Sleep Disorders

Jan 15, 2009 Issue
Nonpharmacologic Management of Chronic Insomnia [Article]

Chronic insomnia is highly prevalent in our society, with an incidence of 10 to 30 percent. It is a major cost to society in terms of health care expenditure and reduced productivity. Nonpharmacologic interventions have been studied and shown to produce reliable and sustained improvements in sleep p...

Aug 15, 2007 Issue
Treatment Options for Insomnia [Article]

The frequency of sleep disruption and the degree to which insomnia significantly affects daytime function determine the need for evaluation and treatment. Physicians may initiate treatment of insomnia at an initial visit; for patients with a clear acute stressor such as grief, no further evaluation ...

Apr 15, 2006 Issue
Ramelteon (Rozerem) for Insomnia [STEPS]

Ramelteon is safe and effective for decreasing the time to persistent sleep in patients with chronic insomnia. It does not have the potential for abuse or dependence that sedative hypnotics have and is not a controlled substance.

Mar 1, 2006 Issue
Oral Appliances for Obstructive Sleep Apnea? [Cochrane for Clinicians]

Although oral appliances provide improved subjective sleepiness and sleep-disordered breathing, continuous positive airway pressure (CPAP) is more effective. Oral appliances should not be used as a first-line treatment but rather should be reserved for patients who cannot tolerate CPAP or who refuse to use it.

Jul 15, 2005 Issue
AAP Releases Report on Excessive Sleepiness in Adolescents [Practice Guidelines]

Inadequate sleep has become a widespread problem for adolescents. The American Academy of Pediatrics (AAP) has released a technical report on the causes and consequences of adolescent sleepiness.

Jun 15, 2005 Issue
Eszopiclone (Lunesta) for Treatment of Transient and Chronic Insomnia [STEPS]

Similar to other hypnotic drugs, eszopiclone treats the symptom of insomnia and not the underlying cause. It offers no advantage over other nonbenzodiazepine hypnotic agents for transient insomnia and it therefore should be considered a second-line agent.

Mar 1, 2004 Issue
Obstructive Sleep Apnea in Children [Article]

Obstructive sleep-disordered breathing is common in children. From 3 percent to 12 percent of children snore, while obstructive sleep apnea syndrome affects 1 percent to 10 percent of children. The majority of these children have mild symptoms, and many outgrow the condition. Consequences of untreat...

Feb 1, 2004 Issue
Treatment of Obstructive Sleep Apnea in Primary Care [Article]

Obstructive sleep apnea should be suspected in patients who are overweight snore loudly, and have chronic daytime sleepiness. The diagnosis of sleep apnea may be confirmed by sleep laboratory studies. Patients' symptoms and the frequency of respiratory events on laboratory testing are important fact...

Oct 1, 2002 Issue
Obstructive Sleep Apnea Syndrome in Children [Practice Guidelines]

The American Academy of Pediatrics (AAP) has developed a practice guideline on the diagnosis and management of obstructive sleep apnea syndrome in children. This syndrome occurs in children of all ages, but it is thought to be most common in preschool-aged children.

Jan 15, 2002 Issue
Treating Obstructive Sleep Apnea Improves Essential Hypertension and Quality of Life [Article]

About one half of patients who have essential hypertension have obstructive sleep apnea, and about one half of patients who have obstructive sleep apnea have essential hypertension. A growing body of evidence suggests that obstructive sleep apnea is a major contributing factor in the development of ...

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