[Insomnia and hypnotics]. 1995

K Kayed
Klinisk nevrofysiologisk seksjon og søvnlaboratorium, Sentralsykehuset i Akershus, Nordbyhagen.

This article outlines some of the new developments in the field of insomnia. To obtain a better understanding of insomnia and avoid the diversities of impractical diagnosis, the medical profession must universally agree on the classification of insomnia. This knowledge has to be available to all levels of the medical community, especially general practitioners. The article reviews some new data about classification, diagnosis, and treatment of insomnia. It discusses the definition of insomnia and sets up the accepted criteria for the severity of its various forms. The policy of using hypnotics in Norway is fairly restrictive. Only three hypnotics are available, two benzodiazepins (nitrazepam and flunitrazepam) and the newly introduced cyclopyrrolone (zopiclone). The mechanisms of action of various hypnotics on the gamma-aminobutyric acid system are briefly discussed, and guidelines are given for use and choice of hypnotics, their indications and contraindications. In any modern society like Norway, there should be a clear awareness of the impact of insomnia on the quality of life and the seriousness of the effects it can have on the everyday activities of subjects suffering from this disorder.

UI MeSH Term Description Entries
D006993 Hypnotics and Sedatives Drugs used to induce drowsiness or sleep or to reduce psychological excitement or anxiety. Hypnotic,Sedative,Sedative and Hypnotic,Sedatives,Hypnotic Effect,Hypnotic Effects,Hypnotics,Sedative Effect,Sedative Effects,Sedatives and Hypnotics,Effect, Hypnotic,Effect, Sedative,Effects, Hypnotic,Effects, Sedative,Hypnotic and Sedative
D007319 Sleep Initiation and Maintenance Disorders Disorders characterized by impairment of the ability to initiate or maintain sleep. This may occur as a primary disorder or in association with another medical or psychiatric condition. Disorders of Initiating and Maintaining Sleep,Insomnia,Sleeplessness,Chronic Insomnia,DIMS (Disorders of Initiating and Maintaining Sleep),Early Awakening,Insomnia Disorder,Nonorganic Insomnia,Primary Insomnia,Psychophysiological Insomnia,Rebound Insomnia,Secondary Insomnia,Sleep Initiation Dysfunction,Transient Insomnia,Awakening, Early,Dysfunction, Sleep Initiation,Dysfunctions, Sleep Initiation,Insomnia Disorders,Insomnia, Chronic,Insomnia, Nonorganic,Insomnia, Primary,Insomnia, Psychophysiological,Insomnia, Rebound,Insomnia, Secondary,Insomnia, Transient,Insomnias,Sleep Initiation Dysfunctions
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man

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