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Brilliant Minds, Better Sleep  
Newsletter of Sleep Medicine Associates of Texas, P.A.
June 15, 2009 Edition IV
In This Issue
The Dangers of Sleep Disorders and Driving
Over-the-Counter Pills: What You Should Know
Gastroesophageal Reflux and Sleep Disruption
 Snoring is the most common complaint we hear.  Assess your bed partner's snoring and we can recommend a solution.   
Car accident
 
If you suffer with daytime sleepiness, you could be at risk for a motor vehicle accident while driving long distances.   Before you travel this summer, 
Sleeping Pills 
If chronic insomnia is causing you to turn to over-the-counter sleeping pills, our experts can find an effective long-term treatment.  For more information, 
 
Forward this newsletter
 to someone you care about or
 
Do you wake up with acid taste in your mouth or burning sensation in your chest?  If so, you may have Gastroesophageal Reflux.  Call for an appointment today and let our experts recommend a solution.
 
 Heartburn and Sleep

Call Today! 214.750.7776

Snoring Problems

Sleep Disorders and Driving

With the summer travel season here, it is important to take extra care to avoid possible dangers when driving.   Patients with sleep disorders are at increased risk for motor vehicle accidents or other injuries related to excessive daytime sleepiness.  Patients with narcolepsy, sleep apnea, and shift-work sleep disorder (i.e., people who work nights) should be extremely cautious to avoid driving when feeling drowsy.  Sleepiness can lead to mistakes in perception or judgment while driving, and may reduce reaction time. 
 
Each year many people are injured or killed in motor vehicle accidents in the US, and sleepiness often plays a role.  For 2001, the Texas DPS Motor Vehicle Accident Report identified 7,711 motor vehicle accidents that occurred due to sleepy or fatigued drivers.  Be sure to allow for adequate sleep time prior to your departure and be realistic about the distances you can safely travel on any given day. 
 
If you regularly feel sleepy and non-refreshed despite adequate sleep time, consider seeing one of our sleep specialists to assess the problem before driving any distance this summer.

What You Should Know About Over the Counter Sleeping Pills

Why not over-the-counter (OTC) sleep aides?  Diphenhydramine is one of the most commonly used over-the-counter drugs for sleepless nights.  It comes in a variety of packages with an array of names, including: Benadryl, Excedrin P.M., Tylenol PM, Nytol, Simply Sleep, Sleepinal, and Sominex, just to name a few.   
Does diphenhydramine work?  Research studies on OTCs are few, but diphenhydramine's impact on sleep quality is typically short-lived, and the benefits for getting to sleep and remaining asleep may wear off after a few nights. 
Is it safe?  Diphenhydramine has been linked with weight gain, grogginess, confusion, racing heart beat, restlessness, urinary difficulty, memory problems, and motor vehicle accidents.  All medications should be taken with caution and none are without risks.  Elderly patients should be especially careful of such over-the-counter remedies for sleep.
What to do?  If you have infrequent problems with insomnia and are in good health, diphenhydramine could be used up to 3 times per month. If you have frequent problems with going to sleep or staying asleep, first talk with your primary care physician about any use of OTCs.  If your sleep problem persists for a month or longer, consider seeing a sleep specialist to diagnose and treat the problem.
Sleep and Gastroesophageal Reflux (GER)
A common symptom for patients with sleep apnea is waking with acid taste in the mouth or burning sensation in the chest, which is called gastroesophageal reflux (GER).  "Heartburn" or GER is strongly associated with increased body weight, and may worsen whenever lying flat even in patients without sleep apnea.  Many patients also notice that specific foods and beverages set the stage for a rough night of GER.  Common examples include caffeine, alcohol, spicy or fried foods, and chocolate.  Additionally, GER may cause wheezing or coughing in sleep.  If you wake frequently in the night with GER, first talk with your primary care doctor about the problem, especially if you have daytime symptoms.  Also discussing the problem with a sleep specialist may be of additional benefit to ensure that there are not underlying sleep disorders contributing to GER symptoms at night.  Studies suggest that treatment of sleep apnea may reduce the severity of GER.
Sincerely,
 
 
Duane Day
Practice Administrator 
Sleep Medicine Associates of Texas, P.A.