Abstract

INSOMNIA

Bhatt Vaibhavkumar Ghanshyamkumar*, Dheeraj Verma, Dr. Sidhhi Upadhyay, Dr. Umesh Upadhyay

Abstract

Herbal medications are in significant demand for primary healthcare in bothdeveloped and developing countries because of their broad biological activities, higher safety margins, and lower costs. Herbs are used in traditional medicine for treatment of various disease. Insomnia is the most common type of sleep disorder in population. It is defined as persistent difficulty initiating or maintaining sleep, or reports of unpleasant sleep with associated daytime impairment. Insomnia is a significant population health problem due to its high prevalence and management challenges. There is much evidence of a strong association between insomnia and various medical and psychiatric coexisting condition. Insomnia diagnosis and treatment planning depend on a thorough sleep history to address contributing and precipitating factors as well as maladaptive behaviors that result in poor sleep. Use of sleep diaries or sleep logs is more accurate in determining sleep patterns than patient recall. A sleep study is not routinely indicated for the evaluation of insomnia. Cognitive behavioral therapy for insomnia (CBT-I) is the main bone of treatment and is a safe and effective approach. A major challenge of CBT-I is the lack of therapists to implement it. Newer-generation nonbenzodiazepines (eg, zolpidem, zaleplon) are used as first-line pharmacotherapy for chronic insomnia. New drugs active at targets other than the gamma-aminobutyric acid receptor are now available, but clear treatment guidelines are needed. The present review focuses on detailed information about insomnia and it's treatment chemical or herbal.

Keywords: Herbs are used in traditional medicine for treatment of various disease.