3/26/2023 0 Comments Sleep maintenance insomnia![]() ![]() Her insomnia was resistant to multiple medications including zolpidem Immediate-release(IR), Controlledrelease( CR) formulas, zaleplon, eszopiclone, trazodone, melatonin, clonazepam, suvorexant, and lemborexant. Immediately following the vaccination, the patient had severe trouble falling and staying asleep. The patient finished her two-shot series of the Moderna COVID-19 vaccine in April 2021. She had a history of COVID infection in November 2020 with only mild symptoms of sore throat and fatigue. ![]() Report of Cases A 59-year-old female with a past medical history of well-controlled hypothyroidism and migraine presented to the sleep center with four months of insomnia. We present a rare case of severe insomnia as a long-term side effect following COVID-19 vaccination. In addition, there have been few reported long-term side effects, including Guillain-Barre, pericarditis, and cerebral venous sinus thrombosis. In a clinical trial of Sleepio participants experienced a 60% reduction, on average, in time spent awake during the night.įind out more about the science behind the Sleepio course and whether it might be suitable for you.ABSTRACT Introduction: The COVID-19 vaccines have documented transient side effects, including injection site soreness, redness, headache, fatigue, and fever. Problems with wakening up early (early morning awakenings) and being unable to resume sleep, have also been associated with stress and clinical depression.įor some, simple lifestyle changes may be enough to improve sleep maintenance, for example, cutting down on alcohol which, whilst encouraging sleep onset, may disturb sleep later in the night as withdrawal symptoms set in.įor those with chronic sleep-maintenance problems, and where other potential causes of sleep disturbance have been ruled out, research using cognitive behavioral techniques has shown reduction in the number of awakenings and duration of awakenings during the night. Individuals diagnosed with this sleep disorder will often find their sleep to be severely disrupted by numerous short awakenings as their body struggles to maintain a normal and safe level of oxygen in the blood. Repeated awakenings during the night may be associated with the sleep disorder sleep apnoea where people suffer from lowered levels of blood oxygen, most often due to physical obstructions in their airway. Poor sleep of this kind may be referred to as 'sleep-maintenance insomnia'. For 17% of chronic poor sleepers, difficulty staying asleep through the night persists into the long-term (> 3 months). The majority of people find they recover from periods of poor sleep in line with other changes in their life, for example, with a work problem being resolved or their daily schedule becoming more stable or reliable. Short-term sleep problems may affect 30% of the population at any one time, though these tend to be short-lived. These mid-sleep wakenings will be experienced by most people at some point in their lives and it isn't unusual for people going through a particularly stressful period to report sleep disturbance of this kind. Others still, will be able to get back to sleep but will find themselves waking repeatedly throughout the night, feeling that they've spent most of their night somewhere between being fully awake and fully asleep. ![]() There are plenty of people who drift off happily and easily at the beginning of the night only to find themselves, eyes wide-open a matter of hours later, unable to get back to sleep with hours left to wait until the morning. “How can I stay asleep through the night?”įor many people suffering poor sleep, it isn't going to bed and getting to sleep which proves to be problematic but staying asleep during the night. ![]()
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