Insomnia patients often denied sleep treatment when they have mental health ... (led selective serotonin reuptake inhibit...)

Insomnia patients often denied sleep treatment when they have mental health conditions

Date:2/4/2008

led selective serotonin reuptake inhibitors (SSRIs).

Physicians might perceive that drowsiness is induced by medications such as SSRIs so there might be a general fear about combining them with insomnia medications, Balkrishnan said. But I think those fears are somewhat unfounded because we found that psychiatrists dont have any problems prescribing sleep medications in patients who have accompanying mental conditions; they know there is no danger of a drug-to-drug interaction.

According to the analysis, patients visiting psychiatrists had two times higher odds of receiving medication for insomnia than patients visiting family practice or internal medicine physicians. The study showed that 33 percent of patients with insomnia saw family practice or internal medicine physicians, 30 percent visited psychiatrists and 9 percent went to neurologists.

The study identified other factors associated with insomnia medication prescribing patterns for example, older and established patients were more likely to receive insomnia medications than were younger patients or those seeing the doctor for the first time. But Balkrishnan said a clear theme emerged from the analysis.

There is a divide in who gets appropriate medication and who is not appropriately medicated, he said. It might not be happening willfully, but it points to a knowledge gap between different types of physicians and the need to develop widely accepted treatment guidelines. And the guidelines should be ratified by essentially all physicians treating the condition.

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Contact: Rajesh Balkrishnan
Balkrishnan.1@osu.edu
614-292-6415
Ohio State University
Source:Eurekalert

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