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불면증의 약물치료

Pharmacologic Treatments of Insomnia

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초록

Characterized by disorders of initiating or maintaining sleep, or nonrestorative sleep, insomnia is a prevalent condition that can coexist with psychiatric and medical illness and cause significant impairment of social and occupational functioning. Nonpharmacologic intervention in the treatment of insomnia includes behavioral and cognitive technique. Pharmacologic treatment should be considered for insomnia when the patient is significantly distressed by the presence of disturbed sleep or sleep disturbance is deleterious to the patient. Pharmacologic options include benzodiazepine receptor agonists, sedating antidepressants, antihistamines. The hypnotic drugs for insomnia should be carefully chosen, considering the characteristics of drugs and patients. The dose and treatment regimen for drug should be carefully and specifically prescribed and monitored by the physician.

Abstract

Characterized by disorders of initiating or maintaining sleep, or nonrestorative sleep, insomnia is a prevalent condition that can coexist with psychiatric and medical illness and cause significant impairment of social and occupational functioning. Nonpharmacologic intervention in the treatment of insomnia includes behavioral and cognitive technique. Pharmacologic treatment should be considered for insomnia when the patient is significantly distressed by the presence of disturbed sleep or sleep disturbance is deleterious to the patient. Pharmacologic options include benzodiazepine receptor agonists, sedating antidepressants, antihistamines. The hypnotic drugs for insomnia should be carefully chosen, considering the characteristics of drugs and patients. The dose and treatment regimen for drug should be carefully and specifically prescribed and monitored by the physician.

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