There are several reasons why sleeplessness may be a problem during cancer therapies:

• Steroids

• Pain

• Aches in the joints

• Pins & needles

• Sore veins

• Anxiety

• Hot flushes (night sweats)

• Breathlessness

• Itching

• Having to pass water more often  - nocturia

To help with a good night sleep refer to the advice tip for each individual symptoms otherwise the following sleep hygiene tips may be helpful

 Sleep hygiene

• Discontinuing or reduce the use of caffeine, alcohol and nicotine.

• Avoid drinking large amounts of liquids prior to bedtime

• Avoid hunger or excessive eating prior to bedtime

• Avoid taking daytime naps.

• Establish a regular pattern of sleeping - set a time to go to bed & when to wake up.

• Sleep only as much as you need to feel rested.

• Go to bed only when you are sleep

• If you are unable to fall asleep within 20 - 30 mins leave the bed and
  perform a relaxing activity until drowsy and ready for sleep.

• Exercise routinely but do not exercise within 3 hours of bedtime.

• Engage in a quiet relaxing activity before bedtime

• Do not watch TV or read in bed

• Avoid temperature extremes, noise and light when in beds

• Ensure room is dark - use black out curtains if necessary