Insomnia, Drowsiness and Fatigue

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Across
  1. 2. A class of antihistamines that crosses the blood-brain barrier causing sedation by blocking histamine receptors (think diphenhydramine).
  2. 3. Short-term or temporary bouts of insomnia often managed with self-care for up to 7–10 days.
  3. 4. Dreaming stage of sleep
  4. 6. Side effects often associated with first-generation antihistamines including dry mouth/ blurred vision/ urinary retention and constipation.
  5. 8. mechanism by which caffeine increases cAMP levels that contribute to its stimulant effects and prevention of apnea.
  6. 11. set of educational interventions and behavioral practices (like maintaining a regular sleep schedule) designed to promote better sleep.
  7. 12. first-line non-pharmacologic intervention for insomnia that addresses dysfunctional behaviors and beliefs contributing to sleep issues.
  8. 13. Insomnia that are idiopathic or psychological in nature rather than caused by another medical condition.
Down
  1. 1. A condition where a patient reports severe insomnia symptoms that do not align with objective sleep measurements.
  2. 5. ratio of total sleep time to the total time spent in bed if less than 85% it is a clinical indicator of insomnia.
  3. 7. Sleep difficulty occurring at least three times weekly for more than three months (insomnia)
  4. 9. first-generation antihistamine used in some sleep aids like Unisom/ ZzzQuil/Ultra) but not the FDA's preferred agent due to limited data.
  5. 10. Insomnia caused by another disorder/ condition/or medication like (GERD/asthma/or antidepressants).