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Sleep Disorders (PDQ®)

  • Last Modified: 04/16/2014

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Sleep Disorders in Special Cases



Patients Who Have Pain

In patients with pain that disturbs their sleep, treatment to relieve the pain will be used before sleep medicines are used. Pain drugs, other drugs being taken, and any other health conditions may affect which sleeping medicines are prescribed.

Older Patients

It's normal for older people to have some insomnia. Changes related to age can cause lighter sleep, waking up more often during the night, and sleeping less total time. If an older patient with cancer is having trouble sleeping, the doctor will look for the specific causes, such as:

Treating sleeping problems without drugs is tried first. The following may help improve sleep in older patients:

  • Having meals at regular times.
  • Avoiding naps during the day.
  • Being more active during the day.

Medicine may be used if non-drug treatments don't work. The doctor will look at all the patient's medicines and health conditions before choosing a sleeping medicine. For some patients, doctors will suggest a sleep disorder clinic for treatment.

Children with Somnolence Syndrome

Somnolence syndrome (SS) is a side effect of radiation therapy to the head and is often seen in children treated for acute lymphocytic leukemia. Children with SS seems to be sleepy all the time. They are less alert when awake, irritable, and have low energy and little appetite. There is sometimes a low-grade fever. The risk of SS increases when the total dose of radiation is given in fewer parts (fractions) and over a short period of time. The syndrome usually appears 4 to 6 weeks after radiation therapy ends. Up to half of children treated with radiation to the head may have SS.

Patients Who Have Jaw Surgery

Patients who have surgery on the jaw may develop sleep apnea, which is a sleep disorder that causes the person to stop breathing for 10 seconds or more during sleep. Plastic surgery to rebuild the jaw may help prevent sleep apnea.