Sleep Disorders Health Center
This article is from the WebMD Feature Archive
Help for Sleep Woes
Sleep woes have long been the muse of crooners and scribes. There's nothing like lack of slumber or too much of it to demonstrate emotional turmoil.
Today, we know that sleep troubles hail from more than just emotional hang-ups. There are approximately 80 types of known sleep disorders, with causes ranging from structural airway problems, to chemical imbalances, to lifestyle factors.
Researchers know more about sleep than ever before.
"Our knowledge base about sleep problems, sleep disorders, and treatments has expanded considerably," says Carl E. Hunt, MD, director of the National Center on Sleep Disorders Research, a branch of the National Institutes of Health (NIH). "The number of research results published in medical journals, and the number of publications related to sleep problems have been increasing dramatically year by year."
When the NIH began funding sleep-related studies a decade ago, $60 million was earmarked for research. In 2005, the NIH has directed more than $200 million toward sleep-related investigation.
Yet sleep medicine is still a young discipline. The American Medical Association just began recognizing it as a medical subspecialty this year.
Also, despite growing public awareness of sleep disorders, there are still many people who don't see sleep problems as potential medical conditions.
"They think (sleep problems) might be a character flaw or something you just put up with," says Lawrence Epstein, MD, president of the American Academy of Sleep Medicine (AASM). "The basic thing to know is that there's help out there. There are trained specialists who understand the disorders, and there are very effective treatments."
WebMD asked sleep experts how the average person could navigate the burgeoning frontier of sleep medicine and get help.
The Sleep Medicine Frontier
Help can't come soon enough. According to the AASM, nearly half of Americans have trouble snoozing at some point in their life. The statistic includes problems that may not necessarily be sleep disorders, such as short-term insomnia and sleep deprivation.
Sleep loss can adversely affect concentration, memory, learning, and logical reasoning. The National Sleep Foundation (NSF) places the cost of daytime sleepiness and sleep disorders to the national economy at an estimated $100 billion annually.
The price of catching fewer than 40 winks can truly be great. The good news is that there are more people taking advantage of sleep resources.
"There's been an explosion of sleep medicine utilization in the last 10 years, and that correlates with an increased recognition that sleep disorders are an important part of a health picture overall," says Russell Rosenberg, PhD, director of the Northside Hospital Sleep Medicine Institute in Atlanta.
In 2001, the AASM estimated 1,292 sleep facilities in the U.S. This year, the estimate has grown to 1,822, and that number might be conservative. Kathleen McCann, a spokeswoman for the AASM, says she's heard estimates as high as 6,000 for sleep facilities in the U.S. Yet she considers the AASM survey to be reasonable.
TOPAMAX is approved for migraine prevention in adults only.
TOPAMAX is not used to stop a migraine after it starts.
IMPORTANT SAFETY INFORMATION
Serious risks associated with TOPAMAX include lowered bicarbonate levels in the blood resulting in an increase in the acidity of the blood (metabolic acidosis). Symptoms could include hyperventilation (rapid, deep breathing), tiredness, loss of appetite, irregular heartbeat or changes in the level of alertness. Call your doctor immediately if you get these symptoms. Your doctor may want to do simple blood tests. Chronic, untreated metabolic acidosis may increase the risk for kidney stones or bone disease.
Other serious risks include decreased sweating, increased body temperature, kidney stones, sleepiness, dizziness, confusion, difficulty concentrating, and increased eye pressure (glaucoma). Call your doctor immediately if you have any decrease in vision or eye pain. These problems can lead to blindness if not treated right away.
More common side effects are tingling in arms and legs, loss of appetite, tiredness, nausea, diarrhea, taste change and weight loss.
Tell your doctor about other medications you take. Please see full U.S. Prescribing Information.
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