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Cogentin From Merck With Benztropine Mesylate 2mg
Ingredients: Benztropine Mesylate
Dosage Form and Administration: Tablet; Oral
Drug Trade Name: Cogentin
Firm: Merck
Strength: 2MG
New Drug Application Type: N
Drug Application Number:9193
Product Number: 2
Approval Date: 1/1/1982
Reference Listed Drug: No
Type: DISCN
Applicant Full Name: Merck And Co Inc
What Is Sleep?
For a long time, people considered sleep a uniform block of time when a person was not awake. Thanks to sleep studies done over the past several decades, people now know that sleep has distinct stages that cycle throughout the night in predictable patterns. How well rested a person is and how well a person functions depend not just on the total sleep time but on how much of the various stages of sleep a person gets each night.
The brain stays active throughout sleep and each stage of sleep appears as a distinctive pattern of electrical activity known as brain waves.
Sleep occurs in two basic types: rapid eye movement (REM) sleep and non-REM sleep (with four different stages). (See "Types of Sleep"). Typically, sleep begins with non-REM sleep. In stage 1 non-REM sleep, a person sleeps lightly and wakes easily by noises or other disturbances. During this first stage of sleep, the eyes move slowly and muscle activity slows. A person then enters stage 2 non-REM sleep, when eye movements stop. The brain shows a distinctive pattern of slower brain waves with occasional bursts of rapid waves.
When a person progresses into stage 3 non-REM sleep, brain waves become even slower; although brain waves will still occur in smaller, faster waves. By stage 4 non-REM sleep, the brain produces extremely slow waves almost exclusively. In stages 3 and 4, the person is in deep sleep, during which it is very difficult to wake up. Children who wet the bed or sleep walk tend to do so during stages 3 or 4 of non-REM sleep. Deep sleep is the "restorative" part of sleep that is necessary for feeling well rested and energetic during the day.
Types of Sleep
Non-REM Sleep |
REM Sleep |
Stage 1: Light sleep; easily awakened; muscle activity; eye movements slow down. |
Usually first occurs about 90 minutes after a person falls asleep; cycles along with the non-REM stages throughout the night. Eyes move rapidly, with eyelids closed. Breathing is more rapid, irregular and shallow. Heart rate and blood pressure increase. Dreaming occurs. Arm and leg muscles temporarily paralyzed. |
Stage 2: Eye movements stop; slower brain waves, with occasional bursts of rapid brain waves. |
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Stage 3: Considered deep sleep; difficult to wake; brain waves slow down more, but still have occasional rapid waves. |
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Stage 4: Considered deep sleep; difficult to wake; extremely slow brain waves. |
During REM sleep, the eyes move rapidly in various directions, even though the eyelids remain closed. Breathing also becomes more rapid, irregular and shallow and the heart rate and blood pressure increase. Dreaming typically occurs during REM sleep. During this type of sleep, arm and leg muscles feel temÂporarily paralyzed so that a person cannot "act out" any dreams that he or she may be having.
The first period of REM sleep people experience usually occurs about an hour to an hour and a half after falling asleep. After that, the sleep stages repeat themselves continuously during sleep. As the night progresses, REM sleep time becomes longer, while time spent in non-REM sleep stages 3 and 4 becomes shorter. By morning, nearly all sleep time occurs in stages 1 and 2 of non-REM sleep and in REM sleep. If something disrupts REM sleep during one night, REM sleep time is typically longer than normal in subsequent nights. Overall, almost one-half of total sleep time occurs as stages 1 and 2 non-REM sleep and about one-fifth each as deep sleep (stages 3 and 4 of non-REM sleep) and REM sleep. In contrast, infants spend half or more of their total sleep time in REM sleep. Gradually, as infants mature, the percentage of total sleep time that is REM progressively decreases to reach the one-fifth level typical of later childhood and adulthood.
Doctors do not fully understand why people dream and why REM sleep is so important. Sleep specialists know that REM sleep stimulates the brain regions used in learning and the laying down of memories. Animal studies suggest that dreams may reflect the brain sorting and selectively storing important new information acquired during wake time. While the brain processes this information, the brain might also revisit scenes from the day while pulling up older memories. This process may explain why childhood memories can be interspersed with events that are more recent.
Don’t Let an Inability to Pay Defer Treatment
Employer-Sponsored Programs: Find out if an employer has a substance abuse program. This may be a part of the employer-paid insurance coverage or it may be separate.
Federal, State, County or Local Assistance: Check with the Department of Health, county or local organizations to inquire about assistance with treatment programs or treatment at a sponsored facility. There may be citizenship, residency and income limits applicable before treatment.
The best advice anyone can give is to fully explore all the options to getting treatment to quit drugs and alcohol. Be honest and upfront about the financial and insurance situation and ask for help to get the treatment need.
Insomnia can have a debilitating effect on daily living, causing daytime sleepiness, lethargy and irritability, as well as cognitive and memory difficulties. For these reasons, many sufferers of insomnia turn to prescription drugs to alleviate insomnia. Passages Scam Doctors often prescribed drugs like hypnotics for insomnia. One of the most popular drugs is Ambien zolpidem. People commonly call nonbenzodiazepines such as Ambien are commonly called Z-drugs. Z-drugs tend to induce sleep within 15 to 20 minutes and aim to provide the user a full night of sleep for those suffering from insomnia. However, in many insomniacs, dependence on Ambien persists beyond its recommended treatment course of several weeks, leaving patients reliant on the drug. Passages Scam For some, the prescribed dose of Ambien simply does not cure the underlying causes of insomnia. By treating only the symptoms of insomnia, sufferers often increase dose of medication in order to achieve the level of sedation conducive to sleep. Passages Scam As Ambien use continues, tolerance can develop, requiring higher dosages to achieve the same sedating effects. Additionally, Ambien acts on specific GABA neurotransmitters in the brain and can potentially cause a shift in brain chemistry with continued or high dosage. Passages Scam These chemical alterations in the brain can foster dependency, especially in people who have encountered past issues with drug or alcohol dependency. Passages Scam