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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?

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Mednet Member
Mednet Member
Geriatric Medicine · Yale University

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