Pharmacologic Treatment of Insomnia

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Insomnia is a common disorder causing difficulty in falling asleep or staying asleep, with associated daytime impairment. A multitude of medications have been used to treat insomnia including benzodiazepines, nonbenzodiazepines, a melatonin receptor agonist, sedating antidepressants, atypical antipsychotics and over-the-counter substances. These medicines vary in efficacy and side effect profile. Factors that need to be considered when deciding upon which drug to use include symptom pattern, cost, past treatment responses, comorbid conditions, and drug interactions. Research supports the efficacy of benzodiazepines, nonbenzodiazepines, and ramelteon; however, more studies need to be done to assess the usefulness of other classes of medication, long-term usage of hypnotics and the combination of drugs from various classes of medication.

Original languageEnglish (US)
Title of host publicationEncyclopedia of Sleep
PublisherElsevier Inc.
Pages296-301
Number of pages6
ISBN (Electronic)9780123786111
ISBN (Print)9780123786104
DOIs
StatePublished - Jan 1 2013

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Keywords

  • Benzodiazepines
  • Insomnia
  • Melatonin
  • Nonbenzodiazepines
  • Pharmacology
  • Ramelteon
  • Sedating antidepressants
  • Valerian

ASJC Scopus subject areas

  • Medicine (miscellaneous)

Cite this

Monderer, R., Harris, S., & Thorpy, M. J. (2013). Pharmacologic Treatment of Insomnia. In Encyclopedia of Sleep (pp. 296-301). Elsevier Inc.. https://doi.org/10.1016/B978-0-12-378610-4.00200-X