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We searched up to February 2020 for well-designed trials that compared any medicine used for treating sleep problems in people with dementia with a fake medicine (placebo). We consulted a panel of carers to help us identify the most important outcomes to look for in the trials.
Sleep disturbances in people with dementia have long been recognized and studied; however, in the past 10 years, researchers have begun to study disturbed sleep, including sleep fragmentation, abnormal sleep duration, and sleep disorders, as risk factors for dementia.
Insomnia occurs in one-fourth to one-third of patients with dementia, and can lead to patient and caretaker distress and early institutionalization. An array of effects from the disease, medication, behaviors, and mood issues may play a role in influencing sleep.
4 Σεπ 2024 · Over the past five years, research has established non-pharmacological treatments such as CBT-I, exercise, and multi-modal interventions as the mainstay for treating sleep disturbances in older adults, with or without cognitive impairment.
A case report suggested agomelatine 25 mg/day as a potential treatment for insomnia: a 91-year-old woman with Alzheimer's disease and a 20-year history of insomnia showed decreased sleep fragmentation and daytime sleepiness after a month.
Sleep problems and treatments for people with dementia. If a person has sleep problems caused by dementia, they should see their GP, who may refer them to a specialist. Find out about different sleep problems and what support and care is available for a person with dementia and sleep disturbance.
15 Φεβ 2017 · The following recommendations are intended as a guideline for clinicians in choosing a specific pharmacological agent for treatment of chronic insomnia in adults, when such treatment is indicated. Under GRADE, a STRONG recommendation is one that clinicians should, under most circumstances, follow.
