Insomnia in older adults: A review of treatment options.

Roberto León-Barriera, Margaret M Chaplin, Jasleen Kaur, Vania Modesto-Lowe

Review Cleveland Clinic journal of medicine 2025 12 citas

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Study Design

Tipo de estudio: review

Intervención: Insomnia in older adults: A review of treatment options. various
Comparador: Placebo
Dirección del efecto: Positive
Riesgo de sesgo: Moderate

Abstract

Insomnia is a common and challenging complaint in older adults (> 65 years) because of age-related alterations in sleep physiology. Cognitive behavioral therapy for insomnia is the gold standard for treatment of insomnia in young as well as older patients. Both clinicians and patients often prefer the simplicity of medication, but risks associated with some hypnotics increase with age. Pharmacologic options for older adults include low-dose doxepin, melatonin, ramelteon, and the dual orexin receptor antagonists. A well-informed clinician can help patients navigate the risks and benefits of both pharmacologic and behavioral options.

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Insomnia in older adults: A review of treatment options.

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Abstract

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