Insomnia

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The drugs include opioids, anti-psychotics, benzodiazepines, and anticholinergic drugs, which can be very harmful for older patients.

Two thirds of old people over the age of 75 who live at home take medicines that affect the central nervous system.

Many have several preparations.

One in two elderly people who are institutionalised, and one in six who live at home take three or more psychopharmaceuticals, even though two is the recommended maximum.

Geriatric specialist Sirpa Hartikainen of the University of Kuopio says that benzodiazepines are being prescribed at record rates.

She says that French patients over 75 consume the greatest amount of the drugs, followed immediately by those in Finland.

Experts are concerned, because benzodiazepines accumulate in a body whose metabolism has slowed down.

Chemicals in a pill taken in the evening can stay in the body a full week.

Use should be limited to a few weeks at a time, but it often continues for years.

"Long-term use is a great addiction problem", Kivelä points out.

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- - Helsingin Sanomat !

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MethodsIn this study of patients with generalized anxiety disorder, 168 patients were randomly assigned to receive 60mg of Cymbalta a day, 170 patients received 120mg of Cymbalta a day and 175 patients received a sugar pill.

Patients with a recent diagnosis (within six months) of major depression were excluded from this study.

The primary endpoint of the study was effect on anxiety symptoms as measured by the Hamilton Anxiety Scale (HAMA).

Changes from baseline to endpoint were analyzed using ANCOVA.

Secondary measures included effects on associated pain and functioning.

Pain was assessed using a Visual Analogue Scale.

Functional outcomes, such as the ability to complete everyday activities at work, home, and in social situations, were measured using the Sheehan Disability Scale (SDS), the Quality of Life Enjoyment and Satisfaction Questionnaire short form (Q-LES-Q-SF) and the European Quality of Life 5 Dimensions (EQ-5D).About Generalized Anxiety DisorderApproximately four million Americans are diagnosed with generalized anxiety disorder each year.(iii) Symptoms persist for at least six months and can include exaggerated worry or chronic anxiety and irritability, which can lead to poor concentration, and procrastination, as well as physical symptoms like muscle tension, fatigue and nausea.(iv) Episodes of generalized anxiety disorder may be brought on, or worsened by, stre...