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[Insomnia in the elderly]
1Service de gériatrie et réadaptation geriatrique Département de médecine, CHUV, 1011 Lausanne.
Abstract:
In older persons, insomnia is a frequent problem with significant functional and psychological consequences. Use of over-the-counter medications is frequent and increases the risk of adverse events. Management of insomnia is based on a systematic evaluation that leads to targeted etiologic treatment when feasible. Non-pharmacological approach, including sleep hygiene and cognitive-behavioral therapy, remains effective in older persons. Hypnotics use remains nevertheless highly prevalent among elderly patients and withdrawal should be attempted after informing these patients of these drugs numerous side-effects.
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