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Sleep Disorders

News, opinions and meeting coverage in pulmonology.

Excessive Sleepiness Lingers in TBI Patients

18 months later, TBI patients slept an hour more each night than healthy controls

Patient Registries See Promise and Challenges Ahead

Physician-driven registries adapt to a changing health system

Iron Reduces Parasomnias in Children With Restless Legs

Most with restless legs syndrome and night terrors do well with ferritin supplements

Persistent Sleep Trouble Common in Kids With Brain Injuries

TBI leaves children struggling for months with daytime sleepiness and problems sleeping at night

Sleep Apnea Correlates With Injury on the Job

Accidents while working occurred twice as frequently when sleep apnea was involved

'Sleeping In' Doesn't Make Up for Lost Sleep in Teens

Sleep deprivation may affect work in schools and driving

FDA Advisers Unimpressed by Nocdurna

Another setback for nocturia indication

Excerpt From 'Being Mortal ... '

Ivan Ilyich isn't as foreign to today's medicine as we imagine.

'Sleep Drunkenness' Common, But Rarely Unexplained

So-called confusional arousals were reported in the past year by some 15% of respondents in a population-based survey, with nearly all episodes associated with mental disorders or drugs with known sleep effects.

FDA Slashes Starting Dose for Lunesta

SILVER SPRING, Md. -- Patients starting on the sleep drug eszopiclone (Lunesta) should take no more than 1 mg at bedtime -- one-third the current label-recommended dose -- because of the risk of next-day impairment, the FDA said Thursday.

Murder: Another Ambien Side Effect?

NEW YORK CITY -- Forensic psychiatrists are facing new challenges with murders committed by people under the influence of the sleep drug zolpidem (Ambien) -- not least to persuade the criminal justice system to take their conclusions seriously.

APA Meeting Highlights Mental Health Biology

NEW YORK CITY -- The biological basis for normal and abnormal mental function is emerging as a dominant theme in psychiatry research, and the American Psychiatric Association annual meeting that starts here Saturday won't be an exception.

Forget Glucometers, Use Voodoo Dolls Instead: That's Improbable!

A weekly report from our friends at Improbable Research.

Lyrica Edges Mirapex for Restless Legs

Patients with restless legs syndrome treated with pregabalin (Lyrica) had as much symptom improvement as those receiving pramipexole (Mirapex) in a large year-long trial, with fewer showing "augmentation."

Drug Combo Saves Kids' Tonsils in Mild OSA

The anti-inflammatory asthma drug montelukast (Singulair) plus corticosteroids was an effective initial alternative to surgery for mild obstructive sleep apnea (OSA) in children, a retrospective study showed.

Debate: Who Should Prescribe CPAP?

Should primary care physicians and other nonspecialists be able to prescribe sleep apnea treatment after home testing? Experts debated that issue this month in Chest.

Sleep Problems, Poor Angioplasty Outcomes Linked

Disturbed sleep is common in heart patients following coronary angioplasty and is an independent risk factor for poor cardiac outcomes, researchers reported.

Common Cause for Bruxism, Restless Legs, Migraine?

NEW ORLEANS -- About half of patients with restless legs syndrome (RLS) seen in a single neurology practice also qualified for diagnoses of bruxism and migraine, suggesting a possible common cause for these disorders, a researcher said here.

Xyrem Helps With Nighttime Sleep in Narcolepsy

NEW ORLEANS -- Narcolepsy patients troubled by frequent nighttime awakenings had less sleep disruption when taking sodium oxybate (Xyrem) than modafinil (Provigil) in a randomized trial, a researcher reported here.

APA Leaders Defend New Diagnostic Guide

SAN FRANCISCO -- The fifth edition of the "psychiatrist's bible" was officially released here in all its 947-page glory, with its developers offering a spirited rebuttal to their critics.

Hangover Risk Prompts Ambien Label Changes

New dosing recommendations for products containing zolpidem (Ambien, Ambien CR, Edluar) are now included in their labels, along with warnings of next-day hangover effects, the FDA said Tuesday.

FDA: Booze and Xyrem Are Dangerous Mix

WASHINGTON -- The FDA is warning healthcare professionals that patients taking the muscle weakness and narcolepsy drug sodium oxybate (Xyrem) should not consume alcohol or use central nervous system depressants.

Child's Epilepsy Keeps Household Up All Night

Children with epilepsy and their parents reported suffering from sleep problems, researchers found.

DSM-5: What's In, What's Out

PHILADELPHIA -- Reports here provided what may be the last public update on DSM-5, the next edition of American psychiatry's diagnostic guide, before it is formally released in May 2013.

Most DSM-5 Revisions Pass Field Trials

PHILADELPHIA -- Field trials of proposed new diagnostic criteria for many mental disorders showed that, for the most part, they were at least adequately reliable.

Latest Use for Botox: Teeth Grinding

茂禄驴NEW ORLEANS -- Patients who ground their teeth so hard during sleep that they required medical attention achieved significant relief from botulinum toxin shots, researchers said here.

Low-Dose Zolpidem Gets FDA Okay for Wee-Hours Awakening

A new formulation of the insomnia drug zolpidem tartrate (Ambien) has been approved to treat middle-of-the-night awakenings followed by difficulty returning to sleep, the FDA said.

Floppy Eyelid Syndrome May Warn of Apnea

When physicians see a patient with floppy eyelid syndrome, they should also screen for obstructive sleep apnea-hypopnea syndrome, new research has shown.

Drop in Oxygen Saturation in Apnea Tied to Obesity

Obese patients may experience more severe blood oxygen desaturation during apnea and hypopnea events, researchers say.

AHA: Some Statins May Disrupt Sleep

ORLANDO -- If patients taking simvastatin (Zocor) develop sleep disturbances, changing statins may be a good idea, researchers suggested here.

AAPA: Obstructive Sleep Apnea Wearies the Heart

PHILADELPHIA -- The most obvious clinical feature of obstructive sleep apnea may be weariness of mind, but this breathing disorder also slowly and silently wears down the heart, according to researchers.

USPSYCH: Insomnia Treatment Boosts Antidepressant Efficacy

SAN FRANCISCO -- A significant number of patients with major depression also suffer from chronic insomnia that hampers recovery, and treating the insomnia may improve both conditions.

SLEEP: Ambien Appears to Remedy Central Sleep Apnea

SALT LAKE CITY — The sedative Ambien (zolpidem) appears to reduce the symptoms of central sleep apnea, according to a small open-label study reported here.

Toddlers With Sleep Apnea Should Get Off Their Backs

HOUSTON - If toddlers with sleep apnea slept less on their backs their quality of sleep and associated symptoms might improve.

Reggie White's Death Linked to Obstructive Sleep Apnea

Preliminary reports suggest that the death on December 26th of a 43-year-old former National Football League star, Reggie White, was related to sleep apnea, a chronic condition associated with a number of lung and heart conditions.

Provigil (modafinil) Counteracts SSRI Side Effects

Provigil 脗庐 (modafinil) not only counteracted the excessive fatigue and somnolence experienced by some patients on selective serotonin reuptake inhibitors (SSRIs), but also improved mood and quality of life in this patient group, according to a preliminary study published in the Journal of Clinical Psychiatry.