<p>I would suggest eliminating all caffeine and chocolate for 3 months. Some of us are slow metabolizers of caffeine, and chocolate has some caffeine-like substances. That one cup (which is probably a mug and equiv to 2-3 cups) in the AM may still be circulating and having an effect at midnight. And with age, the way we metobolize things . It can take up to 3 mos to realize the full effects of caffeine. That’s no coffee, no tea, no soda’s with caffeine. Caffeine free is OK. Decaf can have up to 3% caffeine, but that’s usually OK, unless you drink 10 cups of it a day. Make sure any green tea or herbal teas are clearly caffeine free. If you can’t tell, don’t drink it. </p>
<p>Don’t nap, it will make things worse. Don’t let yourself fall asleep on the sofa, thinking its better than nothing. If it is not during the hours you usually sleep, it will work against your falling asleep at night. </p>
<p>Most sleep experts say not to read or watch TV in bed. If it really helps you to sleep, OK. But for someone struggling to sleep, use your bed only to sleep. If you are not tired or not sleepy, don;t watch TV in bed. Get out of bed to watch TV, write letters, surf the net, etc. Then when you feel tired, try to lay down in bed to sleep. If you can’t sleep i a certain amount of time, get out of bed. If you fall asleep, then wake up and are not sleepy, don’t stay in bed tossing and turning. Get out of bed, do a task, read, watch TV, then get back in bed and try again. Control light and sound in such a way that it does not interfere with getting/staying asleep.</p>
<p>Some folks have luck with Aluna, an OTC herbal prep with valarean and hops. Some try melatonin. </p>
<p>I am against prescribing sleep aids, but I do find the new Rozeram interesting. It is a melatonin receptor agonist–it fires the same receptors in the brain that melatonin does, but it is not melatonin. It is taken every night for a few weeks, and it helps reset sleep rhythms. Then it is just taken here and there as needed. But many try it for 2-3 nights and stop when it doesn’t work. It helps correct an imbalance, it is not “sleep” in a bottle. But any prescription would be after everything else fails, and when lack of sleep is truly interfering with ones ability to function. </p>
<p>If flushes are waking you, sleep in 100% cotton. Even if you love to cover with a comforter in the summer, get used to just a sheet. OK if your in a cold climate, in the winter use a light blanket that breathes. Use 100% cvotton sheets, and no polyester on the mattress pad under the sheets. Keep a ceiling fan on, and keep air moving/circulating in the room.</p>