Pharmacotherapy for insomnia.

Author(s): Tariq SH, Pulisetty S

Affiliation(s): Department of Internal Medicine, Division of Geriatrics, Saint Louis University School of Medicine, 1402 So. Grand Boulevard M-238, Saint Louis, MO 63104, USA. tariqsh@slu.edu

Publication date & source: 2008-02, Clin Geriatr Med., 24(1):93-105, vii.

Publication type: Review

Hypnotics are commonly use in the treatment of insomnia, and hypnotic use among older adults is more prevalent than with younger adults. Unfortunately, the use of hypnotics is not well studied in the ever-growing geriatric population and the magnitude of the medication benefit is usually not impressive. Insomnia in older adults is usually treated with benzodiazepines, nonbenzodiazepines, and other agents, such as trazodone, valerian, and melatonin. Using appropriately selected agents and therapy initiated with a low dose and careful monitoring of the patient could minimize common unwanted side effects.