Insomnia in older adults: A review of treatment options.
review · Level V
Where this comes from
- Record sourced from PubMed, PMID 39746731.
- Also identified by DOI 10.3949/ccjm.92a.24073.
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Abstract
Insomnia is a common and challenging complaint in older adults (> 65 years) because of age-related alterations in sleep physiology. Cognitive behavioral therapy for insomnia is the gold standard for treatment of insomnia in young as well as older patients. Both clinicians and patients often prefer the simplicity of medication, but risks associated with some hypnotics increase with age. Pharmacologic options for older adults include low-dose doxepin, melatonin, ramelteon, and the dual orexin receptor antagonists. A well-informed clinician can help patients navigate the risks and benefits of both pharmacologic and behavioral options.
Medical subject headings
- Sleep Initiation and Maintenance Disorders
- Hypnotics and Sedatives
- Cognitive Behavioral Therapy