Non-benzodiazepine hypnotics: do they work for insomnia?

BMJ 2013; 346 doi: http://dx.doi.org/10.1136/bmj.e8699 (Published 2 January 2013)
Cite this as: BMJ 2013;346:e8699

Get access to this article and all of bmj.com for the next 14 days

Sign up for a 14 day free trial today

Access to the full text of this article requires a subscription or payment. Please log in or subscribe below.

  1. David Cunnington, sleep physician and director
  1. 1Melbourne Sleep Disorders Centre, East Melbourne, VIC 3002, Australia
  1. david.cunnington{at}msdc.com.au

Their modest effect highlights the need to use alternative approaches

Insomnia is a common disorder that greatly affects health and quality of life as well as having direct and indirect costs for healthcare systems and society.1 2 People with insomnia present to many areas of healthcare: primary care; specialist services, such as internal medicine and psychiatry; and allied health providers. Healthcare practitioners therefore need to understand the treatment options available for insomnia and their relative effectiveness.

In a linked research paper (doi:10.1136/bmj.e8343), Huedo-Medina and colleagues report on the effectiveness of non-benzodiazepine hypnotics in the treatment of adults with insomnia.3 The authors aimed to reduce the impact of publication bias by using all studies submitted to the Food and Drug Administration for drug approval, thereby adding to the current literature. They found that non-benzodiazepine hypnotics reduced the time taken to fall asleep (sleep onset latency) by 22 minutes (95% confidence interval −33 to −11) …

Get access to this article and all of bmj.com for the next 14 days

Sign up for a 14 day free trial today

Access to the full text of this article requires a subscription or payment. Please log in or subscribe below.

Article access

Article access for 1 day

Purchase this article for £20 $30 €32*

The PDF version can be downloaded as your personal record

* Prices do not include VAT

THIS WEEK'S POLL