best drug for sleep maintenance insomnia

1 Despite being a common complaint among elderly people (aged 65 years and older), sleep disorders are rarely systematically diagnosed and treated, even by geriatric specialists. Insomnia is a condition that is underrecognized, underdiagnosed, and undertreated in the general population. In addition, newer research with emerging agents has been included for completeness. The following review presents clinical studies, survey results, and guidelines retrieved from peer-reviewed journals in the PubMed database using the search terms elderly, temazepam, trazodone, zolpidem, zaleplon, insomnia, and prevalence and the dates 1980 to 2003. Newer agents currently under investigation for insomnia hold promise for good efficacy and safety in the elderly population. Commonly prescribed medications have also been effective, though they have limitations. Nonpharmacologic interventions in elderly patients, especially use of behavioral therapy, have demonstrated some success. Management of insomnia in these patients requires very careful evaluation and exclusion of an underlying medical or psychiatric condition. Elderly patients are more likely to suffer from chronic insomnia characterized by difficulty maintaining sleep than difficulty initiating sleep. Insomnia is commonly seen in elderly populations and is associated with numerous individual and socioeconomic consequences.

Best drug for sleep maintenance insomnia