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Insomnia01:27

Insomnia

Insomnia is a prevalent sleep disorder characterized by difficulty falling asleep, frequent awakenings during the night, and waking up too early without being able to return to sleep. People with insomnia often experience these disruptions at least three nights a week for at least one month. Chronic insomnia, which lasts for at least three months, can lead to increased anxiety, which in turn can worsen sleep difficulties, creating a cycle of sleeplessness and stress.
Multiple factors contribute...
Management of Insomnia01:19

Management of Insomnia

The sleep cycle, an integral part of human health, consists of several stages with distinct characteristics and functions. It begins with a transition from wakefulness to sleep, known as the light sleep phase, followed by the restorative deep sleep phase, essential for physical recovery and growth. The cycle concludes with the Rapid Eye Movement (REM) phase, characterized by high brain activity and vivid dreaming. Insomnia, a prevalent sleep disorder, involves difficulty falling asleep, staying...
Sedatives and Hypnotics Drugs: Miscellaneous Agents01:17

Sedatives and Hypnotics Drugs: Miscellaneous Agents

Sedatives and hypnotics encompass a wide range of substances, each with its unique mechanism of action, uses, and potential adverse effects.
Melatonin congeners like ramelteon (Rozerem) and tasimelteon (Hetlioz) selectively bind to melatonin receptors (MT1 and MT2) and thus mimic the actions of melatonin, a hormone that regulates sleep-wake cycles. Tasimelteon is primarily used for non-24-hour sleep-wake disorder, common in blind patients. They are also used to treat conditions like insomnia...
CNS Depressants: Barbiturates and Benzodiazepines01:14

CNS Depressants: Barbiturates and Benzodiazepines

CNS depressants include drugs from the category of barbiturates and benzodiazepines. They are valuable medications for managing anxiety disorders and insomnia. Barbiturates, once used to induce and maintain sleep, have been replaced mainly by benzodiazepines due to barbiturate's toxicity, tolerance, and overdose risks. They interact with GABAA receptors, leading to sedation at low doses and potentially coma and death at higher doses. Phenobarbital, a long-acting barbiturate, possesses...
Sedatives and Hypnotics: Overview01:23

Sedatives and Hypnotics: Overview

Sedatives are drugs that alleviate anxiety, while hypnotics induce sleep. Both classes of medication suppress neuronal activity, leading to a calming effect for sedatives and facilitating sleep for hypnotics.
Sedative-hypnotics are categorized into barbiturates, benzodiazepines (BZDs), and non-benzodiazepines or Z-drugs. These drugs work by suppressing central nervous system activity, and this suppression is dose-dependent. Older sedative medications, like barbiturates, follow a linear curve in...
Narcolepsy01:07

Narcolepsy

Narcolepsy is a chronic sleep disorder characterized by pervasive, uncontrolled sleepiness and other sleep disturbances. One of its hallmark symptoms is an abrupt transition to REM sleep upon falling asleep, which causes symptoms typically associated with this phase to occur unexpectedly during wakefulness. These include the following symptoms, which typically last from a minute or two to half an hour.

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Related Experiment Video

Updated: Jun 11, 2026

Meta-Analysis of the Effectiveness and Safety of Shugan Jieyu Capsules for the Treatment of Insomnia
04:34

Meta-Analysis of the Effectiveness and Safety of Shugan Jieyu Capsules for the Treatment of Insomnia

Published on: February 17, 2023

Why treat insomnia?

Sara E Matteson-Rusby1, Wilfred R Pigeon, Philip Gehrman

  • 1Sleep and Neurophysiology Research Laboratory, Department of Psychiatry, University of Rochester, New York and Behavioral Sleep Medicine, Department of Psychiatry, University of Pennsylvania, Philadelphia.

Primary Care Companion to the Journal of Clinical Psychiatry
|June 29, 2010
PubMed
Summary
This summary is machine-generated.

Insomnia is a primary disorder, not merely a symptom. Effective treatments are available, suggesting that treating insomnia should become standard practice for reducing overall morbidity.

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Area of Science:

  • Sleep Medicine
  • Psychiatry
  • Internal Medicine

Background:

  • Insomnia is often viewed as a symptom of other conditions.
  • This perspective may limit the recognition and treatment of insomnia itself.

Purpose of the Study:

  • To argue for conceptualizing insomnia as a primary disorder.
  • To highlight the disabling, costly, and pervasive nature of insomnia.
  • To emphasize the safety and efficacy of insomnia treatments.

Main Methods:

  • Literature search of PubMed (1975-2009) using terms related to insomnia, its treatment, cost, and safety.
  • Selection of English-language articles supporting claims about insomnia's characteristics and treatment effectiveness.

Main Results:

  • Evidence suggests chronic insomnia is unremitting, disabling, costly, pervasive, and pernicious.
  • Insomnia treatments are demonstrated to be safe and effective.
  • Insomnia can be conceptualized as a comorbid condition with available interventions.

Conclusions:

  • Treating insomnia should become standard practice.
  • Effective insomnia treatment can reduce medical and psychiatric morbidity.
  • The focus should shift from 'Why treat insomnia?' to 'When isn't insomnia treatment indicated?'