Insomnia Flashcards
(13 cards)
Which conditions involving sleep require DVLA notification?
Obstructive sleep apnoea of any severity
Narcolepsy
If on any medications that cause daytime sleepiness
1st line PHARMACOLOGICAL therapy in short-term insomnia likely to resolve soon?
3-7 days of non-benzodiazepine hypnotic e.g., Z drug
1st line therapy for short-term insomnia?
Sleep hygiene measures
Short-term insomnia definition?
<3 months
1st line therapy for short-term insomnia not likely to resolve soon?
CBT and CONSIDER short-term hypnotic (maximum 2 weeks but 1 week preferred)
1st line therapy for long-term insomnia
CBT and CONSIDER short-term hypnotic (maximum 2 weeks but 1 week preferred) e.g., z-drug or melatonin MR if >55
Who should not be prescribed short-term hypnotics?
Patients who are pregnant, elderly, or breastfeeding
When should pharmacological therapy in short-term insomnia be considered?
When sleep hygiene measures have failed AND daytime sleepiness is impairing function AND insomnia is likely to resolve
Recommended follow up time for insomnia treatment?
2-4 weeks dependent upon clinical situation
Licensing for daridoxent in insomnia?
For long-term insomnia where CBT/sleep hygiene measures have failed and daytime functioning considerably impaired
What is NOT recommended to treat insomnia?
OTC medicines for insomnia
If there is no response to a hypnotic should another be prescribed?
No- even if different MOA
Sleep hygiene measures
Avoid blue light 1 hour before bed
Avoid nicotine/alcohol 2 hours before bed
Avoid caffeine after mid-day
