Insomnia
- CBT-I is first-line for chronic insomnia
- Treat apnea, RLS, substances + circadian issues
- If drug needed: match to sleep complaint
- onset: zaleplon/zolpidem
- maintenance: DORA or low-dose doxepin
- Avoid routine antipsychotic use for insomnia
- BZD/Z-drug: falls + dependence risk
Use at a glance
- CBT-I is first-line for chronic insomnia
Choosing treatment
- If drug needed: match to sleep complaint
- onset: zaleplon/zolpidem
- maintenance: DORA or low-dose doxepin
Practical pearls
- Treat apnea, RLS, substances + circadian issues
Safety / pitfalls
- Avoid routine antipsychotic use for insomnia
- BZD/Z-drug: falls + dependence risk
Self-check
- What should be treated in Insomnia?
apnea, RLS, substances + circadian issues.
- What is first-line treatment for Insomnia?
CBT-I.
Drugs used for this (20)
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