Treatment Plan

Conservative:

• Sleep hygiene
• CBT for insomnia (CBTI)
• Sleep IO (interactive treatment) – digitally delivered treatment based on CBTi

Medications:

Short term:

• Zopiclone or zolpidem
  • Maximum 4 weeks duration
  • Contraindications: severe respiratory disease, severe hepatic impairment, OSA, myasthenia gravis
  • Avoid alcohol (increases drug effect)
  • o No driving for 8 hours post-dose
• Can consider sedative antihistamines

Long term:

• Avoid medications
• Focus on CBTI/Sleep IO
• Consider benzodiazepines if necessary