Alerts and Notices
SynopsisInsomnia is a sleep disturbance consisting of the inability to fall asleep and/or maintain sleep. Insomnia is a common medical issue and may be acute (days to weeks) or chronic (longer than 3 months). It can be associated with behavioral or psychosocial issues, associated with other sleep disorders (eg, circadian rhythm disorder), or of another intrinsic nature (eg, due to hypersensitivity, hyperarousal, or autism spectrum disorder).
Comorbid conditions associated with insomnia include medical conditions (such as gastrointestinal, respiratory, and pain-related conditions) or psychiatric conditions (eg, depression, anxiety, posttraumatic stress disorder). Insomnia may be associated with food consumption, medication use, or substance abuse.
Management includes discontinuance of causative or exacerbating agents, treatment for comorbid conditions, counseling, behavioral therapy, and medications.
G47.00 – Insomnia, unspecified
193462001 – Insomnia
Differential Diagnosis & Pitfalls
- Restless legs syndrome
- Delayed sleep-wake disorder
- Obstructive sleep apnea
- Advanced sleep-wake disorder
- Periodic limb movement
- Chronic sleep insufficiency
- Narcolepsy – The usual complaint is excessive daytime sleepiness, but patients may experience sleep disruptions.
Drug Reaction DataBelow is a list of drugs with literature evidence indicating an adverse association with this diagnosis. The list is continually updated through ongoing research and new medication approvals. Click on Citations to sort by number of citations or click on Medication to sort the medications alphabetically.