title: [Update on Current Care Guideline: Insomnia].
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.
authors.forename: Markku
authors.initials: M
authors.lastname: Partinen
authors.forename: Anne
authors.initials: A
authors.lastname: Huutoniemi
authors.forename: Soili
authors.initials: S
authors.lastname: Kajaste
authors.forename: Rea
authors.initials: R
authors.lastname: Lagerstedt
authors.forename: Juha
authors.initials: J
authors.lastname: Markkula
authors.forename: Erkki
authors.initials: E
authors.lastname: Mäkinen
authors.forename: Ilari
authors.initials: I
authors.lastname: Paakkari
authors.forename: Timo
authors.initials: T
authors.lastname: Partonen
authors.forename: Päivi
authors.initials: P
authors.lastname: Polo
authors.forename: Outi
authors.initials: O
authors.lastname: Saarenpää-Heikkilä
authors.forename: Maaria
authors.initials: M
authors.lastname: Seppälä
authors.forename: Katriina
authors.initials: K
authors.lastname: Kukkonen-Harjula
authors.forename: Arja
authors.initials: A
authors.lastname: Tuunainen
mesh_terms: D000928:Antidepressive Agents / Q000627:therapeutic use; D001334:Automobile Driving; D015928:Cognitive Behavioral Therapy; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D006993:Hypnotics and Sedatives / Q000627:therapeutic use; D008297:Male; D008593:Menopause; D017410:Practice Guidelines as Topic; D011247:Pregnancy; D007319:Sleep Initiation and Maintenance Disorders / Q000175:diagnosis* / Q000628:therapy*
chemical_list: D000928:Antidepressive Agents; D006993:Hypnotics and Sedatives