Alliance for Sleep Clinical Practice Guideline on Switching or Deprescribing Hypnotic Medications for Insomnia.

Author: BencaRuth M, KrystalAndrew D, McCallWilliam V, NeubauerDavid N, WatsonNathaniel F

Paper Details 
Original Abstract of the Article :
Determining the most effective insomnia medication for patients may require therapeutic trials of different medications. In addition, medication side effects, interactions with co-administered medications, and declining therapeutic efficacy can necessitate switching between different insomnia medica...See full text at original site
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引用元:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10095217/

データ提供:米国国立医学図書館(NLM)

Switching Up Your Sleep Routine: A Guide to Insomnia Medications

The world of insomnia treatments is as vast as a desert, full of different medications that can help you find sweet slumber. This study dives into the intricacies of switching or stopping these medications, a journey as complex as navigating a sandstorm. It uses a thorough approach, much like a seasoned camel caravan leader, to provide evidence-based guidelines for clinicians. The study analyzed existing research and consulted with sleep experts to determine the best practices for switching between insomnia medications or stopping them altogether.

The researchers found that tapering benzodiazepines is a safe and effective way to reduce their use, especially when combined with cognitive behavioral therapy for insomnia (CBT-I). This approach is like slowly easing a camel into a new saddle to avoid discomfort. Similarly, they recommend tapering Z-drugs like zolpidem and eszopiclone, while DORAs, doxepin, and ramelteon can be stopped without tapering. It's also important to gradually decrease the dosage of antidepressants and antipsychotics used for insomnia.

The study also highlights the importance of involving patients in the decision-making process, a key element in a successful journey through the desert of insomnia. Providing clear explanations and making patients feel involved can make the transition smoother and more effective.

A Holistic Approach to Insomnia

This study emphasizes the importance of taking a comprehensive approach to treating insomnia, much like a camel caravan preparing for a long journey. It's not just about relying on medications but also integrating other therapies like CBT-I. This approach can lead to more sustained sleep improvements compared to medication alone. A combination of different strategies is like having multiple tools in your kit, allowing for more efficient navigation through the challenges of insomnia.

Sleep Well, Live Well

The findings of this research underscore the importance of tailoring insomnia treatment to individual needs. Just as a camel caravan needs different supplies for different terrains, different individuals will benefit from different approaches. By understanding the nuances of medication use, clinicians can create personalized plans that promote healthier sleep habits and a more comfortable transition between medications.

Dr.Camel's Conclusion

This research offers a valuable compass for navigating the ever-shifting landscape of insomnia treatment. By embracing a holistic approach, integrating behavioral therapies, and understanding the complexities of medication switching, we can help people find their way to a peaceful sleep oasis.

Date :
  1. Date Completed n.d.
  2. Date Revised 2023-04-15
Further Info :

Pubmed ID

37048577

DOI: Digital Object Identifier

PMC10095217

SNS
PICO Info
in preparation
Languages

English

Positive IndicatorAn AI analysis index that serves as a benchmark for how positive the results of the study are. Note that it is a benchmark and requires careful interpretation and consideration of different perspectives.

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