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Primary insomnia

Insomnia, or sleeplessness, is a sleep disorder in which there is an inability to fall asleep or to stay asleep as long as desired. While the term is sometimes used to describe a disorder demonstrated by polysomnographic evidence of disturbed sleep, insomnia is often practically defined as a positive response to either of two questions: "Do you experience difficulty sleeping?" or "Do you have difficulty falling or staying asleep?"

Source: Wikipedia

What are the symptoms?

Within all the people who go to their doctor with primary insomnia, 76% report having insomnia, 53% report having abnormal breathing sounds, and 51% report having fatigue. The symptoms that are highly suggestive of primary insomnia are insomnia, abnormal breathing sounds, apnea, sleepiness, and sleepwalking, although you may still have primary insomnia without those symptoms.


What might my doctor prescribe?

Common Tests and Procedures

Patients with primary insomnia often receive other diagnostic procedures (interview; evaluation; consultation), psychotherapy, mental health counseling, depression screen, electroencephalogram (eeg), other therapeutic procedures on eyelids; conjunctiva; cornea, blood alcohol and psychological and psychiatric evaluation and therapy .

Common Medications

The most commonly prescribed drugs for patients with primary insomnia include zolpidem (ambien), clonazepam, melatonin, memantine (namenda), zinc sulfate, modafinil (provigil), pramipexole (mirapex), atomoxetine (strattera), eszopiclone (lunesta), eprosartan (teveten), dihydroergotamine, coal tar topical and milnacipran (savella) .

Zolpidem (Ambien)
$18
(28 days)
Clonazepam
$9
(28 days)
Melatonin
$5
(21 days)
Memantine (Namenda)
$157
(28 days)
Zinc Sulfate
$4
(28 days)
Modafinil (Provigil)
$596
(28 days)
Pramipexole (Mirapex)
$121
(28 days)
Atomoxetine (Strattera)
$189
(28 days)
Eszopiclone (Lunesta)
$164
(28 days)
Eprosartan (Teveten)
$83
(28 days)
Dihydroergotamine
$517
(21 days)
Coal Tar Topical

Milnacipran (Savella)
$102
(28 days)

Who is at risk?

Groups of people at highest risk for primary insomnia include age 5-14 years age 1-4 years.

Age

< 1 years
0.3x
1-4 years
1.9x
5-14 years
1.5x
15-29 years
0.8x
30-44 years
1.2x
45-59 years
1.0x
60-74 years
0.7x
75+ years
0.8x

Sex

Male
1.1x
Female
0.9x

Race/Ethnicity

Black
0.6x
Hispanic
0.9x
White
1.2x
Other
1.0x
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