Insomnia

Question 1

What is insomnia

Answer 1

• Difficulty sleeping
• Difficulty maintaining sleep
• Early morning waking
• Poor sleep quality

Question 2

Insomnia Referral

Answer 2

• Chronic insomnia >3 weeks
• Suspected depression
• Under 16
• Medication adherence problem

Question 3

Which medication can cause sleeping problems

Answer 3

• MAOIs
• FLuoxetine
• Corticosteroids
• Theophylline

Question 4

OTC treatment

Answer 4

• Diphenydramine (Nytol)
• Promethazine (Phenergan)

both 16+ take at bed time

Question 5

Insomnia advice

Answer 5

• Do not use screen before bed
• Keep a routine
• avoid napping in the day
• relax before bed
• avoid caffeine, alcohol and heavy meals before bed