%0 Journal Article
%T An approach to long-term sedative-hypnotic use
%A Shahid A
%A Chung SA
%A Phillipson R
%A Shapiro CM
%J Nature and Science of Sleep
%D 2012
%I 
%X Azmeh Shahid, Sharon A Chung, Ron Phillipson, Colin M ShapiroDepartment of Psychiatry, University of Toronto and Toronto Western Hospital, University Health Network, Toronto, CanadaAbstract: Insomnia is a common, often chronic medical disorder with significant medical and socioeconomic repercussions. However, unlike other medical conditions, there is intense debate as to whether the long-term treatment of insomnia is clinically appropriate. The perceived deleterious side effect of sedative-hypnotic medications may result in patients remaining untreated or undertreated. This review proposes that a more subtle approach needs to be taken in the management of patients with chronic insomnia and that long-term use of the newer sedative-hypnotics may be a feasible and effective treatment option when used in conjunction with thorough medical assessment and regular patient follow-up. This review discusses these issues and discusses the pros and cons of long-term sedative-hypnotic use.Keywords: insomnia, long-term use, hypnotics
%U http://www.dovepress.com/an-approach-to-long-term-sedative-hypnotic-use-a9617