RT Journal Article
SR Electronic
T1 Insomnia in older adults: A review of treatment options
JF Cleveland Clinic Journal of Medicine
JO Cleve Clin J Med
FD Cleveland Clinic
SP 43
OP 50
DO 10.3949/ccjm.92a.24073
VO 92
IS 1
A1 León-Barriera, Roberto
A1 Chaplin, Margaret M.
A1 Kaur, Jasleen
A1 Modesto-Lowe, Vania
YR 2025
UL http://www.ccjm.org/content/92/1/43.abstract
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.