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Abuse of over-the-counter or prescription sleep aids (sedative or depressant drugs) can produce rebound insomnia; Poor sleep hygiene, e.g., noise or over-consumption of caffeine; A rare genetic condition can cause a prion-based, permanent and eventually fatal form of insomnia called fatal familial insomnia
Suvorexant is approved for the treatment of insomnia by the United States Food and Drug Administration (FDA) at doses of 5 to 20 mg and by the Australian Therapeutic Goods Administration (TGA) and Japanese Pharmaceuticals and Medical Devices Agency (PMDA) at doses of 15 mg (in the elderly) and 20 mg (in younger adults).
It reduces the time taken to fall asleep, but the degree of clinical benefit is small. [6] The medication is approved for long-term use. [3] Ramelteon is taken by mouth. [3] Side effects of ramelteon include somnolence, dizziness, fatigue, nausea, exacerbated insomnia, and changes in hormone levels. [3]
Sleep medicine is a medical specialty or subspecialty devoted to the diagnosis and therapy of sleep disturbances and disorders. From the middle of the 20th century, research has provided increasing knowledge of, and answered many questions about, sleep–wake functioning.
When it comes to prescription sleep aids, such as Ambien (zolpidem), Sonata (zaleplon), and Restoril (temazepam, a highly addictive benzodiazepine), all are explicitly not to be used in children.
Melatonin is the most popular over-the-counter sleep remedy in the United States, resulting in sales in excess of US$400 million during 2017. In 2021, it was the 257th most commonly prescribed medication in the US, with more than 1 million prescriptions.
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