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Current Treatment Options in Neurology
Published in: Current Treatment Options in Neurology 9/2016

01-09-2016 | Dementia (E McDade, Section Editor)

Treatment of Sleep Disorders in Dementia

Authors: Sharon Ooms, MSc, Yo-El Ju, MD MSCI

Published in: Current Treatment Options in Neurology | Issue 9/2016

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Opinion statement

Sleep and circadian disorders occur frequently in all types of dementia. Due to the multifactorial nature of sleep problems in dementia, we propose a structured approach to the evaluation and treatment of these patients. Primary sleep disorders such as obstructive sleep apnea should be treated first. Comorbid conditions and medications that impact sleep should be optimally managed to minimize negative effects on sleep. Patients and caregivers should maintain good sleep hygiene, and social and physical activity should be encouraged during the daytime. Given the generally benign nature of bright light therapy and melatonin, these treatments should be tried first. Pharmacological treatments should be added cautiously, due to the risk of cognitive side effects, sedation, and falls in the demented and older population. Regardless of treatment modality, it is essential to follow patients with dementia and sleep disorders closely, with serial monitoring of individual response to treatment.
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Metadata
Title
Treatment of Sleep Disorders in Dementia
Authors
Sharon Ooms, MSc
Yo-El Ju, MD MSCI
Publication date
01-09-2016
Publisher
Springer US
Published in
Current Treatment Options in Neurology / Issue 9/2016
Print ISSN: 1092-8480
Electronic ISSN: 1534-3138
DOI
https://doi.org/10.1007/s11940-016-0424-3