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If sleepwalking is caused by underlying medical conditions, for example, gastroesophageal reflux, obstructive
sleep apnea, periodic leg movements (restless legs syndrome), or seizures, the underlying medical condition should be treated.
Medications for the treatment of sleepwalking disorder may be necessary in the following situations:
Benzodiazepines, such as estazolam (ProSom), or tricyclic antidepressants, such as trazodone (Desyrel), have been shown to be useful. Clonazepam (Klonopin) in low doses before bedtime and continued for 3-6 weeks is also usually effective.
Medication can often be discontinued after 3-5 weeks without recurrence of symptoms. Occasionally, the frequency of episodes increases briefly after discontinuing the medication.
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