Hintze Jonathan P, Edinger Jack D
Division of Pediatric Sleep Medicine, University of South Carolina School of Medicine-Greenville, Greenville Health System, 200 Patewood Drive, Suite A330, Greenville, SC 29615, USA.
Department of Medicine, National Jewish Health, 1400 Jackson Street, Denver, CO 80206, USA.
Sleep Med Clin. 2020 Jun;15(2):147-154. doi: 10.1016/j.jsmc.2020.02.003.
Patients with chronic insomnia are commonly prescribed hypnotic medications. The long-term effects of chronic hypnotics are not known and discontinuation is encouraged but often difficult to achieve. A gradual taper is preferred to abrupt cessation to avoid rebound insomnia and withdrawal symptoms. Written information provided to the patient about medication discontinuation may be helpful. Cognitive behavioral therapy or behavioral therapies alone can improve hypnotic discontinuation outcomes. There is limited evidence for adjunct medications to assist in hypnotic cessation for insomnia.
慢性失眠患者通常会被开具催眠药物。长期使用慢性催眠药的效果尚不清楚，虽然鼓励停药，但往往难以做到。逐渐减量比突然停药更可取，以避免反弹性失眠和戒断症状。向患者提供关于停药的书面信息可能会有所帮助。单独使用认知行为疗法或行为疗法可以改善催眠药停药的效果。辅助药物帮助失眠患者停用催眠药的证据有限。
