This is covered in depth during the webinar. In sum, exercise is very important and there are several medications that have been studied that can be helpful. As always, consult your physician for any treatments reviewed during the webinar.

There has been some recent work on this. There was a fairly recent study utilizing a large group of people that did not have PD and who were monitored over time. It was determined that individuals with abnormal circadian rhythms were more likely to develop PD symptoms. This is a promising research area that requires additional study.

Many things to consider, including other medications you may be taking that impact sleep. Has the Trazodone and Melatonin helpful? It might be worth it to try tapering off of them slowly to see if sleep worsens or improves. Again, exercise is critical. Medication timing is also important and something you may want to discuss with your physician. For example, you may be taking alerting medications too close to bed time. Sleep hygiene and habits are also important. A sleep study may help identify recurring issues that remain unresolved, even after examining medications, medications timing and exercise. As always, consult your physician.

The is covered extensively in the presentation and video under the REM Sleep Disorder section. Melatonin and / or Clonazepam may be helpful in reducing dream enactment behavior. Sleeping in a safe space, separate of spouse or care partner may be advisable temporarily. You may need a sleep study to determine if this is truly REM Sleep Disorder behavior. For example, you may have sleep apnea which can cause sleep fragmentation and exacerbate dream enactment behavior. Again, speak with your doctor before exploring any of these medications or treatments.