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It happens to most Americans at some point in their lives--the sweet, blissful sleep of childhood is replaced by glaring at the digital clock at all hours and countless 3 a.m. pillow adjustments. Like the common cold, the origins of insomnia
fatal familial insomnia an inherited prion disease affecting primarily the thalamus and characterized by progressive insomnia, hallucinations, stupor, and coma ending in death; autonomic and motor disturbances are also present.
primary insomnia a dyssomnia characterized by persistent difficulty initiating or maintaining sleep or by persistently nonrestorative sleep; not due to any other condition...... Click the link for more information. can be mysterious, as sleep can be affected by factors as varied as food and drink, mental state or physical pain.

Twenty-two percent of Americans can't get to sleep or stay asleep on a regular basis, and sleep loss accounts for more than $18 billion in lost productivity on the job. Sleepiness also causes a large number of car accidents as drivers nod at the wheel. Insomnia affects the poor and the elderly disproportionately.

What qualifies as insomnia? The National Institutes of Health (NIH) defines the problem as encompassing not only a difficulty falling asleep, but also waking often in the night (and not returning to sleep easily), waking up too early in the morning, or sleep that isn't refreshing. Primary insomnia occurs when a person has any of the above problems independent of other health issues; secondary insomnia means that it's connected to another health condition, such as asthma, depression or arthritis, according to scientists at the University of Pennsylvania.

Twenty-two percent of Americans can't get to sleep or stay asleep on a regular basis, and sleep loss accounts for more than $18 billion in lost productivity on the job. Sleepiness also causes a large number of car accidents as drivers nod at the wheel. Insomnia affects the poor and the elderly disproportionately. What qualifies as insomnia? The National Institutes of Health (NIH) defines the problem as encompassing not only a difficulty falling asleep, but also waking often in the night (and not returning to sleep easily), waking up too early in the morning, or sleep that isn't refreshing. Primary insomnia occurs when a person has any of the above problems independent of other health issues; secondary insomnia means that it's connected to another health condition, such as asthma, depression or arthritis, according to scientists at the University of Pennsylvania.

Increasingly, there are natural alternatives available for those looking to avoid synthetic sleeping pills. The variety of potential cures includes homeopathy, herbal remedies, behavior modification and sleep therapies.
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The sleep medicine Lunesta (Eszopiclone) hit the shelves in the US a few years ago, the manufacturing company Sepracor is still testing this medication.

So far it's all looking pretty good. Lunesta can help both those who have trouble falling asleep (sleep onset insomnia) as well as those who have trouble staying asleep (sleep maintenance insomnia). No other medication can do this so successfully.

There's more good news, Lunesta is the only prescription sleep medicine approved for long term use. Tests have shown that when patients stop using Lunesta, there is no rebound insomnia which is common with the benzodiazepine family of drugs. Lunesta does not appear to be habit forming.This means those with severe chronic insomnia can successfully be treated with Lunesta.

Take Lunesta just before retiring as it is fast acting. Also make sure you have a good eight hours set aside to sleep as Lunesta is also long lasting.

Pregnant or breast feeding women should seek medical advice as the effect of Lunesta on infants is not known.

Lunesta is not yet available in all countries, but keep checking as this will change as the testing progresses.

Other sleep disorder medicines can be divided into two types as follows

• Benzodiazepines These are the most commonly prescribed and are considered the "safest" type of sleep medicine. They still have side effects though. These include daytime sleepiness, memory lapses and possible breathing difficulties.
  Normal sleep patterns can also be disrupted which may lead to altered mood states during the day. A couple of caveats to remember with benzodiazepines, never consume alcohol while taking them, the combination can be very dangerous.
  Also don't drive a car or operate machinery while the hypnotic is still in your system.
  Sleep medicines in this group include Ativan, Xanax Halcion and Restoril.
  Help your sleep medication go to work with a new memory foam mattress. Check out the healing benefits of a memory foam mattress for your back as well. Your body will sink into your memory foam mattress and it will leave you refreshed in the morning. Help your college student also get a good night's sleep on those lumpy beds with a new memory foam mattress topper. Read this great student's blog on his new memory foam mattress and what he really thought about it!

• Non benzodiazepines This group has the advantage of being less addictive than the above. The possible side effects are greater though. These include headaches, nausea, bad dreams and dizziness.
  They don't disrupt out normal sleep rhythms as do the benzodiazepines. This group is also shorter acting than the benzodiazepines, meaning they leave the bloodstream faster so there is less morning grogginess.
  Sleep medicines in this group include Ambien, Imovane and Sonata. Sonata is the shortest acting of these and is not suitable for those who fall asleep quickly but wake during the night. It is only suitable for those that need to fall asleep. However Sonata may be useful for those who wake in the middle of the night and who have not taken any previous medicine that night.

Use sleep disorder medicine as a last resort, take the lowest dose that you can to maintain sleep and don't take it for more than two weeks (Lunesta excepted)
Some people use sleep medicine occasionally when they need it. If this is you, make sure you really do need it before reaching out for that bottle. Its very tempting to take something when its there! Sometimes just knowing you have sleep medicine on hand can be reassuring enough to allow you to sleep better.

Whatever your situation use it with care and remember you're in charge, not your medication. Don't let it call the shots!If you are currently using one of the above sleep disorder medicines above and would like to stop, there is a great alternative called "Great Night Sleep" This non habit forming medication is very effective and will help you off the roller-coaster of hypnotic medications.

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