Insomnia; and Other Disorders of SleepLyman, Henry M. (Henry Munson)
Science
Insomnia; and Other Disorders of Sleep
Lyman, Henry M. (Henry Munson)
Dreams; Insomnia; Sleepwalking
Chloral is usually administered by the mouth in doses, for adults, of
twenty to thirty grains, dissolved in sweetened peppermint water. If the
first dose does not procure sleep, it may be followed at the expiration of
an hour by a second dose of twenty grains. This seldom fails to induce
refreshing sleep. When the medicine cannot be tolerated by the stomach it
may be given by enema in milk. For this purpose a drachm of chloral should
be suspended with the white of an egg in half a teacupful of milk.
_Butylchloral hydrate._--This substance has been recommended as a
substitute for chloral hydrate, in cases of cardiac weakness, on account
of its being less powerful to depress the action of the heart. It is
principally useful for the relief of facial neuralgia and hemicrania. As
an hypnotic it is seldom used. For this purpose it may be given in a
solution like that of chloral hydrate. For a simple anodyne effect the
medicine may be given in five-grain doses, repeated every half hour or
hour. As a means of procuring sleep it may be given in doses ranging from
fifteen to forty-five grains. Liebreich has given the medicine in drachm
doses, and recommended it as an hypnotic superior to chloral hydrate. It
is useful in the sleeplessness of headaches, neuralgia, dysmenorrhœa, and
chronic phthisis.
_Amyl nitrite._--This drug has been recommended for the relief of insomnia
resulting from the opium habit. Ringer considers it useful in the flushes
of heat and other forms of discomfort which sometimes interfere with the
sleep of women during the change of life. It should be inhaled in the form
of vapor, from a handkerchief upon which five drops have been poured. The
quantity will need to be gradually increased, as the system becomes
tolerant of its effects. The stimulant effect of the medicine renders its
use in this manner probably less dangerous than the similar employment of
chloroform. Unlike the other anæsthetics above mentioned, it causes a
hyperæmic condition of the brain, and is, for this reason, a useful
hypnotic in cases of aortic obstruction with an insufficient cerebral
circulation and consequent wakefulness.
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