Could Your Medications Be Keeping You Awake?
Photo source: openverse, hiloveorg, Flickr
Waking at 4am and wondering if you should be worried? Many New Zealanders over 60 notice their sleep changing, and it can be hard to know whether this is a normal part of getting older or something more. Understanding the link between insomnia and ageing can help you decide what to do next.
What changes with age
As we get older, our body clock shifts. Many seniors feel sleepy earlier in the evening and wake earlier in the morning. Sleep also becomes lighter, so small noises or a trip to the bathroom can wake you more easily. You may spend less time in deep sleep, and daytime naps can creep in. These changes are common and usually not a cause for concern. Most older adults still need around seven to eight hours of sleep, though it may come in shorter stretches.
What insomnia looks like
Insomnia is different. It means having trouble falling asleep, staying asleep, or waking too early, even when you have the chance to rest. It is usually considered long-term when it happens at least three nights a week for three months or more. The key sign is how you feel the next day. If poor sleep leaves you tired, irritable, forgetful or struggling to concentrate, it may be more than normal ageing.
Common triggers
Insomnia and ageing often overlap with other factors. Pain from arthritis, night-time toilet trips, breathing problems, restless legs and some medications can all disturb sleep. Worry, loneliness or grief can also keep the mind busy at bedtime. Too much caffeine, alcohol close to bedtime and long daytime naps can make things worse.
Simple steps to try
Small habits can make a real difference. Keep regular bed and wake times, get outside in the morning light, and stay gently active during the day, perhaps with a walk around the neighbourhood. Keep your bedroom cool, dark and quiet, and switch off screens an hour before bed. If you cannot sleep after about twenty minutes, get up and do something calm until you feel drowsy again.
When to see your GP
Talk to your GP or pharmacist if poor sleep lasts for several weeks, affects your mood or daily life, or comes with loud snoring, gasping or unusual leg movements. Sleep problems are treatable, and approaches such as cognitive behavioural therapy for insomnia are often recommended before sleeping tablets. You can also call Healthline on 0800 611 116 for free health advice at any time.
Sleep may change as we age, but ongoing poor sleep should not simply be accepted as normal. Knowing the difference between insomnia and ageing is the first step towards feeling rested and well again.

