Sedative use in older people with insomnia may not be advantageous
BMJ 2005; 331 doi: https://doi.org/10.1136/bmj.331.7526.0 (Published 17 November 2005) Cite this as: BMJ 2005;331:0The risks and benefits of sedative hypnotics for treating insomnia in elderly people are about evenly balanced, say Glass and colleagues (p 1169). They carried out a meta-analysis of 24 randomised controlled trials involving more than 2400 participants aged 60 or over who received any drug treatment for insomnia. Sedative use improved the quality of sleep but also increased the risk of adverse events. The authors conclude that in elderly people, particularly those at risk of falls or cognitive impairment, the benefits of sedative use are outweighed by the risks.
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