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Somnolence

 

Somnolence is a state of drowsiness, an inclination toward sleep, or a condition of sleeping for abnormally long amounts of time. It is associated with a variety of both medical conditions and medications. Individuals experiencing somnolence may also be prone to microsleeps.

Conditions (causing or otherwise associated):

  • Advanced sleep phase syndrome (ASPS)
  • Atypical depression (AD)
  • Brain tumor
  • Bruxism
  • Cerebral hypoxia
  • Clinical depression
  • Delayed sleep phase syndrome (DSPS)
  • Dysautonomia
  • Encephalitis
  • Hydrocephalus
  • Hypothermia
  • Hypothyroidism
  • Increased intracranial pressure
  • Insomnia
  • Intracranial hemorrhage
  • Lyme disease
  • Myelofibrosis with myeloid metaplasia
  • Narcolepsy
  • Paget's disease
  • Seasonal affective disorder (SAD)
  • Sleep apnea
  • Sleep deprivation
  • Starvation
  • Stroke
  • Traumatic brain injury


Medication causes:

Not every medication in the following list will cause somnolence in every patient, and in some cases it may be only certain types of the medication.

  • Antidepressants
  • Analgesics
  • Antihistamines
  • Antipsocotics
  • Dopamine agonists for Parkinson's disease treatment
  • HIV medications
  • Hypertension medications
  • Hypnotics
  • Tranquilizers
  • Other medications affecting the central nervous system (CNS)


Diagnosis

Diagnosis of somnolence is made by a doctor or medical professional. One method of determining the level of excessive daytime sleepiness (EDS) is the Epworth sleepiness scale.

Treatment

Treatment for somnolence is normally symptomatic. Stimulant medications may be prescribed, commonly one such as modafinil, however the specific options may depend upon the location, the doctor prescribing, and the individual's case. Avoiding alcohol, caffeine, and working or staying up late into the night may also be beneficial in treatment or prevention of worse symptoms.

See also:

  • Dyssomnia
  • Fatigue
  • Hypersomnia
  • Insomnia
  • Microsleep
  • Radiation somnolence syndrome
  • Somnolence syndrome
  • Stupor


Synonyms and other key terms:

  • Drowsiness
  • Sleepiness

 

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