Sedative–Hypnotic Agents
Insomnia
is a significant health care problem. It can create daytime fatigue, impaired
social or occupational functioning, and reduced quality of life. Patients with
insomnia are less productive workers, more prone to motor vehicle and workplace
accidents, and utilize the general medical health care system to a greater
degree than patients with normal sleep habits (Simon and VonKorff, 1997).
The
elderly and patients with underlying psychiatric dis-orders are particularly
prone to sleep difficulties. Schizophrenia, anxiety disorders and mood
disorders frequently cause signifi-cant insomnia. Treatment of the underlying
psychiatric illness often improves sleep. Sometimes, however, the medications
used to treat the psychiatric illness may create insomnia as well. For example,
selective serotonin reuptake inhibitors (SSRI) (particu-larly during the early
weeks of treatment) may cause insomnia, even when they effectively treat an
underlying depression.
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