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How do you approach the choice of pharmacological therapy when treating insomnia in older adults in the outpatient setting with a high falling risk?

Are there any pearls re: which therapies that may be slightly safer vs to be strongly avoided?
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What is your go-to choice of pharmacological therapy when treating insomnia in older adults in the outpatient setting with a high falling risk?

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1 Answer
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Geriatric Medicine · Yale University
Answered on · Updated on

My approach is to first see if there are non-pharmacologic options to help with sleep - are there behavioral factors to target (e.g., caffeine or alcohol use; inappropriate sleep scheduling or daytime napping), medications that could disrupt sleep-wake schedules, or untreated sleep or mood disorders...

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