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The first-generation sedating antihistamines diphenhydramine, doxepin, doxylamine, and pyrilamine are the most widely used medications in the world for preventing and treating insomnia. [6] As of 2004, doxylamine and diphenhydramine, which are both over-the-counter medications, were the agents most commonly used to treat short-term insomnia. [11]
A review paper found that long-term use of flurazepam is associated with drug tolerance, drug dependence, rebound insomnia and central nervous system (CNS) related adverse effects. Flurazepam is best used for a short time period and at the lowest possible dose to avoid complications associated with long-term use.
Low-dose doxepin is approved by the FDA for the treatment of insomnia. [5] Second generation of antihistamines such as cetirizine and loratadine have a much less sedating effect than the first ones with a much lower degree of crossing the blood–brain barrier. [29] Common side effects of antihistamines include nausea, constipation and dry ...
Doxepin Dosage for Sleep. Doxepin is typically prescribed for insomnia at a dosage of 3 to 6 milligrams per night. Interestingly, the medication appears to be effective even at a very low dose.
Insomnia affects 10% to 15% of the U.S. population, and it’s usually caused by a variety of biological and behavioral factors, says Dr. Sairam Parthasarathy, director of the University of ...
Long-acting benzodiazepines with long-acting active metabolites, such as diazepam and chlordiazepoxide, are often prescribed for benzodiazepine or alcohol withdrawal as well as for anxiety if constant dose levels are required throughout the day. Shorter-acting benzodiazepines are often preferred for insomnia due to their lesser hangover effect.
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