Submit a review for Sai Dental Clinic Sai Dental ClinicYour feedback matters!
Sleep disorders are often associated with substance abuse. The problems in sleep arise as a result of direct effects of a particular substance. Substance induced sleep disorders can be caused by many drugs, regardless of whether or not the substance is medically prescribed, legal or socially acceptable. It can also be caused due to alcohol abuse.
If you experience problems in sleep on not having resorted to any substance or even if you are trying to quit, it is called ‘withdrawal’. The severity of the sleep disorder depends on the type of substance used, and not much on whether or not the drug is illegal. A number of prescription as well as non-prescription drugs are capable of causing sleep disorders. However, the severity of the sleep disorders tends to vary among individuals.
Problems in sleep that can be caused due to prescription drugs such as:
- Hormonal drugs e.g. oral contraceptives
- Drugs for high blood pressure e.g. beta blockers
- Inhalable respiratory drugs
- Steroids, such as prednisone
- Medications for attention deficit hyperactivity disorder
- Diet pills
- Seizure medications
- Some antidepressants
Non-prescription drugs that can cause problems in sleep:
- Medications along with caffeine: These may include many cold and cough medications.
- Illegal drugs such as cocaine, amphetamines as well as methamphetamines.
- Nicotine is capable of disrupting sleep and reducing the total sleep time.
Alcohol is often regarded to be a calming drug or a sedative. While alcohol is capable of inducing sleep, the quality of sleep tends to be fragmented during the second half of the sleeping period. Consumption of alcohol usually tends to increase the number of times you wake during the latter part of the sleep. This is because the relaxing effect of alcohol wears off eventually. Alcohol tends to keep you in the lighter sleep stages more and thus, is at fault of not inducing the much required deep sleep.
If you consume alcohol just before you go to bed, the sleep inducing capacity might decrease as the effects that are disruptive continue to increase. The alcohol induced sleep disorders may lead to sleepiness and fatigue during the daytime. With age, these problems tend to grow in severity. Consumption of alcohol before bedtime, among the elderly, might lead to unsteadiness while walking with a higher risk of injuries and falls.
Knee replacement can be extremely painful. Previously, opioids or narcotics were administered for pain relief. But excessive addition of opioids is not exactly effective for controlling pain.
Multimodal pain management has become an important part of the perioperative care of patients undergoing total joint replacement. The principle of multimodal therapy is to use interventions that target several different steps of the pain pathway, allowing more effective pain control with fewer side effects. Many different protocols have shown clinical benefit. The goal of this review is to provide a concise overview of the principles and results of multimodal pain management regimens as a practical guide for the management of joint arthroplasty patients.
Multimodal denotes administering two or more than two types of medications that work with different mechanisms. The following are the techniques used:
Pre-operative Femoral Nerve Block: Prior to the surgery, a catheter is placed beside the femoral nerve for blocking it. This nerve is located in the upper thigh. Medication is delivered through the catheter for the nerve to be numbed for 24 hours. Thus, pain signals to the brain are blocked. This method reduces the use of narcotics and the consequent side effects.
Patient Controlled Analgesia (PCA): This method is also known as ‘Pain Pump’. An intravenous pump is used to administer pain relief medications, such as oxymorphone or morphine, after the surgery. The control button of the machine could be pressed, by the patient for 6 to 10 times per hour. The machine is used for two post-operative days.
Oral Medications: The oral medications include Non-Steroidal Anti-Inflammatory drugs or NSAID; such as Celebrex which is similar to aspirin, structurally. Alternatively, acetaminophen, such as Tylenol or its equivalent composition, can also be used.
Acetaminophen: It acts on the Central Prostaglandin Synthesis and relieves the patient of pain through multiple mechanisms.
Epidural Analgesia: It produces lower pain scores and involves less time for achieving physical therapy goals. However, this is subject to side effects such as dizziness, urinary retention and itchiness.
Gabapentinoids: These medications include membrane stabilizers such as Gabapentin and Pregabalin.
The objective of multimodal treatments is to provide quick relief to the patient and immediately so. Earlier the rehabilitation, more successful will be the knee replacement surgery.
Hi how to improve blood circulation in hole body because before 2 week back I am suffering from my right thumb & left thumb leg getting vibration is there any solutions for that.
I have a pain in right side number since 20 to 25 days. And now I have a weakness in my both leg with lumbar pain.
I am having pain in right shoulder my pharmacist gave me an injection of deca50 mg with diclofenac q. S I am still having pain and some part of shoulder is very hard n stiff I want to know that is shoulder stiff /hard due to injection. My ultrasound of shoulder as well x ray is OK please suggest me the right way. With regard Ashu Tandon Age 40 male.
I have swelling in my finger joints n pain in knees. RA test is negative. Plss suggest it's cause n remedy.
My mother has a severe pain in her legs and joints from long ago. She is 52 years of age. She is no a diabetes patient. Can you help her in this?
My mother has a severe pain at her lower parts of legs and joints. She s 52 years of age. She is not a diabetes patient.
Hello Sir / Mam My mother 53 years old is suffering from gout and high level of uric acid physician has prescribed her fears 80 and zerodol sp After taking zerodol sp she is sleepless. Is insomnia a side effect of this medicine and what are other side effects of this medicine on woman.
What medicine or remedy could aid to relieve from cervical spondylosis pain from neck to right shoulder blade, hand n leg. Thank you doc.
Hello sir, I have sleep disorder problem. My age is 35 years. My EEG report is normal. From last 4 years I am taking mirtazapine 7.5 mg (1/2 tablet per night). With this tab. I sleep very well 8-9 hrs. Many times, I try to sleep without this tab. But sleep only 3-4 hrs with disturbing (awake 4-5 times during night) and feels laziness/tiredness in day which disturb my job/routine. So I am taking the mirtazapine continue. I also exercises daily at evening, take 1 glass of milk at night, Drink 8 glass water daily, walking after dinner 2 km but not sleeps properly. I read on internet that sleep medicine increases B.P. And lack of sleep also increases B.P. L want to know the following:- 1. Which is more predominant for high BP (lack of sleep/medicine for sleep). 2. What is long term side effects of mirtazapine, if I continue it. 3. If any serious side effects, please suggest any other medicine (allopathic/Ayurvedic) which has low side effects than mirtazapine. Thanks.
How I know what is the reason of pain in my neck, arm and shoulder from 2 year MRI and x-ray show everything normal please help My life becomes hell 8541819454 my no. U r my last hope.
Arachnoiditis is a sort of inflammation of the defensive layers of the spinal canal. You can envisage it as the scar tissues that enlarge in the arachnoid lining. Also the lining can turn out to be inflamed due to the recurrent intervention on the spine, a lot of surgeries can lead to the scarring, for instance. It can also expand due to definite type of the spinal infections as well as due to the chemicals of epidural steroid injections, particularly if these kinds of chemicals get into the spinal fluid.
As the disease increases day by day, the symptoms also become bigger in magnitude. A lot of people who are suffering from this type of problems are incapable of working. Further due to Arachnoiditis the following symptoms are likely to happen
- Grounds of the nerve roots to plod together
- The nerve pain
- The numbness
- The tingling
Radio Frequency rhizotomy is primarily effectual on the joint pain. Patients who are good candidates for the RF have the pain whilst they're doing activities that increase the stress of the spine. Also the RF blocks all the nerves around the joint from sending the pain signals to the brain, as well as that pain free period normally lasts around one year. In that time, patients have to learn regarding the postural correction as well as the good body mechanics. RF presents the patients an option to get back their mobility as well as provide training regarding the movements of their daily lives with the less pain.
The details of information about drugs which might help arachnoiditis:
There are lots of pain management treatments available. Further patients might try the medications to find out the pain relief. A number of options are:
- The NSAIDs ( one kind of the anti-inflammatory drugs)
- The corticosteroids kind of drugs
- The anti-spasm type of the drugs
- Also an anti-convulsant drugs as well as
- The narcotic type of the pain relievers
A number of these types of medications might be given with a spinal pump. That is the little device which is entrenched under the skin and it then distributes the medication straightly to the inflamed area.
Also the patients might also take the spinal cord stimulation. On the other hand, the natural type of the treatments can assist, also, as well as it can often be utilized in conjunction with the prescribed type of the medication. You can also consult with your doctor about your options regarding your treatments.