This works by replacing the lost hormones, which can improve many menopause symptoms. The main treatment for menopause-related insomnia is hormone therapy. Medical treatments for insomnia during menopause The relationship between sleep and mood is bidirectional, and changing hormone levels can also play a role. However, insomnia can also make depression more likely. Many mental health conditions, including anxiety and depression, affect sleep. This, along with the symptoms of menopause, can have an impact on an individual’s mental health. It is also a sign that a person is getting older. Mental healthįor many people, menopause signals a major change. Some evidence suggests that there is and that individuals during postmenopause have less melatonin than those during premenopause. It is not clear whether there is a link between menopause and a decline in melatonin. However, melatonin levels appear to decrease with age, which may cause sleep disturbances. It is especially important at the start of sleep. Melatonin is a hormone that plays a key role in the sleep-wake cycle, helping keep people asleep. Hot flashes cause a sudden sense of heat around the face and neck and often occur with sweating and a fast heartbeat. Hot flashes, which are one of the so-called vasomotor symptoms, are common in menopause, affecting 75–85% of people going through menopause. These symptoms can disrupt sleep, causing frequent waking. Sometimes, insomnia happens during menopause because of hot flashes or night sweats. This is especially true if the decline in hormones happens quickly, as it does after a person undergoes surgery to remove the ovaries. Some evidence suggests that low hormone levels can increase the likelihood of insomnia during menopause.Īccording to the SWAN, previous longitudinal studies have found a correlation between lower levels of estradiol and poorer sleep. Several things may contribute to it, including: Hormonal changes If it is considered necessary, then it should be used at the lowest possible dose and for a limited time.Research on the exact cause of insomnia during menopause does not point to one clear cause. But your health care provider should watch you carefully to make sure that the drug is helping and not causing bad side effects. Diphenhydramine (Benadryl Allergy, Nytol, Sominex, Gravol, generic)Ĭonsider these drugs if the sleep problems are affecting your quality of life and nothing else has helped.Avoid these over-the-counter sleep drugs: Side effects of some drugs can be especially bothersome for seniors: next-day drowsiness, confusion, constipation, dry mouth, and difficulty urinating. Over-the-counter drugs may not be a good choice. Sometimes medications under the class antipsychotics or antidepressants are prescribed primarily for sleep including: Kinds of sleeping pills (sedative-hypnotics).Īll of these pills have risks, especially for older adults: Sleep problems can be caused by depression or anxiety, pain, restless leg syndrome, and many other conditions.Įven if an exam does not turn up an underlying cause, you should try other solutions before you try drugs (tips for better sleep are found below). There are also concerns they may be as addictive as other sedatives. Studies suggest they have as much or more risk than the older sleep drugs. ![]() “Z” drugs include Zolpidem (Ambien and generic) and Zopiclone (Imovane and generic). These are common causes of hospitalization and death in older people. More than double the risk of falls and hip fractures.The drugs can cause confusion and memory problems as well as changes in balance that: Seniors are likely to be more sensitive to the drugs’ effects than younger adults.Īnd these drugs may stay in their bodies longer. Sleeping pills can have serious, or even deadly side effects.Īll sedative-hypnotic drugs have special risks for older adults.
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