Insomnia. Safe and effective therapy for sleep problems in the older patient.

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Geriatrics. 2002 May;57(5):24-6, 29, 32 passim.
Insomnia. Safe and effective therapy for sleep problems in the older patient.

Schneider DL.

Department of Medicine, Division of General Medicine and Geriatrics, University of California, San Diego, USA.

Insomnia is a problem in all stages of life but is particularly common after age 65. A number of factors--including advanced age, psychosocial influences, medical illness, and the use of medications and alcohol--may disturb sleep architecture. Evaluation of insomnia in the older patient requires a careful history and physical examination, supplemented by a sleep diary. Treatment of underlying conditions and nonpharmacologic improvements in sleep hygiene are first-line therapy, but pharmacologic agents such as benzodiazepines, nonbenzodiazepine hypnotics, or antidepressants may be needed. Nonbenzodiazepines with rapid elimination may offer a lower side-effect profile than other hypnotic agents when used for insomnia in the older population.

online pharmacy ref. source: www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=12040591&dopt=Abstract

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