Elly Mackay Blog

How Does Cannabis Affect the Stages of Your Sleep? 0

How Does Cannabis Affect the Stages of Your Sleep?

Always consult your doctor before you begin taking a supplement or medication, or make any changes to your existing medication and supplement routine. This is not medical advice; it is information you can use as a conversation-starter with your physician at your next appointment.

Interest in cannabis as a medicinal and therapeutic tool is at an all-time high. (Pun definitely intended.) There’s a multi-billion-dollar cannabis market that is growing fast, filled with tinctures, vaping options, edibles, creams, oils and other cannabis products.

It all can be pretty confusing and more than a little overwhelming.

I’ve had a lot of interest from patients and readers about cannabis’ potential to help improve sleep. And I’ve done some writing about the science around the benefits of cannabis for sleep. But I’d like to do more to respond to all this interest. With that in mind, I’m launching what I hope will be a thoughtful, easy to understand, evidence-based conversation about cannabis and sleep: what we know today about how cannabis affects sleep, where the research is headed, what the uses, benefits,

Jazz Pharmaceuticals’ Sunosi Gets EU Marketing Authorization for Excessive Daytime Sleepiness in Narcolepsy or Obstructive Sleep Apnea 0

Jazz Pharmaceuticals’ Sunosi Gets EU Marketing Authorization for Excessive Daytime Sleepiness in Narcolepsy or Obstructive Sleep Apnea

The European Commission has approved Jazz Pharmaceuticals plc’s Sunosi (solriamfetol) to improve wakefulness and reduce excessive daytime sleepiness (EDS) in adults with narcolepsy (with or without cataplexy) or obstructive sleep apnea (OSA) whose sleepiness has not been satisfactorily treated by primary sleep apnea therapy, such as CPAP. Sunosi is the first dual-acting dopamine and norepinephrine reuptake inhibitor approved to treat EDS in adults living with narcolepsy or OSA and the only licensed therapy in the European Union for the treatment of EDS in adults living with OSA.

“We are excited that with this approval we can offer Sunosi, a daytime medicine that can provide sustained wakefulness throughout the day, to patients living with excessive daytime sleepiness as a result of OSA or narcolepsy in Europe, where historically, treatment options have been very limited,” says Bruce Cozadd, chairman and CEO of Jazz Pharmaceuticals, in a release.

Once-daily Sunosi is approved with doses of 75 mg and 150 mg for people with narcolepsy and doses of 37.5 mg, 75 mg, and 150 mg for patients with OSA. At Week 12 of the

How Good Sleep Can Jumpstart Your Sex Life 0

How Good Sleep Can Jumpstart Your Sex Life

This week I want to touch on something we can be a bit hesitant to talk about: sex. 

It’s one of life’s great joys, and you don’t need to be a relationship counselor to know how important sex is to a healthy relationship. 

Its importance is why there’s a booming business centered around maintaining and improving sexual health. Men have likely noticed an uptick in companies offering erectile dysfunction supplements in recent years. That trend is showing no signs of slowing down, either. The ED market is already a billion-dollar industry, and it’s expected to rise to $2.63 billion by 2023. 

At the same time, advertisers and major drug companies are increasingly targeting women and their sexual health. Most notably, “female Viagra” was approved by the F.D.A. last year, with the manufacturer looking to assist the one in 10 women who have a low sex drive. 

You’re probably wondering what this has to do with sleep. It turns out, a lot. A growing amount of research is highlighting the strong link between a good night’s sleep and a healthy

4 Best Sleeping Positions to Improve Sleep Apnea 0

4 Best Sleeping Positions to Improve Sleep Apnea

Pulmonologists speak to US News about the best sleeping positions to prevent sleep apnea.

“Sleep apnea is often worse in the supine (on your back) position because of gravity,” Tsai says. “The tongue falls back and blocks the airway,” so sleeping on your side “may improve sleep apnea and symptoms.” Fotinakes adds that sleeping on your side or in a prone (on your stomach) position “may lessen or even eliminate snoring and apnea in many cases.”

Sleeping on your stomach can be awkward, and some people who try it find they wake up with a stiff neck. Choosing a very thin pillow or a pillow made specifically for stomach sleepers may help reduce strain on the neck when lying face down.

When sleeping on your side, you’ll likely need a thicker pillow to support the head and neck. Some people prefer to cuddle up to a large body pillow to help keep them in the right position. There are lots of pillows that are marketed specifically for addressing sleep apnea concerns, so do a little research and try out a

ResMed to Pay $37.5 Million to Settle False Claims Act Violation Allegations 0

ResMed to Pay $37.5 Million to Settle False Claims Act Violation Allegations

ResMed Corp has agreed to pay more than $37.5 million to resolve False Claims Act violation allegations. ResMed denies that it violated the law. The US Department of Justice (DOJ) alleged that ResMed paid kickbacks to durable medical equipment (DME) suppliers, sleep labs, and other health care providers.

The Anti-Kickback Statute prohibits the knowing and willful payment of any remuneration to induce the referral of services or items that are paid for by a federal healthcare program, such as Medicare, Medicaid, or TRICARE. Claims submitted to these programs in violation of the Anti-Kickback Statute give rise to liability under the False Claims Act.

The settlement resolves allegations that ResMed (a) provided DME companies with free telephone call center services and other free patient outreach services that enabled these companies to order resupplies for their patients with sleep apnea, (b) provided sleep labs with free and below-cost positive airway pressure masks and diagnostic machines, as well as free installation of these machines, (c) arranged for, and fully guaranteed the payments due on, interest-free loans that DME supplies acquired from third-party financial

When an Open Airway Leads to an Open Bite 0

When an Open Airway Leads to an Open Bite

Oral appliance use can cause occlusal changes in sleep apnea patients. Dentists should track tooth and jaw movements, but conservative interventions are typically all that is needed.

For many patients, oral appliance therapy is an effective alternative to CPAP for treating obstructive sleep apnea. However, as with CPAP, clinicians and patients need to be aware of potential side effects.

Among the most common side effects are occlusal changes, including shifting of bites and interproximal spaces, which can affect a significant number of patients. For example, in a 5-year study of 45 patients, 67% experienced a decrease in occlusal contacts.1 A separate study found significant decreases in anterior and posterior overbites with long-term oral appliance use, which, particularly for normal or shallow baseline overbite patients, can cause an open bite.2

While clinically occlusal changes can be significant, they’re often a case of millimeters of change—and rarely noticed by patients.

“Patients don’t often complain about changes,” says Mark T. Murphy, DDS, DABDSM, a dentist who practices in Rochester, Minn, and who is lead faculty for clinical

Itamar Medical Will Participate in Weizmann Institute’s Project 10K 0

Itamar Medical Will Participate in Weizmann Institute’s Project 10K

Itamar Medical Ltd’s WatchPAT home sleep test has been selected for inclusion in the Weizmann Institute’s Project 10K.The 10K Project is a longitudinal study designed to collect lifestyle and clinical data from 10,000 individuals over ten years and aims to use state-of-the-art artificial intelligence technologies to analyze the data in order to generate personalized predictions for disease risk factors. These predictions may improve health outcomes by enabling detection and intervention of treatable medical conditions prior to the onset of symptoms.

“The choice of Itamar Medical’s advanced WatchPAT system for the diagnosis of sleep apnea emphasizes the relationship and significance that the medical and public health communities attribute to the sleep dimension and the impact of sleep quality on the risks of morbidity and heart disease in particular,” says Gilad Glick, president and CEO of Itamar Medical, in a release. “We are pleased to be part of Project 10K and to help expand the understanding of the role that sleep apnea plays in multiple aspects of human health.”

As part of the project, Itamar will provide 150,000 WatchPAT tests for

FusionHealth and Nox Medical Join to Form “Nox Health” 0

FusionHealth and Nox Medical Join to Form “Nox Health”

Sleep health company FusionHealth and sleep monitoring and diagnostics company Nox Medical have joined forces to form Nox Health. The companies say they are united by a vision to enable access to sleep health care through people-centered solutions and aim to bring more expertise, innovation, and collaboration to the field through their combined efforts.

Nox Health is addressing the global sleep health epidemic by providing employers and other healthcare payers with new ways to prioritize well-being through healthy sleep, while also equipping healthcare providers with solutions that enable patient access to comprehensive and more accurate diagnoses of sleep problems.

“We have been working alongside Nox Medical for years, and this move is the next natural milestone for our companies,” says Sigurjon Kristjansson, co-founder of FusionHealth and CEO of Nox Health, in a release. “Nox Medical’s depth of expertise in the sleep diagnostic technology space, combined with the breadth of solutions available through FusionHealth, will allow us to amplify our impact and help far more people than either of us could do alone.”

Known for its technology-enabled, population-based sleep health solutions,

We Know Losing Weight Lessens Sleep Apnea Severity. This New Study Helps Explain Why. 0

We Know Losing Weight Lessens Sleep Apnea Severity. This New Study Helps Explain Why.

Losing weight is an effective treatment for obstructive sleep apnea (OSA), but why exactly this is the case has remained unclear. Now researchers in the Perelman School of Medicine at the University of Pennsylvania have discovered that improvements in OSA symptoms appear to be linked to the reduction of fat in one unexpected body part—the tongue.

Using magnetic resonance imaging (MRI) to measure the effect of weight loss on the upper airway in obese patients, researchers found that reducing tongue fat is a primary factor in lessening the severity of OSA. The findings were published in the American Journal of Respiratory and Critical Care Medicine.

“Most clinicians, and even experts in the sleep apnea world, have not typically focused on fat in the tongue for treating sleep apnea,” says Richard Schwab, MD, chief of Sleep Medicine, in a release. “Now that we know tongue fat is a risk factor and that sleep apnea improves when tongue fat is reduced, we have established a unique therapeutic target that we’ve never had before.”

A 2014 study led by Schwab compared obese patients

Three Ways Bad Sleep Hurts Your Work Performance 0

Three Ways Bad Sleep Hurts Your Work Performance

Bad sleep hurts work performance. You need a good night’s sleep to be at your best. 

This, in a nutshell, is the underlying reason I stress the importance of quality sleep each week: You’re not you when you’re running on less than 7 hours of sleep each night. 

You’re not in this alone. 

Poor sleep impacts millions of Americans — and research suggests the issue is getting worse, not better. 

A recent study found 35.6% of people get less than 7 hours of sleep each night, or the baseline amount for a good night’s sleep. That’s up from 30.9% of people who got inadequate sleep each night in 2010. 

I bring this up because I know, with 2020 just getting started, that many of you have set career goals for the new year. Maybe you’re making a push for a promotion, looking to make more sales than you ever have before, or aiming to land your dream job. I think that’s great, and I fully support setting ambitious professional goals. 

Unfortunately, I’ve noticed many people sacrifice sleep in order