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Types Of Medications Used In The Treatment Of Insomnia-part 3 Over-the-Counter (OTC) Medications for the treatment of insomnia are those that can be purchased from a pharmacy without a prescription. These include medications such as Nytol, Sleep-Eze, Sominex, and others. Most of these products contain antihistamines, such as diphenhydramine (Benadryl), that act as sedatives.
The effects of antihistamines on sleep have been reported. Doses of 25 mg and 50 mg have been shown to promote sleep. However, people with insomnia who use these medications may not experience relief from their symptoms, and may experience adverse effects associated with their use. Some antihistamines produce effects such as dry mouth, dry eyes, urinary retention, confusion, and even delirium. Some users complain of vivid dreams and next day hangover effects when using an OTC product for sleep. Sedating Antidepressants are prescription medications that have been developed for the treatment of depression, but that are known to have sedative side effects. These medications have been used for many years to promote sleep. The sedating antidepressant medications most commonly used include trazodone (Desyrel), amitriptyline (Elavil), and doxepin (Sinequan). The value of the use of sedating antidepressants for the treatment of insomnia has been debated for some time. There is evidence that these medications are valuable in the treatment of insomnia when it occurs in the context of depression. However, there is conflicting evidence regarding the use of these medications in primary insomnia. One concern regarding the use of sedating antidepressants is that these medications are associated with more troubling, adverse effects than prescription sedative-hypnotic medications. Therefore, many argue that the first line therapy for insomnia remains with the sedative-hypnotics. |
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