In the previous article, the clinical manifestations and causes of "rapid eye movement sleep disorder" were introduced, and today, we will talk about what should be done in this situation.
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Specialist clinic visits
You should first visit a specialist clinic for movement disorders (usually a neurology) with extensive clinical experience. The doctor will take a detailed medical history, conduct a neurological examination, and make corresponding judgments according to the actual situation of the patient.
drug therapy
Diagnosed with "rapid eye movement sleep period behavior disorder", there is no need to panic. In general, insisting on taking drugs to control symptoms and actively cooperating with doctors to follow up on changes in the condition, most patients can maintain their pre-illness living conditions for a long time and enjoy the elderly life well.
At present, the preferred drug for the treatment of this disease is clonazepam, which is effective as high as 90% to 95% and will not be addictive (the specific medication needs to be diagnosed in detail by the attending doctor, and drug treatment is carried out according to the individual condition, and it is necessary to avoid taking drugs at will).
Therefore, as long as you follow the doctor's instructions after diagnosis, insist on taking medication to control symptoms, and actively cooperate with the doctor's follow-up, so that the doctor can clearly understand the development of the disease, so that the treatment can be adjusted accordingly at any time, most patients can maintain a normal state of life for a long time.
Be protective
Because of its sudden nature, it often erupts suddenly in unexpected situations. Although patients with well-controlled medications may occasionally have significant seizures, it is important to take safety precautions.
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Establish a safe sleeping environment
A safe sleeping environment allows patients to have sudden seizures without harming themselves or their families. First of all, remove the sharp objects around you before going to bed, and do not place fragile items and furniture next to the bed that are easy to cause harm; second, arrange soft protection of sufficient width around the bed to avoid head or limb injuries caused by falling off the bed; finally, do not sleep against the wall, so as not to be hurt by the wall when punching and kicking.
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Maintain peace of mind
Many patients have reported watching war movies and horror movies before the onset of illness; after verbal friction with neighbors, colleagues or family members during the day, these scenes will also occur in dreams. Therefore, patients are advised to maintain a pleasant and pleasant mood and avoid violent mood swings.
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Take medication as directed by your qualified physician
There are several commonly used drugs that cause changes in REM sleep, and the process of initiating and discontinuing these drugs may induce or exacerbate "LEM sleep disorder."
The most common are antidepressants, including traditional tricyclic antidepressants (propmipramine, clomipramine, amitriptyline, doxepine) and new serotonin reuptake inhibitors (sertraline, paroxetine, fluoxetine, fluvoxamine, citalopram, and escitalopram). In addition, there are some drugs that regulate blood pressure (such as atenolol, propranolol, labetalol, reserpine, guanidine, etc.), individual anti-allergic drugs, immunomodulators, and some drugs that relieve gastrointestinal colic and renal colic, which may induce frequent nightmares.
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Therefore, when the patient encounters a situation of using multiple drugs, it is recommended to consult the attending physician to avoid aggravation of the condition due to large doses or long-term use.