These drugs are called “sedative- hypnotics” or “tranquilizers. Mirtazapine is taken for treating Insomnia. ), difficulty in learning new things or remembering them, and altered planning and organizing skills. The two drugs were found to be similar in terms of their efficacy and safety profiles and were better than placebo in the 28 day test period. While hypnotic drugs such as Ambien (zolpidem) can provide a quick fix for insomnia, they may cause unpleasant or dangerous side effects. 51 Temazepam is the most commonly prescribed benzodiazepine for insomnia. “Pain worsens sleep patterns and sleep disturbances worsen pain–it’s a vicious cycle,” says Robert Bolash, MD, from the Department of Pain Management at Cleveland Clinic. Stress may also cause insomnia. are prescribed benzodiazepine (such as Halcion ) and benzodiazepine-like. for topic: Causes Of Insomnia In Elderly. Data on the use of pharmacologic therapy for the treatment of insomnia in hospitalized patients are limited; most information is extrapolated from outpatient data. With age, the kidneys and liver clear drugs more slowly, so drug levels in the blood remain higher for a longer time. Nystagmus causes are not always known. Cognitive behavioral therapy. Residential Drug Rehabilitation Assistance Program Should you holiday in the stream Area, you can go to Beatrix Knitter Adult ed or Wordsworth's Cottage. Diagnosing Anxiety in the Aging. Depression: Depression is more common in the elderly, and insomnia is often a symptom.



It is also important to minimize drug-drug interactions, especially given the number of medications elderly pa­tients are often taking. News > Health Third of elderly Americans take sleeping pills amid 'catastrophic' and deadly insomnia epidemic 'We need to help people understand that lack of sleep is not a natural part of ageing'. I might have to take a couple of Ambien to go to sleep,” actor Heath Ledger told his sister on the phone the night before he died. When it comes to treatments for either difficulty going to sleep or staying asleep, looking for an easily reversible cause is the first step. Obtaining a detailed sleep history and, when appropriate, conducting laboratory testing may help physicians identify reversible causes. On the plus side, marijuana users are not at risk of the respiratory arrest opioids can cause, and pot won't make you dependent as some. Potentially Harmful Drugs in the Elderly: Beers List and More (for insomnia or anorexia)19 Neuropathic pain May cause seizure5 Tricyclic without active. And these drugs may stay in their bodies longer. Alzheimer's and related dementias pose special considerations when it comes to sleep, which I write about in this post: How to Manage Sleep Problems in Dementia. The drugs can cause confusion and memory problems as well as changes in balance that: More than double the risk of falls and hip fractures. Arthritis, osteoporosis or other conditions causing physical pain or discomfort. There are many causes of insomnia - disease, a snoring partner, shiftwork, stress or grief, some of the more serious mental disorders like depression and schizophrenia, nicotine, caffeine and alcohol, and various prescription drugs are the most common ones. Without it, the normal water levels in the body cannot be maintained and nerve and muscle function would be severely compromised. Polypharmacy: An increase in the number of medications can create side effects and a greater chance for drug interactions. One-quarter of the prescription drugs sold in the United States are used by the elderly, and the prevalence of abuse of these agents may be as high as 11%. Medications used to treat chronic illness and insomnia have many side effects that can further disrupt sleep and place patients at risk for injury. Insomnia may be the primary problem, or it may be associated with other conditions. Non-drug treatments aim to improve sleep routine and the sleeping environment and reduce daytime napping. A Quiet Drug Problem Among the Elderly Despite warnings from experts, older people are using more anti-anxiety and sleep medications, putting them at risk of serious side effects and even overdoses.



Medical insomnia causes include disorders such as acid reflux, which may flare up when laying down to sleep, or disorders that cause pain such as arthritis. ” They affect the brain and spinal cord. The other causes include Alzheimer’s disease, side effects of medications and psychosis. Drugs are Not the Answer to Insomnia and May be the Cause I also regularly saw patients who had been prescribed sleeping pills or anti-anxiety drugs by another doctor, and who felt they had developed an unhealthy dependency on the drugs, or were woozy during the day, and wanted to get off them. Yes, beta-blockers can cause depression, and so can many other drugs. Insomnia, Anxiety Drugs (Ambien) May Raise Dementia Risk Download the PDF here By Brenda Goodman, MA WebMD Health News Sept. Six Of The Most Common Causes of Insomnia in Men In the USA alone, approximately 40 million people experience some form of sleep disturbance each year. Clinical studies involving Risperdal and insomnia have shown that up to 26 percent of people taking the medication reported insomnia as a side effect. I think one of your main issues is your sensitivity to the drugs you've already tried, i actually think your dr's are trying to find something that will help you, please dont mistrust your dr because he's perscribed seroquel, it is commonly perscribed for insomnia because it does have a seditary affect. 2 Among the more common outcomes were constipation, falls, immobility, confusion, hip fractures, and a decline in functional status requiring nursing home placement. Between 5% and 33% of older adults in North America and the U. Sleeping Pills Risks and Side Effects. Some people with insomnia have trouble falling asleep while others will wake in the middle of the night and not be able to get back to sleep. 11 Medications such as beta blockers, glucocorticoids, nonsteroidal anti-inflammatory drugs, decongestants, and antiandrogens may be one of the factors contributing to insomnia. However, lasting depression is not a typical part of.



Elderly Patients with Dementia Analyses of thirteen placebo-controlled trials with various atypical antipsychotics (modal duration of 10 weeks) in elderly patients with dementia showed a mean 1. They are also associated with considerable morbidity and mortality. It can happen to any person of any age but when it occurs in the elderly and tends to be persistent, it is then known as senile pruritus. Some predisposed patients, especially the elderly, may experience impairment in thinking, judgment, and motor coordination. It is a complex interplay of hormones, signals from the gut and brain centers which also involves the sense of taste, smell and even sight. Physical illness or other health problems. Depression in the elderly often increases their risk of cardiac diseases. Common health conditions that can disrupt sleep in older adults include: Heart and lung conditions which affect breathing, such as heart failure and chronic obstructive pulmonary disease. Oral hypoglycemics chlorpropamide (Diabinese) Has a prolonged half-life in elderly patients and could cause prolonged hypoglycemia. risk of death in the elderly with dementia. Quick-period drug advance rehab are appropriate approved for urgency in within the same day and you can access without having credit rating on the rehab merchants. Medication Alternatives for the Elderly 5/30/08 The following table details the drugs to avoid and the recommended agents to be considered as alternatives. If you take an anti-anxiety drug, it is not advisable to use diphenhydramine as the sedating effects exaggerate the effects of similar medications and may cause drug-related depression. This type of insomnia is properly secondary insomnia - the doctor knows the cause, the mental illness, and the insomnia will be relieved if the underlying illness is cleared up. Reduced ability to perform daytime activities is the defining symptom of insomnia. This article reviews practical applications of modalities such as light therapy, exercise, and sleep-hygiene modification in treating insomnia in persons with dementia. How is hallucination diagnosed? - Aside from hypnogogic and hypnopompic hallucinations, more than one event suggests a person should seek evaluation. It can also help to talk to a pharmacist about all prescription and over-the-counter drugs, to make sure that these aren't contributing to insomnia. NSAIDS can also increase risk of serious GI adverse events especially in the elderly, including bleeding, ulceration, and perforation of the stomach or intestines which can be fatal Side Effects of NSAIDS GI bleed. Loss of Appetite with Age and Other Causes in the Elderly The appetite is controlled by several factors in the body.



Drug Rehab Programs In Iowa : Private and Secluded Drug and Alcohol Addiction Treatment. A study has linked commonly used medicines, including over-the-counter treatments for conditions such as insomnia and hay-fever, to dementia. Stress and anxiety. Insomnia is a condition that is underrecognized, underdiagnosed, and undertreated in the general population. Prolonged sleeping medication use may cause daytime drug withdrawal effects or daytime drowsiness. In sleep-maintenance insomnia a person suffers from frequent or early awakening. These preparations are used for sleep initiation and often consist of antihistamines, alcohol, and herbal remedies, such as valerian and melatonin. Some of these medications can also counteract the effects of memory medications. The following are some causes of insomnia: Health problems: Asthma, or other breathing problems such as emphysema (em-fi-SEE-mah). Hallucinations in elderly are abnormal sensory reception - usually auditory or visual - that the senior experiences while they are awake. can also cause Dry Mouth. Perform risk-benefit determination prior to use. Data on the use of pharmacologic therapy for the treatment of insomnia in hospitalized patients are limited; most information is extrapolated from outpatient data. 27, 2012 -- Seniors who take certain kinds of drugs to treat anxiety or insomnia may be more likely to develop dementia than those who do not, a new study shows. Most of the side effects of benzodiazepines in the elderly are linked to the activities of the drugs in the central nervous system.



Insomnia is also more common in women, who are 1. Before any medications are prescribed, the first priority should be to determine the underlying cause of the sleep disorder, rather than just treat insomnia symptomatically. And the drugs may still cause morning grogginess, tolerance, and rebound insomnia, as well as headache, dizziness, nausea, and, in rare cases, sleepwalking and sleep eating. Columnist focusing on federal government issues sleep disorders/insomnia, and anxiety. Learn about side effects, drug interactions, dosages, warnings, and more. Common treatments for elderly insomnia include: Prescription sleep aids - non-benzos preferred. 14, 15 Over-the-counter antihistamines should be used with caution in the elderly because of their relatively long. And pain is one of the most common causes of insomnia. Common daytime consequences include mood lowering, irritability, poor memory, fatigue, lack of energy and general malaise. Do not stop any medicines if you have not consulted with your doctor. this drug cause the extra pain in the moning? Answer: Tradazone is used in chronic pain syndromes to lessen the severity/impact of the pain. NSAIDS can also increase risk of serious GI adverse events especially in the elderly, including bleeding, ulceration, and perforation of the stomach or intestines which can be fatal Side Effects of NSAIDS GI bleed. All sedative-hypnotic drugs have special risks for older adults. Evidence for many alternative insomnia “cures” is lacking, but these drug-free remedies have been shown to promote sleep and relaxation. The primary cause of insomnia is stress and anxiety, in the elderly, it is mostly caused by either that or irregular use of stimulants such as nicotine. Call Today. These can manifest as work absenteeism, with insomnia being one of its leading medical causes. Persistent insomnia.



Other causes include safety hazards in the home or community environment. News > Health Third of elderly Americans take sleeping pills amid 'catastrophic' and deadly insomnia epidemic 'We need to help people understand that lack of sleep is not a natural part of ageing'. In order to address special needs of elderly patients, some hospitals have geriatric anesthesiologists on staff. Conversely, it may begin as a symptom of a physical or psychiatric disease and ultimately take on a life of its own. These include Trazodone, Amitriptyline, and Nortriptyline. ; it should be given three or four times daily). Indeed, the 2005 NSF poll found that 64 percent of adults over 65 consider themselves a "morning person. Physical: Cardiovascular disease. caffeine, alcohol, nicotine and medications that cause insomnia. The two drugs were found to be similar in terms of their efficacy and safety profiles and were better than placebo in the 28 day test period. Medscape - Indication-specific dosing for Silenor (doxepin), frequency-based adverse effects, comprehensive interactions, contraindications, pregnancy & lactation schedules, and cost information. Other reported side effects are shared with nonbenzodiazepines as a class (headache, dizziness, parasomnias, next-day impairment in some patients) [ 68,79 ]. Some Solutions For Insomnia Liquid Sleep Aid In White Bottle Hawaii with Sleep Aid For The Elderly Side Effects New Mexico and Benadryl Dose For Sleep Aid Florida that Solutions For Insomnia Liquid Sleep Aid In White Bottle Hawaii What Is The Best All Natural Sleep Aid Rhode Island. Read on to learn about the effects of insomnia on your body, the causes, and what to do about it. Some medications that contain steroids also can keep you wide awake during the midnight hour. The drugs are also used to treat other conditions, such as anxiety or alcohol withdrawal. Patients over 65 years of age who take the popular insomnia and anxiety drug, benzodiazepine, have a 50% higher risk of developing dementia during the following 15 years compared to people of the.



If you take an anti-anxiety drug, it is not advisable to use diphenhydramine as the sedating effects exaggerate the effects of similar medications and may cause drug-related depression. These drugs increase wakefulness and decrease total sleep time. Insomnia treatment in elderly. There are, however, many other possible causes: Low levels of melatonin. Any stressful event (such as loss of job, worrying about. Chronic insomnia is often multifactorial, encompassing components related to psychophysiologic issues, drugs, and underlying disease, as well as maladaptive behaviors. Medications such as olanzapine have been shown to have a lower risk of TD compared to older antipsychotics, such as Haldol Ò (haloperidol). To help identify anxiety it may be useful to phrase questions in the following way:. Alapat recommends that people who suffer from long-term insomnia visit a physician or sleep disorders specialist to address the problem, which could result from medical issues such as obstructive sleep apnea, depression or circadian rhythm disorders. The researchers also discovered that the typical health food store dosage of melatonin, which is about three milligrams (or 10 times the dosage in the study), is less effective in treating insomnia. The rate of absorption differs from that of children and adults in that elderly patients have slower absorption of oral medications due to a decrease in gastrointestinal motility. Insomnia is a condition characterized by difficulty falling or staying asleep. This then causes tiredness during the day, which isn’t acceptable in a high paced work environment. Your child should stop taking Strattera. These include irregular sleep hours, consumption of alcohol before bedtime, and falling asleep with the TV on.



Glossary of Drug Information Please be aware that each of these drug facts include the symptoms and dangers of abuse. Many patients report that, when compared to conventional sleep medications, cannabis works far better, is not habit-forming and leaves them feeling extremely well the next day. For individuals withinsomnia due to emotional disturbance other than depression and for those suffering from chronic insomnia, a hypnotic drug may be temporarily required, especially if sleeplessness impairs the individual's efficiency and sense of well-being. Accidents and falls due to grogginess may injure the elderly. Doctor answers on Symptoms, Diagnosis, Treatment, and More: Dr. Older adults with respiratory symptoms, physical disability, and fair to poor perceived health are at increased risk of insomnia. It has been seen that if parents or grandparents sleepwalked, then the possibility is very high that children and/or grandchildren will also sleepwalk. Indiplon is currently under investigation with promising results in clinical studies. Though it can work, should you take trazodone for insomnia? Consumer Reports has the answers. These include irregular sleep hours, consumption of alcohol before bedtime, and falling asleep with the TV on. Obtaining a detailed sleep history and, when appropriate, conducting laboratory testing may help physicians identify reversible causes. In addition, identifying and treating underlying causes of insomnia or disturbed sleep such as depression, anxiety, high blood sugar leading to frequent urination or use of medications that affect sleep is important to managing insomnia. the increased use of medications. Download tables here. Increase the risk of car accidents. Medications that Can Cause Confusion in Elderly Persons.



RLS is a genetic disorder resulting in prickly or tingling sensations in the leg that cause patients to want to move their legs. • If prescribing to elderly or medically compromised individual, use doses less than half of those normally recommended. According to Drugs. Prednisone Side Effects Insomnia, headaches, and stomach irritation are a few short-term side effects that have been reported with prednisone. Furthermore, some patients will develop insomnia as a side effect from these medications. ACP recommends that clinicians use a shared decision-making approach, including a discussion of the benefits, harms, and costs of short-term use of medications, to decide whether to add pharmacological therapy in adults with chronic insomnia disorder in whom cognitive behavioral therapy for insomnia (CBT-I) alone was unsuccessful. SSRI antidepressants. Learn Insomnia Drugs Elderly Books Sleep Disorders Kentucky Sleep Aid For Car Virginia Infomation. The following list from the AARP contains some of the most commonly prescribed drugs known to disturb sleep patterns. All of the types of medication in question are drugs. Depression is a common cause of insomnia (most often early awakening) and is best treated with drugs that have. 10 Medications That Cause Falls: Use with Caution Be aware of common medications that cause falls Falls are a major reason for seniors to lose independence and mobility. Persistent insomnia. Restless leg syndrome. Poor sleep habits and sleep environment. Mental health causes of insomnia include disorders such as depression and anxiety. Some elderly people may not be able to afford the cost of pain medications and other pain therapies. We review the indications, dosing, efficacy, benefits, and harms of these drugs in the elderly, and discuss data on drugs that are commonly used off-label to treat insomnia, and those that are in clinical development.



It's important to develop a comprehensive treatment program that addresses a person's risk factors and causes of depression. Weixel on mirtazapine dosage for insomnia: Seroquel (quetiapine) is an anti-psychotic medication used for serious psychiatric disorders. Learn Insomnia Drugs Elderly Books Sleep Disorders Kentucky Sleep Aid For Car Virginia Infomation. 10 Causes of Insomnia Insomnia is a sleep disorder identified by difficulty falling or staying asleep or the inability to enjoy quality uninterrupted sleep. Relaxing deep sleep music for insomnia. There are several causes of sleepwalking. Multiple etiologies contribute to insomnia in the elderly, consistent with the observation that elderly people are likely to have comorbid conditions and medications. Unfortunately, sleep medications don’t cure insomnia, and they can make the problem even worse in the long run. Geriatric depression is a mental and emotional disorder affecting older adults. However, the common ones include forgetfulness or memory loss (forgetting the names of family, friends, or where they live, etc. Depression, anxiety and other psychiatric disorders have been linked to insomnia, as well. Since many elderly men and women take a wide range of medications, it is possible that one or more of the medications could trigger memory loss symptoms. Indiplon is currently under investigation with promising results in clinical studies. 5 WARNINGS AND PRECAUTIONS 5. What Causes Night Sweats in Women Over 70? Common among postmenopausal women, night sweats are also commonly associated with the ingestion of specific medications and certain medical conditions. If the problem remains, a non-pharmacologic treatment should be implemented.



Upset stomach, decreased appetite, nausea or vomiting, dizziness, tiredness, decrease in appetite, some weight loss, and mood swings were the most common side effects. Paxil (Paroxetine hydrochloride) the usual dose is 5 to 20 mg in the morning. Vaginal Bleeding in Elderly Women-Common Causes Posted on October 13, 2011 by Administrator In studying the female genitalia and reproductive system, it brought to mind my curiosity of why elderly women have vaginal bleeding. Geriatric depression is a mental and emotional disorder affecting older adults. So, if clonazepam is given to a patient with a history of epileptic seizures, it is likely to bring the symptoms under control. This is especially true for those who have dementia, Alzheimer's disease, or Lewy body disease. Although an assessment of the cause and. Insomnia, the most common sleep disorder, is a subjective report of insufficient or nonrestorative sleep despite adequate opportunity to sleep. For instance, you can take melatonin supplement, a good sleep hormone to overcome jet lag. Some Insomnia Drugs Elderly Books Sleep Disorders Kentucky between Why Sleep Routine Is Important For Children Maryland and Marijuana Helps Sleep Disorders Oklahoma that Insomnia Drugs Elderly Books Sleep Disorders Kentucky Sleep Disorders Center Prescott Valley Kansas then Sleep Disorder Pa In. Drug choices for insomnia in hospitalized patients include benzodiazepines (BZDs), BZD receptor agonists (BZD-RAs), melatonin RAs, antidepressants, and antihistamines (TABLE 1). It is the only oral hypoglycemic that can cause syndrome of inappropriate antidiuretic hormone secretion glipizide. ★★★ treating insomnia in the elderly ★★★ coupons 50% off. Prolonged sleeping medication use may cause daytime drug withdrawal effects or daytime drowsiness. Antipsychotic drugs have been used to treat insomnia because one of their side effects is drowsiness. RLS is a genetic disorder resulting in prickly or tingling sensations in the leg that cause patients to want to move their legs. Boredom is a serious issue for senior citizens and they may start sleeping more when their mental, physical, and emotional needs are neglected. Multiple options!. The drug reduces anxiety and insomnia during withdrawal from alcohol 14. Download tables here.



Safer Medications to Consider Melatonin is a dietary supplement that can help with your sleep/wake cycle when taken at bedtime. The rate of absorption differs from that of children and adults in that elderly patients have slower absorption of oral medications due to a decrease in gastrointestinal motility. Dementia and Alzheimer’s disease are mental illnesses. The following drugs, medications, substances or toxins are some of the possible causes of Insomnia as a symptom. Insomnia is a symptom, not a disease. ANSWER: Most people did have chickenpox, but occasionally the case is not recognized, especially in very young children. Always advise your doctor of any medications or treatments you are using, including prescription, over-the-counter, supplements, herbal or alternative treatments. 3 Commonly prescribed drugs with abuse potential include those for anxiety, pain, and insomnia, such as benzodiazepines, opiate analgesics, and skeletal muscle relaxants. ; it should be given three or four times daily). Prozac may cause insomnia, but it can be taken in combination with one of the sedating tricyclics such as Elavil or Sinequan. Get Free, Instant Help � Call. Also, trazodone is effective for sleep disorders in the elderly with dementia 18. When a patient is diagnosed with diabetes, there is often a frantic rush to get the blood sugar down using any means necessary. The following are some causes of insomnia: Health problems: Asthma, or other breathing problems such as emphysema (em-fi-SEE-mah). Natural therapies —melatonin, valerian, other herbs. Stress may also cause insomnia. Other causes of secondary insom-nia include those related to medications or substance abuse. (Textbook of pharmacology and therapeutics; ibuprofen is a propionic acid derivative, the first of its class and the most commonly used NSAID in the U. The following list from the AARP contains some of the most commonly prescribed drugs known to disturb sleep patterns. May occur in as many as 44% of hospitalized elderly ADR risk doubles when drug use increases from 1 to 4 drugs; increases 14-fold in elders who use 7 drugs Beers MH, Baran RW, Frenia K.



Night anxiety and insomnia. Non-drug coping strategies should always be tried before medications, since some sleep medications can cause serious side effects. But is this a fact? And when seniors suffer from insomnia, what are the common causes? Consultant Dr Tan Shian Ming from the Department of Psychiatry, Singapore General Hospital (SGH), a member of the SingHealth group, offers insight into the sleep patterns of the elderly and what can cause sleep problems. All of the types of medication in question are drugs. Started in 1995, this collection now contains 6680 interlinked topic pages divided into a tree of 31 specialty books and 731 chapters. It's important to know what the causes are and how to best handle seniors who are experiencing them. Most ads are for these new drugs. Excessive sleepiness can be caused by the sedating effects of nonprescription and prescription medications, and it can also stem from the use of illicit substances. Increase the risk of car accidents. Figures are presented for deaths related to drug poisoning (involving both legal and illegal drugs) and drug misuse (involving illegal drugs) in England and Wales from 1993 onwards. What causes insomnia? There may be one or more causes of insomnia. Although the causes of death were varied,. No preferred agents exist within the drug class. Causes of Insomnia in Elderly. Depression is a common cause of insomnia (most often early awakening) and is best treated with drugs that have. There are also several different causes of insomnia in the elderly. Are you taking any medications that might be affecting your sleep? Do you have any health problems that may interfere with sleep? Common causes of insomnia and sleep problems in older adults.



Some Solutions For Insomnia Liquid Sleep Aid In White Bottle Hawaii Zarbees Naturals Sleep Pennsylvania Review. Non-drug treatments aim to improve sleep routine and the sleeping environment and reduce daytime napping. Some medications that contain steroids also can keep you wide awake during the midnight hour. Depression in the elderly often increases their risk of cardiac diseases. Whether it's issues with sleep quality, or even just getting to sleep in the first place, insomnia comes with a range of consequences than unfortunately span more than a little irritability. The rate of absorption differs from that of children and adults in that elderly patients have slower absorption of oral medications due to a decrease in gastrointestinal motility. Side Effects of Prednisone in the Elderly. Feeling dizzy or lightheaded is one of the most common side effects of many prescription drugs. Restless leg syndrome. Particularly relevant is the neurological toxicity, that can manifest with mental confusion, vertigo, syncope, drowsiness, lethargy and, especially in the elderly patients, irritability, dyskinesia, insomnia. Answer: Melatonin, a naturally occurring sleep-inducing substance, has been found to be variably effective for treating insomnia as it tends not to be as powerful a sleep aid as some of the other medications. Seniors are likely to be more sensitive to the drugs' effects than younger adults. What helps anxiety attacks go away. In fact, it’s estimated by the Anxiety and Depression Association of America (ADAA) that anxiety disorders are a routine cause of any number of sleep abnormalities and disorders, including those that may lead to insomnia. 1 Need to evaluate for co-morbid diagnoses. What you should not do is skip taking the medications and lose vision because of side effects. 1 People struggling with depression are likely to have difficulty falling asleep or staying asleep.



Elderly: Sedative effects of these drugs may interact with other potentially sedating medications. Anxiety and stress can be causes of chronic insomnia. Bladder or prostate problems. Be sure to ask about this option well in advance. An extensive review of the medical literature regarding the management of insomnia and the elderly found that there is considerable evidence of the effectiveness and lasting benefits of non-drug treatments for insomnia in adults of all age groups and that these interventions are underused. Even if you know to stop drinking coffee early enough in the day so as not to interfere with bedtime, several over-the-counter meds contain caffeine or other stimulants, according to the Mayo Clinic. 1 Anticholinergic medications are strongly associated with causing drug-induced delirium. ” They affect the brain and spinal cord. Then, determining the cause of the insomnia and treating the problem if possible. Medication Alternatives for the Elderly 5/30/08 The following table details the drugs to avoid and the recommended agents to be considered as alternatives. Sleep problems in the elderly are often mistakenly considered a normal part of aging. Ramelteon or short-acting Z-drugs can treat sleep-onset insomnia. Intermittent or middle-of-the-night Insomnia afflicts 10-40% of adults in the US population. It's important to develop a comprehensive treatment program that addresses a person's risk factors and causes of depression. Prozac may cause insomnia, but it can be taken in combination with one of the sedating tricyclics such as Elavil or Sinequan. Drugs That Cause Insomnia In Elderly.