OPTIONS for the SLEEPLESS

This presentation gives an overview of the major categories of medications I think of when a patient presents with a chief complaint of insomnia. I discuss some of the variables that come into play when considering which agents might be options, define the three types of insomnia, give a detailed review of the current diagnostic criteria for Insomnia Disorder (DSM-5), and then discuss the following specific medications: 00:00 Introduction 01:22 Case considerations 03:30 Three Types of Insomnia 05:36 Insomnia Disorder (DSM-5) 10:07 Melatonin 14:30 Ramelteon 15:31 Barbiturates 16:14 Benzodiazepines ("Benzos") 17:50 Ambien, Ambien CR (zolpidem, continued at 19:45) 18:54 Ativan (lorazepam) 20:05 Intermezzo (zolpidem SL) 20:32 Sonata and Lunesta 21:22 Trazodone 24:19 Remeron (mirtazepine) 27:46 Tricyclic Antidepressants 28:23 Doxepin 33:12 Clonidine 35:31 Lyrica