DrLullaby转发了
Do you, or your loved ones take a sleeping pill? You’re certainly not alone. Use of sleeping pills are sadly on the rise, and in my opinion, mirroring many of the opioid crisis elements. Prevalence of US patients taking sleeping pills: 2005-2010: 4% 2020: 8% 2023: 19% In looking back to the first publications in the 1800’s on insomnia, the treatment focus was on choral hydrate. This old-school benzodiazepine was found to be unsafe and effectively banned (!) for outpatient use due to side effects and dependency issues. What will people say about the current benzo’s used for sleep, years from now? Will we look back and say “I can’t believe such heavy medications were taken by such a large portion of the population”? How many incidents of senior falls, addiction, sleep driving, and cognitive challenges do we need to see before prioritizing the actual first-line treatment for insomnia - Cognitive Behavioral Treatment for Insomnia? One day at a time, I’ll keep getting on my soap box, and reminding everyone that the American College of Physicians, and American Academy of Sleep Medicine continue to recommend CBT-I before sleeping pills should be considered.