Difficulty initiating or maintaining sleep or nonrestorative sleep despite adequate opportunity and circumstances for sleep
Causes at least one of the following forms of daytime impai...
Daytime sleepiness and napping
Unintended sleep episodes (e.g. dozing at a stoplight while driving, working)
Insomnia history
Duration, time of problem
Sleep latency, difficulty in mainta...
Transient and short-term insomnia
May use medications for short-term use only; hypnotic sedatives favored
Self-medicating with alcohol can increase awakenings and sleep-stage changes.
Chronic i...
Daily exercise improves quality of sleep and may be more effective than medication.
Avoid exercise within 4 hours of bedtime.
Reassess need for me...
Anxiety (Generalized Anxiety Disorder); Depression; Fibromyalgia; Sleep Apnea, Obstructive
Algorithms: Anxiety; Insomnia, Chronic; Restless Legs Syndrome
G47.00 Insomnia, unspecified
F51.02 Adjustment insomnia
F51.01 Primary insomnia
F51.09 Oth insomnia not due to a substance or known physiol cond
G47.01 Insomnia due to medical condition
F51.03 P...
Treatment of underlying etiology of the insomnia and consistent sleep hygiene are key.
Most medications are indicated for short-term use only.
Sedative hypnotics are not recommended in t...
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Antidepressant drugs and the biochemical life cycles of norepinephrine and serotonin. MAO inhibitors, tricyclics, and SSRIs are used as antidepressants. MAO inhibitors enhance the actions of NE and 5-HT by preventing their enzymatic destruction. Tricyclics enhance NE and 5-HT action by blocking uptake. SSRIs act the same way but are selective for serotonin.
Antidepressant drugs and the biochemical life cycles of norepinephrine and serotonin. MAO inhibitors, tricyclics, and SSRIs are used as ant...