Insomnia Pharmacotherapy: a Review of Current Treatment Options for Insomnia in Menopause

摘要

AbstractPurpose of ReviewWomen are living longer and spending nearly one third of their lives in the climacteric period with the consequences of hypoestrogenism. Insomnia is the major clinical manifestation of this period. The aim of this chapter is to sum up current treatment options for menopausal insomnia and related symptoms. The paper summarizes some main treatment alternatives to treatment of insomnia in women, especially during the menopausal transition and postmenopause: What are the alternatives for treatment of insomnia in this population? What is the level of evidence of each of them?Recent FindingsPrevious studies have shown that the studies use very heterogeneous groups of women with different types of insomnia. This lack of standardized methods makes it difficult to identify the best therapeutic option for insomnia after menopause. However, this does not mean that it is impossible to define the best treatment intervention.SummaryThe findings from each therapy were categorized according to the level of evidence, based on the scientific knowledge. We highlight the importance of the patient being evaluated by a multidisciplinary team, and of taking a broad approach which considers both the pharmacological and biopsychosocial context to deliver the most effective treatment.]]>