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Related Experiment Videos

'Hypnotic' prescription patterns in a large managed-care population.

Timothy Roehrs1, Thomas Roth

  • 1Sleep Disorders and Research Center, Henry Ford Hospital, 2799 West Grand Blvd, Detroit, MI 48202, USA. taroehrs@aol.com

Sleep Medicine
|September 3, 2004
PubMed
Summary

Prescriptions for insomnia treatments have shifted towards non-hypnotics, despite limited data. Hypnotics are used cautiously, while anxiolytics and antidepressants are prescribed more frequently and chronically.

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Area of Science:

  • Pharmacology
  • Sleep Medicine
  • Health Services Research

Background:

  • Medical treatment for insomnia has decreased over the last decade.
  • There has been an observed increase in the use of non-hypnotic medications for insomnia treatment.

Purpose of the Study:

  • To assess the characteristics of insomnia prescriptions.
  • To evaluate the patient demographics associated with these prescriptions.

Main Methods:

  • A search of the Henry Ford Hospital, Health Alliance Plan (HAP) outpatient pharmacy database from January 1998 to June 1999.
  • Inclusion of 10 frequently used insomnia drugs, classified by indication: antidepressant, anxiolytic, or hypnotic.
  • Comparison of patient and prescription characteristics across the three indication groupings.

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Main Results:

  • Out of 287,456 patients, 7% received insomnia prescriptions.
  • Anxiolytics were the most common (55%), followed by antidepressants (25%), and hypnotics (20%).
  • Patients on hypnotics were more likely to be male, older, and received narrower dose ranges with fewer refills compared to other groups.

Conclusions:

  • Hypnotics are prescribed conservatively within this managed-care population.
  • Non-hypnotic medications, with limited efficacy and safety data, are prescribed more chronically.