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Insomnia
Other Resources UpToDate PubMed

Insomnia

Contributors: Abhijeet Waghray MD, Eric Ingerowski MD, FAAP, Richard L. Barbano MD, PhD
Other Resources UpToDate PubMed

Synopsis

Insomnia 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.

Codes

ICD10CM:
G47.00 – Insomnia, unspecified

SNOMEDCT:
193462001 – Insomnia

Look For

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Diagnostic Pearls

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Differential Diagnosis & Pitfalls

Best Tests

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Management Pearls

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Therapy

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Drug Reaction Data

Below 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.

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References

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Last Reviewed:08/11/2020
Last Updated:08/28/2020
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Insomnia
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Insomnia : Fatigue, Sleep disturbance
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