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Treatment options for insomnia.

Kalyanakrishnan Ramakrishnan1, Dewey C Scheid

  • 1Department of Family and Preventive Medicine, University of Oklahoma Health Sciences Center, Oklahoma City 73104, USA. kramakrishnan@ouhsc.edu

American Family Physician
|September 15, 2007
PubMed
Summary
This summary is machine-generated.

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Insomnia treatment depends on disruption frequency and daytime impact. Non-pharmacologic therapies like cognitive behavior therapy and exercise are recommended, with newer hypnotics preferred for chronic insomnia.

Area of Science:

  • Sleep Medicine
  • Neurology
  • Psychiatry

Background:

  • Insomnia's impact on daytime function dictates the need for evaluation and treatment.
  • Acute insomnia may not require extensive evaluation, but chronic or severe cases warrant a thorough medical assessment.

Purpose of the Study:

  • To outline the evaluation and treatment strategies for insomnia.
  • To differentiate between acute and chronic insomnia management.

Main Methods:

  • Review of current evidence-based guidelines for insomnia treatment.
  • Emphasis on non-pharmacologic interventions and pharmacologic options.

Main Results:

  • Cognitive behavior therapy (CBT) is effective for insomnia.

Related Experiment Videos

  • Exercise shows comparable efficacy to benzodiazepines for sleep improvement.
  • Nonbenzodiazepine hypnotics (e.g., zolpidem, ramelteon) are preferred for long-term chronic insomnia due to a better safety profile.

    • Conclusions:

    • Treatment should prioritize sleep hygiene and CBT.
    • Pharmacologic interventions, particularly newer nonbenzodiazepines, should be used judiciously for chronic insomnia.
    • Alcohol and routine antihistamine use are discouraged as sleep aids.