Psychiatr. pro Praxi, 2009; 10(3): 125-129
Hypnotics are among the most commonly prescribed drugs. However, it must be remembered that the basic approach to a patient
with insomnia involves nonpharmacological interventions such as assessment and clarification of sleep hygiene principles. Moreover,
most insomnias, including all acute and secondary insomnias, are caused by other, external (non-sleep) factors. By altering these, sleep
can be improved even without administering hypnotics. Of drugs affecting insomnia, third-generation hypnotics are administered in
a short term as first-choice drugs. BZDs are considered second-choice drugs while other substances with antihistaminergic activity are
considered third-choice drugs. Antidepressants with a hypnotic effect are preferred for long-term administration.
Published: May 1, 2009 Show citation