At GuideTreatments.com we believe that symptomatic treatments should be reserved only for short term. It is vitally important to diagnose the underlying condition with robust assessment and investigations.
Symptomatic treatments:
- Tab. Meloset (Melatonin 3 mg) – Half tablet (1.5mg) once at night time for up to 7 days.
Common conditions to consider:
Condition |
Common clinical features associated with sleep disturbance |
| Hypoglycaemia | Poor management of diabetes, sudden changes or non-compliance to anti-diabetic treatment |
| Prickly heat | Itchy red rash on the skin on exposure to hot temperature and no signs of infections |
| Scabies | Intense night-time itching, burrow tracks in web spaces of hands, feet, other skin folds with positive microscopy |
| Tinea (ring worm infestation) | Localised symptoms with red scaly rash, blisters, thick and discoloured nails |
| Sinusitis | Night-time cough and runny nose, painful sinuses, blocked nasal passage, frequent headaches or fever |
| Lice infestations | Itching in scalp, pubis and evidence of lice organisms, irritability and excessive symptoms at night |
| Obesity | Raised BMI, excessive snoring and evidence of obstructive sleep apnoea |
| COPD | Chronic daily cough, productive cough and abnormal pulmonary function test without reversibility |
| Cluster headaches | History of unilateral headaches, painful eyes and no evidence of infection |
| Congestive cardiac failure | Pedal oedema, irregular rhythm and 2 D echo evidence of reduced ejection fraction |
| Gastro-oesophageal reflux | Burning sensation in chest, symptoms usually after meals, difficulty in lying flat, acidic taste due to regurgitation |
| Anxiety disorder | Excessive fear, feeling of impending doom, tachycardia, palpitations often with mental health conditions |
| Insomnia | Prolonged lack of sleep without any other identifiable physical pathologies |
Note: Any generalised or significant illness can lead to sleep disturbance and hence a detailed history, examination and investigations is needed.