Difficulty achieving regular restorative sleep is a common symptom of many psychiatric illnesses and can pose a pharmaceutical challenge, particularly for patients who have contraindications to benzodiazepines or sedative-hypnotics.
Dr. Ridgeway-Diaz is Assistant Professor of Psychiatry, Menninger Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, Houston, Texas. Dr. Rodgers is the Chief Medical Officer, Community Reach Center, Thornton, Colorado.The authors report no financial relationships with any companies whose products are mentioned in this article, or with manufacturers of competing products.1. Joseph SG. Melatonin supplementation for the prevention of hospital-associated delirium.
3. Tallavajhula S, Rodgers JJ, Slater JD. Sleep and sleep-wake disorders. In: Arciniengas DB, Yudofsky SC, Hales RE, eds.American Psychiatric Association Publishing; 2018:373-393. Difficulty achieving regular restorative sleep is a common symptom of many psychiatric illnesses and can pose a pharmaceutical challenge, particularly for patients who have contraindications to benzodiazepines or sedative-hypnotics. Melatonin is commonly used to treat insomnia and circadian rhythm disorders in hospitalized patients because it is largely considered safe, nonhabit forming, unlikely to interact with other medications, and possibly protective against delirium.
1. Joseph SG. Melatonin supplementation for the prevention of hospital-associated delirium. Ment Health Clin. 2018;7:143-146. doi:10.9740/mhc.2017.07.143
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