SLEEP HYGIENE

Many cancer patients have difficulty with sleep, either being unable to sleep (insomnia) or sleeping too much (hypersomnia). If you are having trouble with sleep, please let your physician or nurses know. We want to help.

WHAT CAUSES SLEEP PROBLEMS?

• Active chemotherapy treatment

• Chronic medical illness

• Depression/anxiety

• Symptoms such as pain, nausea, diarrhea, itching, etc.

• Fatigue

• Older age

• Perimenopause

• Personal or family history of insomnia

• Recent life stressors

• Unpleasant environment

• Use of alcohol

• Withdrawal from certain medications

• Shortness of breath or difficulty breathing or lying down

• Having to urinate frequently

• Hormonal problems

• Hot flashes

• Restless legs

• Sleeping during the day (even as much as 15 minutes)

• Caffeine intake

• Change in environment

• Certain medications such as:

˚ Amphetamines

˚ Antiseizure medication

˚ Biologicals such as interferons, interleukins, and tumor necrosis factor

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