I have been using the sleeping pill zopiclone for the past seven months, and although it helps me sleep, I have started experiencing headaches. Should I stop taking it?
Zopiclone and zolpidem are categorized as Z drugs and are typically only recommended for short-term use, such as a few weeks. Prolonged use can lead to dependence and various side effects, including brain fog, poor memory, numbness, anxiety, and depression. Additionally, tolerance can develop over time, requiring higher doses for the same effect. If you have been taking a Z drug for more than a month, it is advisable to reduce the dose gradually to minimize withdrawal effects like anxiety, shaking, sweating, and nausea. I recommend speaking with your GP to develop a plan for discontinuing the medication in a comfortable manner, as it may require multiple attempts.
For long-term sleep problems, cognitive behavioral therapy for insomnia (CBT-i), a specialized form of therapy, is often recommended. This therapy addresses the thoughts and behaviors that contribute to and worsen insomnia. Techniques such as relaxation therapy and sleep restriction, which involves limiting time in bed, are used. It can be a complex process, and seeking guidance from a GP or therapist is beneficial. Alternatively, you can explore sleep apps like Sleepio. Additionally, practicing good sleep hygiene, such as creating a conducive environment for sleep and avoiding exercise before bed, can complement other treatments, although it may not cure insomnia.
I fractured my shoulder and arm 18 months ago after tripping on a broken paving stone and was diagnosed with moderate osteoporosis. I am 72 and have always maintained a healthy diet and exercised regularly. My doctor has recommended zoledronate, but I am concerned about potential dental issues as I recently had an extraction. What should I do?
Osteoporosis is a condition where bones become thinner and weaker, making them more prone to fractures. The goal of treatment is to prevent fractures, as they can lead to permanent disability, especially in the case of hip fractures. A DEXA scan is commonly used to diagnose osteoporosis and measure the level of bone thinning. Treatment decisions are based on the scan results and a personal risk score calculated by a doctor called the fragility fracture score. This score takes into account factors like age, family history, and any prior fractures. Treatment for osteoporosis involves a combination of diet, exercise, and medication. Adequate intake of Vitamin D and calcium is essential for healthy bones. Weight-bearing and muscle-strengthening exercises are also recommended. The Royal Osteoporosis Society website provides helpful exercise and diet guides.
Medications can help strengthen the bones, and there are different options available, including hormone replacement therapy (HRT) for women in certain cases. However, it’s important to consider the potential side effects of osteoporosis drugs, particularly their impact on dental health if you require dental work. Inform your doctor about any dental issues you have had to determine the best course of treatment.
I recently returned from a holiday in Spain and experienced swelling in my feet and ankles after the flight. This has been happening for years, but my circulation tests have shown no abnormalities. I am 71 years old and lead an active lifestyle. Is there any medication that could help with this? The swelling can be quite painful and uncomfortable.
This type of swelling, known as edema, is generally harmless if tests confirm normal circulation. Extended periods of sitting, such as during a flight, can cause blood flow from the lower limbs to the heart to slow down. This can lead to fluid leakage from the veins into the surrounding tissues, resulting in swelling. Engaging the muscles in the legs and feet through movement helps facilitate blood flow and improves circulation. For individuals with heart or vascular issues, doctors typically conduct heart tests and scans to ensure no underlying problems. Wearing compression stockings during the flight can apply pressure to the legs, mimicking muscle contractions and aiding circulation. These stockings are tailored to each individual and come in different strengths and lengths.
In some cases, diuretics or water tablets can be prescribed to alleviate symptoms of edema. These medications may be used temporarily to prevent pronounced swelling during vacations or extended periods of sitting.
If you or a loved one has been discharged from the hospital without proper care, I would like to hear your story. Please feel free to write to me at the address provided.
Heart attacks are not exclusive to men, and it is important for health campaigns to reflect this reality. Women often experience hidden heart attacks because of misconceptions that heart attacks predominantly occur in men. This delay in seeking treatment can have serious consequences, and women are more likely to die from heart attacks than men. In the UK, heart disease causes more than twice as many deaths in women compared to breast cancer. Thus, health campaign posters should accurately represent this information to raise awareness and ensure that both men and women recognize the signs of heart attacks.
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