[Update on Current Care Guideline: Insomnia]

Duodecim. 2016;132(3):277-8.
[Article in Finnish]

Abstract

Insomnia symptoms must be differentiated from insomnia disorder. The correct aiagnosis or insomnia aisoraer is important, as insomnia may also be a symptom of many other diseases. Cognitive behavioral methods are recommended as first-line treatment options. Treatment of acute insomnia with hypnotics should not exceed two weeks. In elderly persons adverse effects of hypnotics may exceed their beneficial effects in long-term use. Antidepressive medications acting on the histamine-1 system may be used in very small doses. The new guideline includes e.g. insomnia in pregnant and menopausal women and in cancer patients, and driving issues.

MeSH terms

  • Antidepressive Agents / therapeutic use
  • Automobile Driving
  • Cognitive Behavioral Therapy
  • Diagnosis, Differential
  • Female
  • Humans
  • Hypnotics and Sedatives / therapeutic use
  • Male
  • Menopause
  • Practice Guidelines as Topic
  • Pregnancy
  • Sleep Initiation and Maintenance Disorders / diagnosis*
  • Sleep Initiation and Maintenance Disorders / therapy*

Substances

  • Antidepressive Agents
  • Hypnotics and Sedatives