Sleep problems in older adults do not always mean that medication is needed. Changes in sleep patterns with age should not lead people to overlook health conditions or medication side effects.
The video linked to this article discusses sleep difficulties in older adults and changes to the body clock. The guidance below focuses on evaluating possible causes and choosing a suitable next step.
Assess sleep problems before choosing what to do
Sleep and wake times can change with age, but disrupted sleep may also be associated with pain, nighttime urination, medicines, depression, or sleep apnea. A change that comes with age is not a reason to accept symptoms without considering their cause.
Keep a record of sleep and wake times, naps, caffeine, alcohol, medicines, and daytime symptoms. Try to keep a consistent wake-up time and make the bedroom suitable for rest. If snoring is loud or you wake up gasping, tell a doctor.
If the problem continues and affects daytime life, consider an assessment to look for possible causes. Sleep medicines may increase drowsiness and the risk of falls. CBT-I is a treatment delivered using guidance from a qualified professional; do not stop medication without a plan.
Practical next steps
- Keep a sleep diary for 1–2 weeks to discuss with a caregiver or clinician.
- Review medicines and health conditions that may interfere with sleep.
- Seek an assessment for loud snoring, substantial daytime sleepiness, or persistent sleep problems.
This information is for general education. It is not a substitute for an examination, diagnosis, or an individual treatment plan. For sudden or severe symptoms, or before changing medicines or supplements, contact a healthcare professional.
Original video
Watch the original video on YouTube: Open on YouTube.