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[113] [114] Long-term use of benzodiazepines in the elderly can lead to a pharmacological syndrome with symptoms including drowsiness, ataxia, fatigue, confusion, weakness, dizziness, vertigo, syncope, reversible dementia, depression, impairment of intellect, psychomotor and sexual dysfunction, agitation, auditory and visual hallucinations ...
In some countries, it is only available over-the-counter in packages containing seven or ten 10 mg doses. [47] [48] Cetirizine is available as a combination medication with pseudoephedrine, a decongestant. [49] The combination is often marketed using the same brand name as the cetirizine with a "-D" suffix (for example, Zyrtec-D). [50] [51]
Nightmares can be caused by extreme pressure or irritation if no other mental disorder is discovered. The death of a loved one or a stressful life event can be enough to cause a nightmare, but conditions such as post-traumatic stress disorder and other psychiatric disorders have been known to cause nightmares as well. [14]
Recent research from the United Kingdom suggests that the onset of graphic nightmares and hallucinations, or 'daymares,' could be a sign of autoimmune conditions developing or flaring up.
We can’t always remember our bad dreams, even if we emotionally or physically react to them — but if you can recall what you dreamt about, image-rehearsal therapy may help reduce nightmares ...
However, they can also occur during daytime naps. [6] Night terrors can often be mistaken for confusional arousal. [8] While nightmares (bad dreams during REM sleep that cause feelings of horror or fear) are relatively common during childhood, night terrors occur less frequently. [9] The prevalence of sleep terrors in general is unknown. [2]
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Improved reaction times were noted at 52 weeks in elderly patients free from benzodiazepines. This is an important function in the elderly, especially if they drive a car due to the increased risk of road traffic accidents in benzodiazepine users. [136] At the 24-week follow-up, 80% of people had successfully withdrawn from benzodiazepines.