Insomnia

What are the symptoms of insomnia

1.) difficulty iniating sleep

2.) difficulty maintaining sleep

3.) early morning waking

4.) poor sleep quality

If the patient has suspected depression and complains of insomnia what should you do

REFER

If the patient is less than 16 and complains of insomnia what should you do

REFER

If the patient has chronic insomnia>3 weeks and complains of insomnia what should you do

REFER

If the patient has Medications ADR and complains of insomnia what should you do

REFER, e.g. MAOIs, Fluoxetine, Phenytoin and Corticosteroids, Theopyline

What antihistamines are used for insomnia

1.) Diphenydramine(Nytol) have to be 16+

2.) Promethazine HCL(Sominex, Phenegran) need to be 16+

What are sleep hygiene advice

1.) avoid screen time before bed

2.) avoid napping midday

3.) have a good sleep routine

4.) avoid caffeine, energy drinks and alcohol