With an ageing population, sleep disturbance will be becoming more and more prevalent. Sleep can be disturbed not only in the form of insomnia and broken sleep but also sleep reversal in other words awake in the night and asleep in the day. Wandering is common. This can no doubt have considerable well being consequences not for just the patient but also the carer. The lack of sleep can worsen anxiety and depression. Medications such as melatonin, benzodiazepines, antidepressants, antipsychotics have been tried but not really help and side effects are troublesome. There is growing interest in the role of medicinal cannabis and small doses of Cannabidiol CBD oil and Tetrahydrocannabinol THC has been shown to be helpful in this group. The combination of CBD and THC may also reduce the need of other mentioned drugs as well.




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