or single-dose studies should be questioned given that many individuals will use OTC sleep aids for several consecutive nights," Pillitteri notes. ... "Because the use of OTC sleep aids is so prevalent and has surpassed that of prescription sedative-hypnotic drugs, their potential side effects need to be scrutinized more closely by researchers," she adds.

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• The amount of sleep needed depends upon the individual and their age. Some people manage on four or five hours sleep a night. On average seven, eight, or nine hours of sleep a night is what the majority of young and middle aged people need to stay bright-eyed and bushy-tailed during the day. As we get older we tend to need less sleep.
• For peak performance during the day about four or five 90-minute sleep cycles are needed to rest and re-charge the brain. Each cycle combines deep sleep that brings rest, and REM (rapid-eye movement) sleep during which it's believed brain chemicals are released that help tasks such as learning to be performed more easily.
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• Parents of infants and young children regularly consult their pediatricians about how to get their child to fall asleep at the beginning of the night or how to get their child back to sleep after a middle-of-the-night awakening. Prevalence rates for these types of sleep disturbances have been reported to be as high as 20% to 30% for 1- and 2-year-olds. ...
• As a prelude to understanding the emergence of nighttime self-soothing behaviors, it is necessary to appreciate the developmental course of sleep, and night waking in particular. During the first few months of life, an infant awakens, on average, every 3 to 4 hours throughout the day and night, usually requiring parental comforting or feeding to return to sleep. By 3 or 4 months of age, the infant's longest period of continuous sleep has lengthened and shifted to the nighttime hours. ...
• (3, 6) Thus, although the longest period of sustained sleep has lengthened, it does not span the entire night. Surrounding the longest sleep period are shorter bouts of sleep, punctuated by arousals and awakenings. Arousals can be as brief as 30 seconds or can lead to full awakenings that result in infants either self-soothing or requiring parental presence to reinitiate sleep. Thus, even at 1 year of age, infants rarely sleep through the entire night without several awakenings or arousals. Instead, it is the infant's ability to self-soothe that emerges, allowing parents to sleep through the night.
• When parental comfort is required persistently beyond an age that parents expect, a sleep problem is presented to the pediatrician. ... Factors associated with infant self-soothing at night include the mode of feeding (nursing vs formula), sleep location (crib vs family bed), bedtime and nighttime interactions with the parent, and use of a sleep aid. (7, 10) In general, infants are more likely to self-soothe after 4 to 6 months of age when they are not nursed during the night, sleep alone in their own cribs, fall asleep on their own with minimal parental contact, and have access to, and make use of, a sleep aid.
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• Topics: Introduction | Historical Background | Safety Considerations | Analgesics and Anti-Inflammatory Drugs | Cold Remedies | Drugs to Treat Allergies | Antacids and Indigestion Remedies | Motion Sickness Drugs | Sleep Aids | Special Precautions.
• Sleep Aids.
• Over-the-counter sleep aids are intended to manage an occasional sleepless night, not chronic insomnia, which could signal a serious underlying problem (see Section 6, Chapter 81). Taking an OTC sleep aid for more than 7 to 10 days is not recommended. (Many prescription sleep aids may be safer than OTC sleep aids, especially for older people. ...
• OTC sleep aids contain diphenhydramine or doxylamine, both antihistamines (see Section 2, Chapter 18). ... Sleep aids should not be taken with alcohol, tranquilizers, or other drugs that also cause drowsiness and decrease alertness.

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• SEE ALSO: Sleep drug lowers blood pressure 20 Jan 04  |  Health Quality sleep 'rescues memories' 09 Oct 03  |  Health Sleep disorder 'damages brain' 04 Sep 03  |  Health RELATED INTERNET LINKS: British Sleep Society Nature The BBC is not responsible for the content of external internet sites TOP HEALTH STORIES NOW Hope raised for diarrhoea vaccine Trauma linked to coronary disease Sunscreen could be made of DNA Pacific diseases to be addressed .

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