Insomnia is not a disease, it’s a clinical syndrome. It has three main points for diagnosis. First, it is any sleep disturbance.
Consequences of such a violation of sleep are a violation of daytime functioning. It can be a variety of disorders: drowsiness, irritability, a sense of fatigue, and difficulty concentrating. Even gastroenterological complaints can occur. That is, the spectrum of daytime effects of insomnia is wide enough.
Insomnia in mental disorders is a very common form of secondary insomnia, accompanies almost any mental disorder:
With schizophrenia, sleep disorders are very common. That is, this is a very characteristic symptom of mental illnesses.
There is a single form of primary insomnia, in which hypnotic drugs should be taken. Indeed, it has been proven that if hypnotic drugs are prescribed in time, for example, such a form of insomnia, called “adaptive insomnia”, or “acute insomnia”, or “reaction to stress”, a person quickly exits from this stressful state and is more quickly recovered. Within a year, 1/5 of the population experiences such a form of insomnia, because stress happens all the time.
Most often, this insomnia is spontaneously resolved without the need to resort to any sleeping pills. If it is delayed, if it lasts more than three months after the stress factor ends, then most likely, it is already a different form of sleep disorder. This is the only form of primary insomnia that is not associated with any disease in which the appointment of a hypnotic is indicated and helps quickly get out of this stressful state.
The hypnotic effect of the sedative, anxiolytic or myorelaxing drug depends on five subunits of hypnotic drugs.
What are the most common problems with the use of benzodiazepine hypnotics? It is tolerance (addiction) –you gradually required to apply larger dose of the drug in order to obtain the same effect.
Dependence, withdrawal syndrome, the development of the withdrawal syndrome enters into the dependence criterion: when we cancel the drug’s intake, sleep disorders increase dramatically. There is still a whole range of side effects like the vegetative plan, psychomotor agitation. Very undesirable effects are poorly tolerated by patients.
Reduced memory, attention, and reaction time – the so-called cognitive toxicity, reduce. It is because many benzodiazepines used as sleeping pills have a very long half-life and continue to act both in the morning and in the day because they have not yet were excreted from the body in sufficient quantities. For actively working people or, for example, when driving a car, this can become a problem.