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	<updated>2026-05-18T14:18:51Z</updated>
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		<id>https://me-pedia.org/w/index.php?title=Insomnia&amp;diff=86659</id>
		<title>Insomnia</title>
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		<updated>2021-02-08T12:57:31Z</updated>

		<summary type="html">&lt;p&gt;Emma:/* Potential treatments */ added citations&lt;/p&gt;
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&lt;div&gt;{{stub}}&lt;br /&gt;
&#039;&#039;&#039;Insomnia&#039;&#039;&#039;, also known as &#039;&#039;&#039;sleeplessness&#039;&#039;&#039;, is a sleep disorder where people have trouble falling asleep or staying asleep as long as desired. It can occur independently or as a result of another problem. It is a common symptom of [[ME/CFS]]. &lt;br /&gt;
&lt;br /&gt;
==Presentation==&lt;br /&gt;
Insomnia is present when a patient finds it unusually difficult to fall asleep, maintain sleep, or wakes up early in the morning with an inability to return to sleep.&lt;br /&gt;
&lt;br /&gt;
Insomnia can cause many secondary symptoms and problems, including [[fatigue]], daytime sleepiness, feeling unrefreshed after sleep, irritability, [[anxiety]], low energy, and [[Depression|depressed mood]]. Long-term insomnia can result in muscle weariness, hallucinations, [[brain fog|mental fatigue]] and [[double vision]].&lt;br /&gt;
&lt;br /&gt;
==Prevalence==&lt;br /&gt;
&lt;br /&gt;
==Symptom recognition==&lt;br /&gt;
*In the [[Holmes criteria]], [[sleep disturbance]] ([[hypersomnia]] or &#039;&#039;&#039;insomnia&#039;&#039;&#039;) is an optional criteria for diagnosis, under the section &#039;&#039;Minor Symptom Criteria&#039;&#039;.&amp;lt;ref&amp;gt;[http://www.cfids-me.org/holmes1988.html The 1988 Holmes Definition for CFS]&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
==Notable studies==&lt;br /&gt;
&lt;br /&gt;
==Possible causes==&lt;br /&gt;
*High levels of [[stress]]&lt;br /&gt;
*Changes in levels of [[cytokines]]&lt;br /&gt;
&lt;br /&gt;
==Potential treatments==&lt;br /&gt;
*[[Sleep hygiene]] advice&lt;br /&gt;
*[[Cognitive behavioral therapy]]&lt;br /&gt;
*[[:Category:Supplements|Supplements]], including [[boron]] and [[valerian]]&lt;br /&gt;
*Medications, including:&lt;br /&gt;
**[[:Category:Benzodiazepines|benzodiazepines]], e.g. [[temezapam]]&lt;br /&gt;
**Sedating [[antidepressant]]s, particularly [[amitriptyline]]&lt;br /&gt;
**Off-label, [[quetiapine]] is sometimes used but should not be used in overweight people with CFS&lt;br /&gt;
**[[Non-benzodiazepine hypnotic]]s, commonly known as z-drugs, e.g. [[zopiclone]]&lt;br /&gt;
**[[Melatonin]], either on prescription or as a supplement{{citation needed}}&amp;lt;ref&amp;gt;{{Cite web|url=https://divaslifestyle.com/does-dehydration-cause-insomnia/|title=Does Dehydration Cause Insomnia {{!}} Water and Insomnia|last=jasmine|first=Emilio|date=2021-02-03|website=Divaslifestyle|language=en-US|access-date=2021-02-08}}&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
==Learn more==&lt;br /&gt;
*[https://en.wikipedia.org/wiki/Insomnia Wikipedia - Insomnia]&lt;br /&gt;
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==See also==&lt;br /&gt;
* [[Sleep dysfunction]]&lt;br /&gt;
* [[Unrefreshing sleep]]&lt;br /&gt;
* [[Hypersomnia]]&lt;br /&gt;
&lt;br /&gt;
==References==&lt;br /&gt;
{{Reflist}}&lt;br /&gt;
&lt;br /&gt;
[[Category:Signs and symptoms]]&lt;br /&gt;
[[Category:Sleep signs and symptoms]]&lt;/div&gt;</summary>
		<author><name>Emma</name></author>
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