"I can't sleep through the night"
AMANDA ZISKIN, 34, personal assistant; single; Brooklyn
Amanda's Sleep Situation: My work sometimes has me out late during the week, so I typically get to bed between midnight and 2 a.m., then wake up between 8 and 10 a.m. Since it takes me nearly two hours to fall asleep, I keep my laptop and iPhone in bed with me and have the TV on. Lately, I've been waking up around 3:45 a.m. and can't get back to sleep until 6. I'm very energetic during the day, so it doesn't take a toll on me, but I do sometimes rely on Nyquil, Tylenol PM, Simply Sleep, or Ambien to fall asleep faster. I alternate because one never works for me consistently."
The Doc's Diagnosis: "Amanda isn't getting enough good-quality sleep. Her high energy level during the day helps her compensate, and she could probably go on like this for another 10 to 15 years - but I wouldn't recommend it. At night, it takes her longer to come down off that high - she essentially runs out of fuel and crashes. Amanda needs to learn how to slow down before she gets in bed."
Better Sleep Rx: "Start slowing down an hour before bedtime - process the day by writing in a journal for 15 minutes and dim the lights. If Amanda must use her laptop or watch TV, she should wear blue-blocker glasses to block out the blue component of light that disrupts melatonin production."
"Steer clear of over-the-counter 'PM' products, like Tylenol PM - they contain diphenhydramine [Benadryl], which remains active in the body well into the next morning and can negatively impact cognition and perception. The only thing I'd recommend is melatonin.
Two More Sleep-Deprived Readers Get Advice from a Snooze Expert
BUZZ-KILL: Is caffeine cramping your sleep style? Addicts, limit your intake to 300 milligrams a day, ideally before 2 p.m. Here, a guide to what has the most kick:
- Starbucks grande drip coffee (16 oz.): 330 mg.
- Espresso (1 oz.): 90 mg.
- Diet Coke (12-oz. can): 46.5 mg.
- Snapple Lemon Iced Tea (16-oz. bottle): 42 mg.
- Dark semisweet chocolate (1 oz.): 20 mg.
- Excedrin Extra Strength (2 tablets): 130 mg.
- Midol Menstrual Complete (1 tablet): 60 mg.
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Reprinted with Permission of Hearst Communications, Inc.

