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Hypnotic Discontinuation in Chronic Insomnia.
Sleep Med Clin 2018; 13(2):263-270SM

Abstract

Patients with chronic insomnia are commonly prescribed hypnotic medications. The long-term effects of chronic hypnotics are not known and discontinuation is encouraged but often difficult to achieve. A gradual taper is preferred to abrupt cessation to avoid rebound insomnia and withdrawal symptoms. Written information provided to the patient about medication discontinuation may be helpful. Cognitive behavioral therapy or behavioral therapies alone can improve hypnotic discontinuation outcomes. There is limited evidence for adjunct medications to assist in hypnotic cessation for insomnia.

Authors+Show Affiliations

Division of Pediatric Sleep Medicine, University of South Carolina School of Medicine-Greenville, Greenville Health System, 200 Patewood Drive, Suite A330, Greenville, SC 29615, USA. Electronic address: jhintze@ghs.org.Department of Medicine, National Jewish Health, 1400 Jackson Street, Denver, CO 80206, USA.

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

29759276

Citation

Hintze, Jonathan P., and Jack D. Edinger. "Hypnotic Discontinuation in Chronic Insomnia." Sleep Medicine Clinics, vol. 13, no. 2, 2018, pp. 263-270.
Hintze JP, Edinger JD. Hypnotic Discontinuation in Chronic Insomnia. Sleep Med Clin. 2018;13(2):263-270.
Hintze, J. P., & Edinger, J. D. (2018). Hypnotic Discontinuation in Chronic Insomnia. Sleep Medicine Clinics, 13(2), pp. 263-270. doi:10.1016/j.jsmc.2018.02.008.
Hintze JP, Edinger JD. Hypnotic Discontinuation in Chronic Insomnia. Sleep Med Clin. 2018;13(2):263-270. PubMed PMID: 29759276.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Hypnotic Discontinuation in Chronic Insomnia. AU - Hintze,Jonathan P, AU - Edinger,Jack D, PY - 2018/5/16/entrez PY - 2018/5/16/pubmed PY - 2018/9/12/medline KW - Benzodiazepines KW - Deprescribing KW - Discontinuation KW - Hypnotic KW - Insomnia KW - Sleep disorder SP - 263 EP - 270 JF - Sleep medicine clinics JO - Sleep Med Clin VL - 13 IS - 2 N2 - Patients with chronic insomnia are commonly prescribed hypnotic medications. The long-term effects of chronic hypnotics are not known and discontinuation is encouraged but often difficult to achieve. A gradual taper is preferred to abrupt cessation to avoid rebound insomnia and withdrawal symptoms. Written information provided to the patient about medication discontinuation may be helpful. Cognitive behavioral therapy or behavioral therapies alone can improve hypnotic discontinuation outcomes. There is limited evidence for adjunct medications to assist in hypnotic cessation for insomnia. SN - 1556-4088 UR - https://www.unboundmedicine.com/medline/citation/29759276/Hypnotic_Discontinuation_in_Chronic_Insomnia_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1556-407X(18)30010-9 DB - PRIME DP - Unbound Medicine ER -