09. Use of Sedative-Hypnotic Drugs in the Elderly
Key Points
- Sleep hygiene is a first-line treatment of insomnia in geriatrics
- If a benzodiazepine must be used in an older patient, only lorazepam and oxazepam are drugs of choice
- OTC antihistamines show rapid tolerance, are associated with serious anticholinergic side effects and drug interactions.
- Other drugs that can be used include: trazodone, gabapentin, low-dose mirtazapine, and ramelteon
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