PT  - JOURNAL ARTICLE
AU  - León-Barriera, Roberto
AU  - Chaplin, Margaret M.
AU  - Kaur, Jasleen
AU  - Modesto-Lowe, Vania
TI  - Insomnia in older adults: A review of treatment options
AID  - 10.3949/ccjm.92a.24073
DP  - 2025 Jan 01
TA  - Cleveland Clinic Journal of Medicine
PG  - 43--50
VI  - 92
IP  - 1
4099  - http://www.ccjm.org/content/92/1/43.short
4100  - http://www.ccjm.org/content/92/1/43.full
SO  - Cleve Clin J Med2025 Jan 01; 92
AB  - Insomnia is a common and challenging complaint in older adults (> 65 years) because of age-related alterations in sleep physiology. Cognitive behavioral therapy for insomnia is the gold standard for treatment of insomnia in young as well as older patients. Both clinicians and patients often prefer the simplicity of medication, but risks associated with some hypnotics increase with age. Pharmacologic options for older adults include low-dose doxepin, melatonin, ramelteon, and the dual orexin receptor antagonists. A well-informed clinician can help patients navigate the risks and benefits of both pharmacologic and behavioral options.