What is your approach to patients requesting prescription sleep aids, such as trazodone, quetiapine, or olanzapine, at discharge after they have found them beneficial during a prolonged hospitalization?

I don't see the harm in continuing a patient on trazodone or melatonin on discharge until they see their PCP, if they were benefiting from it in the hospital. For example, if you see a dementia patient with sundowning and have helped them sleep peacefully with trazodone, melatonin, or low-dose Remer...

In-hospital sleep aids are of questionable value Longino et al., PMID 37534692. On the other hand, no one wants their patient to be miserable, and many of our patients end up on them.

Insomnia during an acute hospitalization doesn't always persist. For chronic meds, I really prefer to defer to the PC...