Well, I think the approach to sleep should be really simple stuff first. I’m not a physician, so I can’t give advice about which medications to take and when, but the consensus among the specialists I spoke to was that you should try to get your sleep stability right first, and make sure that you’re getting consolidated sleep and not waking up all the time.
Eat Magnesium-Rich Foods: The mineral magnesium is a natural sedative. Deficiency of magnesium can result in difficulty sleeping, constipation, muscle tremors or cramps, anxiety, irritability, and pain. Foods rich in magnesium are legumes and seeds, dark leafy green vegetables, wheat bran, almonds, cashews, blackstrap molasses, brewer's yeast, and whole grains. In addition to including these whole foods in your diet, you can also try juicing dark leafy green vegetables.
CONDITIONS OF USE: The information in this database is intended to supplement, not substitute for, the expertise and judgment of healthcare professionals. The information is not intended to cover all possible uses, directions, precautions, drug interactions or adverse effects, nor should it be construed to indicate that use of a particular drug is safe, appropriate or effective for you or anyone else. A healthcare professional should be consulted before taking any drug, changing any diet or commencing or discontinuing any course of treatment.
Circadian rhythms direct a wide variety of functions from daily fluctuations in wakefulness to body temperature, metabolism, and the release of hormones. They control your timing of sleep and cause you to be sleepy at night and your tendency to wake in the morning without an alarm. Your body’s biological clock, which is based on a roughly 24-hour day, controls most circadian rhythms. Circadian rhythms synchronize with environmental cues (light, temperature) about the actual time of day, but they continue even in the absence of cues.
The research team, led by Floor Kroese, surveyed 177 people on Amazon's Mechanical Turk to assess what bedtime procrastination is and who is likely to do it. They asked participants to rate, on a scale of 1 (almost never) to 5 (almost always) how much the following statements applied to them ("R" items are those that are not typical of bedtime procrastinators):
I haven’t seen a study that empirically shows that it’s helpful. There is certainly a false myth that we need eight hours of continuous sleep: I think it’s possible to have your sleep be a little bit broken up and be perfectly healthy—but getting that eight hours is crucially important. The thing is that the placebo effect in some of these polyphasic sleep methods runs really high.
You can take one step per day to improve your sleep. Below are suggestions for what to work on each day for 30 days. It's not necessary for it all to unfold in an orderly manner: you may find that you need to take longer on one particular task, and conversely, you may be able to breeze by recommendations that are irrelevant to you. Personalize the plan to fit your needs and your situation as best as you can, and allow flexibility in the process.
Some people turn to “natural” sleep remedies or over-the-counter supplements, such as melatonin, to help them sleep. Melatonin may be helpful if you have insomnia caused by disruptions in your sleep/wake cycle, such as problems related to shift work, jet lag, and delayed sleep phase syndrome, but you should take it about five to six hours before bedtime. Also, some data suggest that taking magnesium supplements can promote sleep, especially in people with restless legs syndrome.
Valerian is one of the most common sleep remedies for insomnia. Numerous studies have found that valerian improves deep sleep, speed of falling asleep, and overall quality of sleep. However, it's most effective when used over a longer period of time. One caveat? About 10% of the people who use it actually feel energized, which may keep them awake. If that happens to you, take valerian during the day. Otherwise, take 200 to 800 milligrams before bed.
There are several different types of prescription sleeping pills, classified as sedative hypnotics. In general, these medications act by working on receptors in the brain to slow down the nervous system. Some medications are used more for inducing sleep, while others are used for staying asleep. Some last longer than others in your system (a longer half-life), and some have a higher risk of becoming habit forming.
“Pregnant women see an increase in sleep problems in the first and last trimester. During the first trimester, sleep problems are caused by hormonal changes, and during the last trimester, the baby is larger and creates pressure on the diaphragm, which creates breathing problems,” Chokroverty says. “The baby also puts pressure on the bladder, so a pregnant woman needs to wake up during the night to urinate. Lower back pain and stress and anxiety during the last trimester also cause sleep disturbances.”
Cough-and-cold products have not been shown to be safe or effective in children younger than 6 years. Therefore, do not use this product to treat cold symptoms in children younger than 6 years unless specifically directed by the doctor. Some products (such as long-acting tablets/capsules) are not recommended for use in children younger than 12 years. Ask your doctor or pharmacist for more details about using your product safely.
Drug interactions may change how your medications work or increase your risk for serious side effects. This document does not contain all possible drug interactions. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. Do not start, stop, or change the dosage of any medicines without your doctor's approval.
Beyond food and plants, regular exercise and turning off electronics can make a huge difference in getting some rest. Exercise wears out the body and is one of the best natural remedies. As for electronics, the blue light emitted can trigger the brain to stay awake. Try developing a nightly bedtime routine that promotes relaxation and allows you to wind down. The brain will begin to associate the routine with sleep and help you get the rest you need.
Melatonin supplements may improve sleep quality and morning alertness in older adults with insomnia. Timed-release melatonin is used to treat primary insomnia in people over age 55 in the European Union and elsewhere. In most studies on melatonin for insomnia in older adults, melatonin was taken up to two hours before bedtime for up to 13 weeks. The timing is important—when melatonin is taken in the morning, it delays circadian rhythms but advances them when taken in the afternoon or early evening.
Adjust the thermostat. If you’re too hot or too cold at bedtime, sleep isn’t going to come easy. While there’s no ideal temperature for everyone, most people sleep comfortably when the bedroom is between 60 and 67 degrees. As you start to feel drowsy, your body temperature drops, which in turn helps you drift off to sleep. A cooler bedroom facilitates that. Don’t cool it off too much, though — shivering in bed isn’t conducive to a good night’s sleep.