Strategy for prescribing hypnotics

ABSTRACT

The present article identifies the appropriate strategies for the prescription of hypnotic drugs. Initially, a clinical evaluation of insomnia is provided which includes definitions of good and poor sleepers and the physiology of sleep. The article then proceeds to discuss drugs commonly used in the treatment of sleep disorders such as, barbiturates, benzodiazepines and other, newer compounds. The pharmacokinetic properties of these compounds are briefly described, as are effects of age. The review concludes with suggestions for the proper identification of patients requiring chemical treatment for sleep disorders, and highlights methodologies for choosing the most beneficial pharmacological tools