Any symptoms you're experiencing, including any that may seem unrelated to the reason for the appointment.All medications, vitamins, herbs or other supplements you're taking, as well as dosages and any recent changes.In the morning, record as much as you know of your (or your partner's) sleep issues that occurred the previous night.
Keeping a sleep diary for two weeks before your appointment can help your doctor understand what's happening. Here's some information to help you get ready for your appointment. Someone who accompanies you can help you remember what the doctor says or provide additional information. Consider bringing your sleeping partner, a family member or friend along, if possible. Your doctor may refer you to a sleep specialist. You may start out by seeing your primary care doctor. Talk with your doctor to determine the most appropriate treatment option for you.Įxplore Mayo Clinic studies testing new treatments, interventions and tests as a means to prevent, detect, treat or manage this condition. Clonazepam may cause side effects such as daytime sleepiness, decreased balance and worsening of sleep apnea.ĭoctors continue to study several other medications that may treat REM sleep behavior disorder. This prescription medication, often used to treat anxiety, is also the traditional choice for treating REM sleep behavior disorder, appearing to effectively reduce symptoms. Melatonin may be as effective as clonazepam and is usually well-tolerated with few side effects. Your doctor may prescribe a dietary supplement called melatonin, which may help reduce or eliminate your symptoms. Possibly sleeping in a separate bed or room from your bed partner until symptoms are controlledĮxamples of treatment options for REM sleep behavior disorder include:.Moving furniture and clutter away from the bed.Placing barriers on the side of the bed.
Removing dangerous objects from the bedroom, such as sharp items and weapons. Your doctor may recommend that you make changes in your sleep environment to make it safer for you and your bed partner, including: Treatment for REM sleep behavior disorder may include physical safeguards and medications. So if you develop REM sleep behavior disorder, it's important to follow up with your doctor. REM sleep behavior disorder can be the first indication of development of a neurodegenerative disease, such as Parkinson's disease, multiple system atrophy or dementia with Lewy bodies. Your sleep disturbance is not caused by another sleep disturbance, a mental health disorder, medication or substance abuse. A sleep study (polysomnogram) shows you have increased muscle activity during REM sleep. If you awaken during the episode, you are alert and not confused or disoriented. You recall dreams associated with these movements or sounds. You have repeated times of arousal during sleep where you talk, make noises or perform complex motor behaviors, such as punching, kicking or running movements that often relate to the content of your dreams. To diagnose REM sleep behavior disorder, sleep medicine physicians typically use the symptom criteria in the International Classification of Sleep Disorders, Third Edition (ICSD-3).įor a diagnosis of REM sleep behavior disorder, criteria include the following: Typically, you'll be videotaped to document your behavior during REM sleep cycles. During this test, sensors monitor your heart, lung and brain activity, breathing patterns, arm and leg movements, vocalizations, and blood oxygen levels while you sleep. Doctors may recommend an overnight study in a sleep lab. Nocturnal sleep study (polysomnogram). Your doctor may also ask your partner to fill out a questionnaire about your sleep behaviors. Your doctor may ask your sleeping partner whether he or she has ever seen you appear to act out your dreams while sleeping, such as punching, flailing your arms in the air, shouting or screaming. REM sleep behavior disorder may have symptoms similar to other sleep disorders, or it may coexist with other sleep disorders such as obstructive sleep apnea or narcolepsy. 
Your doctor conducts a physical and neurological exam and evaluates you for REM sleep behavior disorder and other sleep disorders. To diagnose REM sleep behavior disorder, your doctor reviews your medical history and your symptoms.
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