On 10/25 Jackie wrote:
>>> 3putts <[log in to unmask]> 10/25/97
05:02pm >>>
My husband, Bob (47, 5yrs.) is still bothered with the PD
insomnia.<<<
Hello Jackie and Bob:
Sleep disturbances are common in PD. Reasons have
ranged from pain, stiffness to frequent urination. Also, PWP
are disturbed by vivid dreams and the altered sleep-awake
cycle.
Although little research has been done in the field,
researchers have noticed that for PWP who awaken
spontaneously, stay awake because their PD symptoms
keep them from falling back to sleep.
This type of sleep disturbance is treated with an alteration
in meds. Using Sinemet CR at bedtime should reduce the
frequency of sleep disturbances and better quality sleep.
If Bob's sleep-awake pattern is altered or reversed a
sedative at bedtime may work. Dalmane and Valium are
sometime used, but should be used sparingly because they
increase slowness of movement (bradykinesia). This regimen
must be supplemented with activity during the awake phase:
physical activities, caffeine (not after lunch) and no naps.
Avoid alcohol or use of sleeping pills. Have a regular
bedtime and awaken time. Decrease fluid intake three hours
before bedtime, and use the bathroom before sleep.
Minimize light and noise and don't read or watch telvision in
bed.
Then there is "Phototherapy." In a 1993 case study,
documented in Neurology , 1993, Dr. P. Mosbach and others
treated a 70 year old PWP who experienced sleep
disturbance, and major fatigue and drowsiness in the
afternoon, with a very bright light for 30 minutes before
dinner. This phototherapy resulted in her staying fully awake
for at least four more hours thereby resetting her sleep
pattern. This allowed her to sleep until the morning,
undisturbed. There were no reported side-effects or
complications.
Good luck Bob!
Stephan 53/7
