![]() Somnolence, headache, malaise, vertigo, dizziness, diarrhea Withdrawal symptoms if abrupt dose reduction or discontinuation Possible respiratory depression in persons with severe lung disease or sleep apnea Severe anaphylactic or anaphylactoid reactions ![]() Worsening depression or suicidal thoughtsįalls and severe injuries because of drowsiness Sleep-driving and other complex behaviors while not fully awake Increased central nervous system effects in older adults Somnolence, unpleasant taste in the mouth, headache, dizziness, dry mouth, rash, anxiety, hallucinations, respiratory infectionĬentral nervous system depressant effects and next-day psychomotor impairment Over-the-counter sleep medications and supplements Probably has no effect on other outcomes Probably has no effect on total sleep time Improves sleep onset latency, total sleep time, and sleep quality Improves sleep onset latency and total sleep time Data were insufficient to evaluate the effectiveness of benzodiazepines or over-the-counter sleep aids such as diphenhydramine, doxylamine, or melatonin. (SOR: A, based on consistent, good-quality patient-oriented evidence.) There was limited evidence for the long-term safety of pharmacotherapy for insomnia ( eTable A), although observational studies suggest possible associations with head injuries, cancer, and dementia. Food and Drug Administration–approved prescription drugs for insomnia, eszopiclone, zolpidem, and suvorexant improved some outcomes among the general adult population in primarily short-term studies of three months or less. (SOR: B, based on inconsistent or limited-quality patient-oriented evidence.) There was insufficient evidence to report on the adverse effects of CBT for insomnia. (Strength of Recommendation : A, based on consistent, good-quality patient-oriented evidence.) The effectiveness of CBT for insomnia was consistent across different delivery modes (i.e., in person as an individual or with a group, by telephone, through the web, or using a self-help book) and was sustained in the long term, which was defined as at least six months. The chain will also give away free cookies with purchases (in-store or online) through Thursday and 20% off online orders through December 10.Cognitive behavior therapy (CBT) for insomnia improves sleep outcomes in the general adult population. True to its name, Insomnia will be giving away free cookies until 3 a.m. And this deal doesn’t end when the clock strikes midnight. ![]() Insomnia Cookies: Cookie monsters can walk into any brick-and-mortar location of Insomnia Cookies-a cult cookie chain that was purchased by Krispy Kreme in July-to get a free “traditional” cookie. Since all submissions are confidential, we may never know what company planned to profit most off of the already trending #NationalCookieDay-but does that really matter, as long as you get a free chocolate chip? Check out Fortune’s list below: Totally Free Cookies (No Purchase Necessary) ![]() Those who register a holiday will receive a framed certificate and a, perhaps more valuable, “media alert sent to over 20,000 broadcasters, talk show hosts, newspapers etc. Mic reports that National Day Calendar creator Marlo Anderson charges companies and individuals a minimum of $1,500 to create a holiday of their own-although the website now says that it will only grant holidays to companies and organizations. It wasn’t until 1987 that Matt Nader of Blue Chip Cookie Company declared December 4 as the new National Cookie Day. 4 marks National Cookie Day, and that means lots of baked goods purveyors want to give you carbohydrates for free all day long.Īccording to National Day Calendar, this unnecessary, albeit delicious, holiday first appeared on a Sesame Street calendar in 1976 as November 26. Forget about National Lima Bean Respect Day (April 20) or National Grape Popsicle Day (May 27). ![]()
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