INSOMNIA. Liphard O. D’Souza, M.D. Diplomate: American Academy of Sleep Medicine 6128 E. 38 th St., Ste. 303 Tulsa, OK 74135 (918) 523-8572. Insomnia. A broad term denoting unsatisfactory sleep Perception that sleep is inadequate or abnormal Common problem
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Liphard O. D’Souza, M.D.
Diplomate: American Academy of Sleep Medicine
6128 E. 38th St., Ste. 303
Tulsa, OK 74135
A good measure of excessive daytime sleepiness. How likely are you to doze off or fall asleep in the following situations, in contrast to feeling just tired? This refers to your usual way of life in recent times. Even if you have not done some of these things recently, try to work out how they would affect you. Use the following scale to choose the most appropriate number for each situation:
0=no chance of dozing 1=slight chance 2=moderate chance 3=high chance
Sitting and reading ____
Watching TV ____
Sitting inactive in a public place (ex. theater, meeting) ____
As a passenger in a car for an hour without a break ____
Lying down to rest in the afternoon ____
Sitting and talking to someone ____
In a car, while stopped for a few minutes in traffic ____
____ Total Score
Normal < 10 Severe > 15
If you checked three or more boxes, you show symptoms of insomnia, a persistent inability to fall asleep or stay asleep.
Daytime drowsiness common; rarely used
Used for PLM, REM behavior disorder; can cause morning drowsiness
Can cause agranulocytosis
Rebound insomnia may occur
Short , 1-1.5 hoursBenzodiazepines