In the elderly, should prescription medication be necessary, the first-line treatment is nonbenzodiazepines (e.g., zolpidem, eszopiclone, zaleplon, and ramelteon) as they have been found to be safer and better tolerated than tricyclic antidepressants, antihistamines, and benzodiazepines.
Although melatonin is usually considered safer than benzodiazepines, an increased fracture risk has recently been reported with this drug, and caution should be advised for elderly patients at risk for falls. Melatonin is only one option in the armamentarium of sleep solutions for older adults.
Melatonin. Melatonin is a hormone naturally produced by the pineal gland in response to darkness, signaling the body to prepare for sleep. But melatonin production may decline as we age, disrupting our sleep patterns. With that in mind, melatonin supplements are an effective sleep aid for many older adults.
Melatonin does not have a standard dosage that fits all. But when it comes to older people, the best results showed dosages from 2 to 3 mg taken 30 minutes before bedtime.
Melatonin is generally regarded as safe for seniors by physicians and pharmacists because its side effects are mild, it's not habit forming, and it does not cause withdrawal symptoms if you stop taking it suddenly. However, some of the side effects listed above may present additional challenges for older adults.
Generally, a safe starting dose for adults is between 1 and 5 milligrams of melatonin. Older adults may find doses lower than 1 milligram to be effective. Children should not take melatonin unless recommended by a doctor.
In the elderly, should prescription medication be necessary, the first-line treatment is nonbenzodiazepines (e.g., zolpidem, eszopiclone, zaleplon, and ramelteon) as they have been found to be safer and better tolerated than tricyclic antidepressants, antihistamines, and benzodiazepines.
One study. View Source of older adults with insomnia found that magnesium supplementation at a dose of 500 milligrams daily for eight weeks helped them fall asleep fast, stay asleep longer, reduced nighttime awakenings, and increased their levels of naturally circulating melatonin.
Although many people use magnesium for sleep support, it isn't known to cause tiredness during the day. However, if you want to maximize the benefits for better sleep, it's best to take your magnesium supplement an hour or two before bedtime.
The most common side effects are headaches, nausea and dizziness (17). In the elderly, exogenous melatonin may decrease blood pressure and cause hypothermia (17).
Do not use melatonin if you are pregnant or breastfeeding or have an autoimmune disorder, a seizure disorder or depression. Talk to your health care provider if you have diabetes or high blood pressure.
Always check the label. In general, melatonin should not be given to healthy, typically developing children under age 3, as difficulties falling and staying asleep in these children are almost always behavioral in nature.
Treating insomnia in elderly adults
This may include creating a calm, soothing environment in the bedroom, practicing relaxation techniques, and following a sleep schedule. If these techniques don't help, talk with your loved one's doctor.
Older people wake up an average of 3 or 4 times each night. They are also more aware of being awake. Older people wake up more often because they spend less time deep sleep. Other causes include needing to get up and urinate (nocturia), anxiety, and discomfort or pain from long-term (chronic) illnesses.
However, as we age, many may notice their energy levels aren't as high as they once were – suddenly afternoon naps become even more appealing. In fact, according to a study by the Journal of the American Geriatrics Society in 2010, nearly a third of people aged 51 and up experience fatigue.
Magnesium is best for those with magnesium deficiency, insomnia due to stress or anxiety, or muscle pain and cramping. On the other hand, melatonin is considered best for those who suffer from circadian rhythm disruption, hormonal imbalances, or melatonin deficiency.
Science has shown the benefits of taking Magnesium before bed can help you fall asleep faster, sleep more efficiently, and wake up more refreshed. A study found that participants who consumed 500 mg of Magnesium daily reported reduced insomnia, increased sleep quality, and improved early morning restfulness.
Taking magnesium supplements can bring a range of side effects, such as drowsiness or fatigue during the day, muscle weakness, nausea, vomiting, skin flushing or diarrhea, Gurubhagavatula said.
Is It Safe To Take Sleeping Pills Every Night? Most experts agree that sleep aids should not be used long-term. Sleeping pills are best used for short-term stressors, jet lag, or similar sleep problems.
1. Doxepin. Doxepin is a sleep aid with the brand name Silenor. Doctors may suggest people with insomnia use Silenor for up to 3 months.
Who is Defined as Elderly? Typically, the elderly has been defined as the chronological age of 65 or older. People from 65 to 74 years old are usually considered early elderly, while those over 75 years old are referred to as late elderly.
Melatonin does tend to have less risky potential side effects than certain prescription sleep aids, Grandner says, but he adds that “melatonin is not a good alternative to prescription sleep medications. It does not work as a sedative and it is ineffective in most cases of insomnia.”
Taking melatonin as a sleep aid
This method is meant to help you fall asleep faster in a very short amount of time. Dr. Goldman suggests starting with 1 mg, and then increasing that amount by 1 mg (not to exceed 10 mg) every week until you've reduced the amount of time it takes you to fall asleep.
What is a safe melatonin dose? According to Michael Grandner, director of the Sleep and Health Research Program at the University of Arizona, “melatonin is very safe if taken in normal doses,” which is anything between 0.5 mg and 5 mg.