How to treat insomnia

  In the course of outpatient consultations, there are often people who worry that Western medicine will become addictive and hope that it will be good to use Chinese medicine. In fact, this is a one-sided perception, and some are even deliberately spread by some people. For some simple hypnotic drugs such as Valium class drugs do have the risk of addiction, but it is limited to long-term users and short-term applications are not a concern. Other hypnotics such as zolpidem and zopiclone have minimal risk of addiction, and dextrozopiclone has been approved by the U.S. Drug and Food Administration as a hypnotic for long-term use. In terms of sleep clinic visits, the majority (more than 70%) are for co-morbid insomnia with depressive disorders or anxiety disorders, and a minority (less than 30%) are for primary insomnia. For both types of insomnia, antidepressants are usually needed to reduce the elevated hypothalamic-pituitary-adrenal axis activity in the body and eventually cure the insomnia. To date, no addiction to antidepressants has been reported. It is important to note that not being able to stop using a particular to is not the same as becoming dependent on a particular drug. What the people call dependence is different from the medical definition of drug dependence. In fact, just as we cannot say that we are dependent on a meal if we have to eat every day, not being able to stop a medication indicates that the patient’s body needs the medication. Regarding herbal medicine, it can be used for mild cases and is usually not suitable for individual treatment of patients seeking treatment at sleep disorder clinics, otherwise the cure will be delayed. It is up to the physician to decide what kind of medication to use, and patients need not bother.