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Some of the common causes of sleeplessness are as follows:

  • Inappropriate sleeping environment such as: too hot or too cold bedroom, bed being too hard or too soft, noisy place, poor ventilation, change of sleeping place, mosquitoes, etc
  • Anxiety: Worrying about various things such as work, appointments, family or work stress, etc.
  • Depression, grief, etc
  • Emotional excitement (Euphoria)
  • Mood disorders
  • Too much of caffeine intake especially during the later part of the day (e.g. Strong coffee, cola, etc).
  • Sedentary lifestyle: When you have not worked enough during the daytime, your mind might be tired, but your body may not be tired,  thus causing difficulty in sleeping
  • Hormonal changes: Around the time of menses, Pregnancy (especially during 1st trimester)
  • Overeating
  • Jet lag
  • Working in shifts
  • Systemic disorders such as Asthma, Hyperthyroidism, duodenal ulcers, arthritis, Diabetes, GERD, etc
  • Night urination frequency (due to diabetes, prostate enlargement, urinary infection, etc)
  • Alcohol withdrawal
  • Dehydration
  • Chronic pain (due to any cause): E.g.: Osteoarthritis, trauma, leg cramps, etc
  • Itching (due to any skin disorder, allergy, etc)

There are a large number of drugs that can causes sleeplessness. Few of them have been mentioned below. Please note however that this list is not exhaustive:

  • Bronchodilators such as theophylline
  • Certain anticonvulsants such as Phenytoin
  • Nasal decongestants
  • Certain anti-depressants
  • Levodopa
  • Steroids
  • Estrogen drugs
  • Cocaine
  • Thyroid hormones
  • Nicotine
  • Amphetamine group of drugs
 
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