Skip to main content Accessibility help

We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.

Close cookie message
×
Hostname: page-component-586b7cd67f-gb8f7 Total loading time: 0 Render date: 2024-11-22T20:50:40.321Z Has data issue: false hasContentIssue false

Chapter 31 - Pharmacotherapy and parasomnias

from Section 6 - Therapy of parasomnias

Published online by Cambridge University Press:  10 November 2010

By
Rafael Pelayo  and
Deepti Sinha
Edited by
Michael J. Thorpy  and
Giuseppe Plazzi
Michael J. Thorpy
Affiliation:
Montefiore Medical Center, Bronx, NY, USA
Giuseppe Plazzi
Affiliation:
Università di Bologna
Get access

Summary

This chapter reviews pharmacological options in the treatment of parasomnias in adults and children. It separately reviews the use of clonazepam, melatonin, tricyclic anti-depressants and other medications for arousal parasomnias, REM behavior disorder and bruxism. Clonidine is one of the most commonly prescribed medications for sleep in children despite the absence of any randomized control trials supporting its use. Clonazepam is the treatment of choice in adults with REM sleep behavior disorder. Sleep bruxism treatment options include dental splints, behavioral techniques, and medications. Due to the potential role of rise in sympathetic activity in the pathophysiology of sleep bruxism, sympatholytic medications have been investigated for their efficacy in treating sleep bruxism. L-Tryptophan has been studied for the sleep bruxism and isolated sleep paralysis. The anti-convulsant topiramate is reported to be effective for sleep-related eating disorder (SRED).

Keywords

drowsinessexploding head syndromehypnagogic hallucinationssensory deprivationpathophysiologynocturnal visual hallucinationshypnopompic hallucinationsmetabolic brain disease
Type
Chapter
Information
The Parasomnias and Other Sleep-Related Movement Disorders , pp. 301 - 311
Publisher: Cambridge University Press
Print publication year: 2010

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Save book to Kindle

To save this book to your Kindle, first ensure [email protected] is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×