Treatment of chronic insomnia in adults

Karen Clarke; Nicola Orlov; Christine Soong

doi:10.46747/cfp.7003176

Research ArticleChoosing Wisely Canada

Treatment of chronic insomnia in adults

Karen Clarke, Nicola Orlov and Christine Soong

Canadian Family Physician March 2024; 70 (3) 176-178; DOI: https://doi.org/10.46747/cfp.7003176

Karen Clarke

Associate Professor in the Division of Hospital Medicine at Emory University School of Medicine in Atlanta, Ga.

MD MSc MPH

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Nicola Orlov

Associate Professor in the Section of Pediatric Hospital Medicine at the University of Chicago Pritzker School of Medicine in Illinois.

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Christine Soong

Associate Professor in the Division of General Internal Medicine at the University of Toronto in Ontario.

MD MSc

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Table 1.

Medications that may affect sleep

MEDICATION CLASS	COMMON EXAMPLES
Anticholinergics	Dimenhydrinate, diphenhydramine, meclizine
Sedating antidepressants	Amitriptyline, desipramine, nortriptyline, paroxetine
Benzodiazepines	Alprazolam, lorazepam, oxazepam, temazepam
Benzodiazepine receptor agonist “z drugs”	Zopiclone, zolpidem
Diuretics	Furosemide, indapamide
Muscle relaxants	Baclofen, cyclobenzaprine
Opioids	Morphine, hydromorphone, codeine
Steroids	Dexamethasone, prednisone

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Canadian Family Physician

Vol. 70, Issue 3

1 Mar 2024

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Treatment of chronic insomnia in adults

Karen Clarke, Nicola Orlov, Christine Soong

Canadian Family Physician Mar 2024, 70 (3) 176-178; DOI: 10.46747/cfp.7003176

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Treatment of chronic insomnia in adults

Karen Clarke, Nicola Orlov, Christine Soong

Canadian Family Physician Mar 2024, 70 (3) 176-178; DOI: 10.46747/cfp.7003176

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Assurer l’évolutivité de la médecine familiale
Traitement de l’insomnie chronique chez les adultes

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