insomnia sufferers should weigh benefits & risks of new sleeping pill

Belsomra: Weighing Benefits and Risks

Belsomra, Merck’s new sleeping pill, is now the hottest topic on this blog. Insomnia sufferers who write in with comments are wondering about dosage, effectiveness, side effects, and how it compares with other sleeping pills.

Reviews of Belsomra, or suvorexant, have been lukewarm so far. Since I haven’t tried it myself, I can’t weigh in based on personal experience. But my search for information turned up more than I shared in my blog last August. Here’s a bit of context and more details.

An Insomnia Treatment from China

Sour date seed has been used as a sleep aid in China and other Asian countries for over 2,000 years. The seed of a small tree called Ziziphus jujuba Mill var. spinosa, sour date is used alone or in combination with other herbal medicines to relieve insomnia and anxiety.

Sleep node in the brain could one day help insomnia sufferers sleep like babies

Deep Sleep for Insomniacs: Closer Than We Thought?

Could more deep sleep be the solution to insomnia? Investigators have toyed with the idea for years. People with insomnia tend not to get as much deep, or slow-wave, sleep as normal sleepers. Finding a way to prolong slow-wave sleep might make our sleep feel sounder and more restorative.

Last week’s discovery of a sleep node in the brainstem associated with the initiation of slow-wave sleep is promising news in this regard.

Worry, Insomnia and Alcohol

Worry is the most common reason people cite for sleep problems, and worry and sleep disturbance invite the use of alcohol. Worried insomnia sufferers are twice as likely as people without sleep disturbances to become problem drinkers.

But I’ve spoken and corresponded with quite a few people who say an occasional drink or two before bedtime gives them a good night’s sleep. Here’s a look at the effects of alcohol on the brain and differences in how people respond to it.

Insomnia That Feels "Almost Physical"

“I feel very anxious at night,” a reader recently wrote. “I tell myself that there is no reason to be anxious, but it feels almost physical. And it doesn’t matter what I do (meditation, relaxation), I still can’t sleep.”

Insomnia, many of us are told, is mainly a psychological problem. So the physical sensations that accompany it can be unnerving: the fluttering heartbeat, the muscle tension, the racing feeling radiating from torso to extremities, the overheating, the sweaty skin. Yet these sensations should tip us off that insomnia is not just in the head.

Insomnia and the Sleep Switch

So what exactly is the “sleep switch,” and how might it figure in insomnia?

This sleep-regulating center in the brain was actually discovered almost 100 years ago.