INSOMNIA ISN’T JUST A COOL CONCEPT – IT IS REAL

This article first appeared on The Witness

While obesity remains a growing global concern, insomnia is a close contender. According to the Mental Health Information Centre of Southern Africa about 10 percent of adults suffer from insomnia. This percentage could likely be linked to the quality of life in South Africa.

The current economic environment in South Africa coupled with the flailing rand and unemployment on the rise can cause an already stressful environment for the everyday person to spiral out of control. We find ourselves stressed for most of our day dealing with work, securing an income while attempting to host a relatively balanced family life.

Graham Anderson, CEO and Principal Officer at Profmed says, “Insomnia is an experience of inadequate or poor quality sleep characterised by difficulty of falling asleep, difficulty maintaining sleep, waking up too early in the morning and non-refreshing sleep which often results in tiredness, lack of energy, difficulty concentrating and irritability. This is a point of concern as it could lead to an increased level of unproductivity in general.”

According to the South African Society of Sleep Medicine (SASSM) about 30 to 40 percent of adults indicate some level of insomnia within any given year, and about 10 percent to 15 percent indicate that the insomnia is chronic and/or severe. The prevalence of insomnia increases with age and is more common in women.

Anderson says it is crucial to understand that sleep is not a luxury and should take as much importance in your daily routine as eating and bathing. For people who have been diagnosed with insomnia or generally have chronic sleeping problems it is essential to cultivate and maintain a good sleep routine.

Anderson suggests:

  • Ensure your bed and pillow suits your body and is comfortable and promotes good sleep patterns;
  • Avoid stimulants (e.g. caffeine, nicotine or television in the bedroom) before bedtime and consuming large meals before bedtime as it could leave you feeling bloated and unable to relax and fall asleep. Rather have a glass of hot milk or water to help you get into sleep zone;
  • Avoid daytime naps, since they usually result in difficulty in sleeping at night. It’s important to ensure you have a productive day as gradually increasing levels of physical activity early on in the day may produce benefits at night;
  • For some, a hot bath (20 minutes) or relaxation exercises are helpful in getting a peaceful sleep.

“Alternatively, it may be advantageous to seek professional help. In some cases, early referral to a neurologist, psychiatrist or clinical psychologist may be necessary. The cost will depend on which service provider you make use of, the cause of and type of sleep disorder,” explains Anderson.

“Insomnia and chronic sleeping disorders, if not treated early, can lead to extreme consequences such as significant stress in your day-to-day life, emotional and physical discomfort and depression and/or anxiety. This could affect your relationships and job performance adding to the overall stress experienced. It is crucial to identify whether you suffer from disturbed sleeping patterns and practice the above before visiting a specialist. Early detection is better than cure,” concludes Anderson.

LEGISLATION ON ALTERNATIVE MEDICINES VITAL FOR CONSUMERS

download (3)New legislation being introduced to monitor and regulate the use of complementary and alternative medicines (CAMs) should be welcomed in order to ensure that consumers who opt to use such products are fully aware of the benefits, or lack thereof.

This is according to Graham Anderson, CEO and Principal Officer at Profmed, who says that while CAMs may be hailed as potential cures for a broad range of ailments, some claim that the use of CAMs can often have little to no effect, or worse, even be detrimental to one’s health.

“It is concerning that products are being sold commercially in South Africa which have not been properly regulated and tested. These products often feature strong claims within their marketing campaigns, outlining the supposed health benefits. Furthermore, some of these products, which are often thought to be herbal, contain toxic ingredients such as arsenic, lead and mercury,” says Anderson.

In light of this, the Minister of Health released amendments to the Medicines and Related Substances Act at the end of 2013 which stated that all CAMs will now have to be regulated by the Medicines Control Council (MCC).

According to the Chairman of the Health Products Association, Norman Fels, a number of deaths have even been attributed to the use of untested alternative drugs. “Due to this worrying trend, government has been forced to establish a legal framework to regulate the CAM industry and its associated products,” explains Anderson. “These new regulations state that all alternative medicines need to be registered with the MCC and all producers will now need to provide proof of safety and efficacy.”

According to the amendments, manufacturers and wholesalers of these products need to be licensed, and are required to comply with new labelling requirements which inform consumers that the product is ‘not intended to diagnose, treat, cure or prevent any disease’ because it has not been clinically tested.

The Pretoria High court is set to give a response to the Health Products Association of South Africa (HPASA) on their petitions, which were submitted to the court last year to dispute the amendments made by government. The HPASA has strongly rebutted the new amendments made by government, citing that it is unfair to treat CAMs in the same way as conventional pharmaceuticals. However, the fact remains that most homeopathic medicines have not undergone clinical studies which can prove cause and effect, although many continue to claim to offer similar benefits to their regulated conventional counterparts.

At the same time, the Medicines Control Council in South Africa states that there are in fact a significant number of complementary and alternative medicines which have ‘well-established medicinal use with recognised efficacy and an acceptable level of safety’.

“There is currently a high level of uncertainty around the effectiveness and safety of CAM products, and until their claims can be proven and clarified, few medical schemes will cover consultations and prescriptions for such treatment,” says Anderson.

“We would strongly recommend individuals ensure that they understand all the facts about any medication before consuming it, as not only could you be wasting both your time and money on ineffective remedies – it could actually result in doing more harm than good to your body.”