Table 2.

Medications and other substances that can contribute to insomnia

CLASSMEDICATION OR SUBSTANCE
PsychiatricSelective serotonin reuptake inhibitors
Serotonin-norepinephrine reuptake inhibitors
Psychostimulants: methylphenidate, modafinil
Cholinesterase inhibitors (eg, donepezil)
CardiovascularAngiotensin-converting enzyme inhibitors, diuretics, α-blockers, angiotensin receptor blockers, β-blockers, calcium channel blockers, statins
RespiratoryBronchodilators (eg, salbutamol), theophylline
NeurologicDopaminergic agonists (eg, levodopa)
GastrointestinalHistamine-2 blockers: ranitidine, cimetidine
AnalgesicsOpioids (chronic use)
OthersCaffeine, nicotine, alcohol, glucocorticoids