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Updated: May 7, 2025

Meta-Analysis of the Effectiveness and Safety of Shugan Jieyu Capsules for the Treatment of Insomnia
Published on: February 17, 2023
Insomnia in older adults: A review of treatment options
Roberto León-Barriera1, Margaret M Chaplin2, Jasleen Kaur3
1Assistant Professor, Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA leonbarrierara@upmc.edu.
Abstract:
Insomnia is a common and challenging complaint in older adults (> 65 years) because of age-related alterations in sleep physiology. Cognitive behavioral therapy for insomnia is the gold standard for treatment of insomnia in young as well as older patients. Both clinicians and patients often prefer the simplicity of medication, but risks associated with some hypnotics increase with age. Pharmacologic options for older adults include low-dose doxepin, melatonin, ramelteon, and the dual orexin receptor antagonists. A well-informed clinician can help patients navigate the risks and benefits of both pharmacologic and behavioral options.
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