[Insomnia in the elderly].
In older persons, insomnia is a frequent problem with significant functional and psychological consequences. Use of over-the-counter medications is frequent and increases the risk of adverse events. Management of insomnia is based on a systematic evaluation that leads to targeted etiologic treatment when feasible. Non-pharmacological approach, including sleep hygiene and cognitive-behavioral therapy, remains effective in older persons. Hypnotics use remains nevertheless highly prevalent among elderly patients and withdrawal should be attempted after informing these patients of these drugs numerous side-effects.
Amatéis
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Service de gériatrie et réadaptation geriatrique Département de médecine, CHUV, 1011 Lausanne.
Büla
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D000368:Aged; D000375:Aging / Q000502:physiology / Q000523:psychology; D032763:Behavior Control; D015928:Cognitive Behavioral Therapy; D006801:Humans; D006993:Hypnotics and Sedatives / Q000009:adverse effects / Q000627:therapeutic use; D004366:Nonprescription Drugs / Q000009:adverse effects / Q000627:therapeutic use; D011788:Quality of Life; D007319:Sleep Initiation and Maintenance Disorders / Q000503:physiopathology / Q000523:psychology / Q000628:therapy*; D014149:Tranquilizing Agents / Q000009:adverse effects / Q000627:therapeutic use
D006993:Hypnotics and Sedatives; D004366:Nonprescription Drugs; D014149:Tranquilizing Agents