Primary Insomnia (cont.)
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Primary Insomnia Medications
Pharmacologic treatment usually provides rapid symptomatic relief.
Hypnotics (agents that promote sleep) and benzodiazepines (compounds with antianxiety, hypnotic, anticonvulsant, and muscle relaxant properties) are the mainstays of short-term treatment of primary insomnia.
Basic principles for the treatment of insomnia include the following:
*Zolpidem and Zaleplon are not structurally related to benzodiazepines.
Common side effects of hypnotics are as follows:
Not everyone should take hypnotic medications. Contraindications of hypnotics are as follows:
Caution and close monitoring is needed in older people and in persons with hepatic, renal, or pulmonary disease.
Medically Reviewed by a Doctor on 1/8/2015
Aparna Ranjan, MD
Angela Gentili, MD
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