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33 - Management of insomnia in the elderly: the efficacy and safety of non-benzodiazepine hypnotics

from Part 4 - Treatment of sleep disorders in the elderly

Published online by Cambridge University Press:  04 August 2010

S. R. Pandi-Perumal
Affiliation:
Somnogen Inc, New York
Jaime M. Monti
Affiliation:
Universidad de la República, Uruguay
Andrew A. Monjan
Affiliation:
National Institute on Aging, Bethesda, Maryland
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Summary

Several facts have been established concerning sleep related to gender and age. The incidence of chronic insomnia was higher in older adults, who indicated that family-related stress and health-associated problems first precipitated their sleeping problem. In order to improve their sleep chronic insomniacs relied on physical exercise, relaxation techniques, over-the-counter (OTC) medication, or alcohol. Insomnia was associated with an increased number of physical disabilities, respiratory symptoms (chronic coughing, wheezing, or phlegm), OTC medication use, depressive symptoms, and poorer self-perceived health. The reduction in benzodiazepines (BZDs) hypnotic use has coincided with the introduction of a structurally dissimilar group of non-benzodiazepine (non-BZD) derivatives, such as the cyclopyrrolone agents zopiclone and eszopiclone, the imidazopyridine derivative zolpidem, and the pyrazolopyrimidine compound zaleplon. During treatment with extended-release zolpidem the most commonly observed events were somnolence, headache, and dizziness.
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Publisher: Cambridge University Press
Print publication year: 2009

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