insomnia/depression

Question 1

common causes of insomnia in elderly

Answer 1

poor sleep hygiene
meds
sleep apnea
restless leg syndrome
jet lag, shift work
depression,anxiety
cardiopulm disorders
pain
GERD
hyperthyroidism (presents atypically in elderly)
advanced sleep phase syndrome (elderly wake up 3 or 4 am)

Question 2

what txs fro primary insomnia are proven in elderly?

Answer 2

cognitive behavioral therapy

zolpidem

Question 3

SIGE CAPS

Answer 3

depressed mood

sleep
loss of interest
guilt
energy

concentration
appetite
psychomotor retardation
suicidal ideation

need 5

Question 4

side effects of SSRIs, SNRIs

Answer 4

headaches
sleep disturbances
GI problems
hyponatremia
serotonin syndrome
increased risk of GI bleed

increased risk of falls