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Sleeping pills may help when stress, travel or other disruptions keep you awake.
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Sleeping pills may help when stress, travel or other disruptions keep you awake. For long-term insomnia, behavior changes learned in behavioral therapy is usually the best treatment. If you're regularly having trouble either falling or staying asleep insomnia, make an appointment with your doctor. Treatment depends on what's causing your insomnia. Sometimes, an underlying cause, such as a medical condition or sleep disorder, can be found and treated — a much more effective approach than just treating the symptom of insomnia itself. Behavior changes learned through cognitive behavioral therapy are generally the best treatment for persistent insomnia. Sleeping on a regular schedule, exercising regularly, avoiding caffeine and daytime naps, and keeping stress in check also are likely to help.
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Sleep medicine is a medical specialty or subspecialty devoted to the diagnosis and therapy of sleep disturbances and disorders. Dental sleep medicine also qualifies for board certification in some countries. Properly organized, minimum month, postgraduate training programs are still being defined in the United States. The first sleep clinics in the United States were established in the s by interested physicians and technicians ; the study, diagnosis and treatment of obstructive sleep apnea were their first tasks. As late as, virtually any American physician, with no specific training in sleep medicine, could open a sleep laboratory.
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Benzodiazepines and benzodiazepine-like agents are only indicated when the disorder is severe, disabling or subjecting the individual to extreme distress. Long term continuous use is not recommended. A course of treatment should employ the lowest effective dose. Treatment with zopiclone should be as short as possible. Generally the duration of treatment varies from a few days to two weeks with a maximum, including the tapering off, of four weeks. In certain cases an extension beyond the maximum treatment period may be necessary; if so it should take place after re-evaluation of the patient's status.
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- Phototherapy using UVB and photochemotherapy using UVA plus an oral photosensitizing drug, psoralen, can be successful in severe resistant psoriasis, although relapse may occur.
- Corticosteroids suppress all phases of the inflammatory response, including the early swelling, redness and pain and the later stages seen in chronic inflammation.
- At the same time, pharmacists became eligible to train as pharmacist independent prescribers, being able to prescribe all licensed medicines but, as yet, no controlled drugs.
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In some cases, the disease is rapidly progressive and may proceed to fatality within five years of symptoms appearing. In most other cases, there is only a slow progression towards respiratory failure.
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Loperamide is an opiate drug that decreases motility of the intestine. It does not cross the bloodbrain barrier easily and therefore does not have the central nervous system effects of other opiates.
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They are used in cases of asthma where there is a poor response to bronchodilators alone. Current examples are montelukast and zafirlukast, both of which are given orally, either alone or in combination with corticosteroids. They are not recommended for use in chronic bronchitis. Side effects of leukotriene receptor antagonists are gastrointestinal disturbances and headache. Corticosteroids are anti-inflammatory drugs that can be used in asthma to reduce airway hyper-responsiveness and to decrease bronchial oedema and mucus secretion. They are effective in the late phase reaction and reduce the intensity of allergic reactions.
) The disease appears to have a genetic basis with environmental factors, such as infections, emotional trauma or mechanical trauma, causing outbreaks in susceptible individuals. Psoriasis should be regarded as a chronic systemic disease, which can be associated with other chronic diseases such as heart disease, hypertension and diabetes and may reduce life expectancy. About arthritis. Sometimes psoriasis can occur in response to drugs such as lithium, chloroquine and NSAIDs, beta-blockers and ACE inhibitors. There is no cure for psoriasis but there are many therapies and treatment depends on the extent and severity of the disease.
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