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Sedating antidepressants insomnia

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Melatonin is a naturally occurring “lights off” hormone produced by the pineal gland.

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Currently doxepin is the only antidepressant approved by the U. The 2008 American Academy of Sleep Medicine (AASM) guideline consensus is that, at a minimum, patients with insomnia should complete the following evaluations The AASM guidelines recommend including at least one behavioral intervention in initial treatment.Cognitive-behavioral therapy (CBT) is considered the most appropriate treatment for patients with primary insomnia, though it is also effective for comorbid insomnia as adjunctive therapy.For example, Buscemi and colleagues 14 trials were included for efficacy and 10 for safety.No difference was seen between melatonin and placebo for any efficacy outcome except for sleep-onset latency, which was reduced with melatonin by 11.7 minutes.Sedative-hypnotics are the most commonly prescribed drugs for insomnia.