Sleep Disorders

Additions to Our Sleep Armamentarium

The latest developments in pharmacokinetic and pharmacodynamic approaches to treating sleep disorders.

Sleep Disorders

A significant percentage of patients with MS in the sample screened positive for 1 or more sleep disorders. Most were undiagnosed.

Chronobiology—the science of daily (circadian), monthly, tidal, and seasonal rhythms—has undergone exponential growth in the past decade, with major discoveries at the molecular and neuroanatomic level.

Recent studies have suggested that H1N1 influenza might be the trigger for some patients, but a number of interesting questions remain.

Polysomnography or a home-based portable monitor is recommended for clinicians to assess the risk factors for and the symptoms of obstructive sleep apnea.

Results of an annual physical examination of a 54-year-old man have led you to suspect he may have—or be at high risk for—sleep apnea syndrome. His BMI is 37 and his blood pressure is 126/82 mm Hg. He has hypertension and hyperlipidemia.

Continuous positive airway pressure (CPAP) therapy has just been prescribed for a 40-year-old woman who experiences severe obstructive sleep apnea (OSA) syndrome by her sleep physician.

You are performing an annual visit evaluation for a 54-year-old sales manager. He has a history of hypertension and hyperlipidemia, both managed. He has no major complaints. He reports restful sleep and no daytime sleepiness.


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