Management of insomnia in primary care

Lauren Ng; David Cunnington

doi:10.18773/austprescr.2021.027

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Journal article

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Peer reviewed

Management of insomnia in primary care

Lauren Ng and David Cunnington

Australian Prescriber, Vol.44(4), pp.124-128

2021

DOI: https://doi.org/10.18773/austprescr.2021.027

PMID: 34421177

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Abstract

benzodiazepines

cognitive behavioural therapy

hypnotics

insomnia

sleep disturbance

sleep–wake disorders

Insomnia can have significant health and economic impacts. In contrast, sleep disturbance is common but does not usually affect daytime activity. Short‑term approaches for acute insomnia are often appropriate. These include dealing with precipitating factors such as stress. Chronic insomnia has a high relapse and recurrence rate. It is best managed with cognitive behavioural therapy which includes sleep hygiene, stimulus control and sleep restriction. In primary care, brief behavioural therapy for insomnia is an accessible and effective management strategy. If there is no response, referral should be considered. Adjuvant use of drugs in insomnia may be appropriate in some cases. Prescription should be for a limited duration.

Details

Title: Management of insomnia in primary care
Authors: Lauren Ng - Melbourne Sleep Disorders Centre
David Cunnington - Melbourne Sleep Disorders Centre
Publication details: Australian Prescriber, Vol.44(4), pp.124-128
Publisher: National Prescribing Service Ltd.
Date published: 2021
DOI: 10.18773/austprescr.2021.027
ISSN: 1839-3942
PMID: 34421177
Organisation Unit: Thompson Institute
Language: English
Record Identifier: 991239798902621
Output Type: Journal article

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