Insomnia

• Trazodone has low rates of side effects with low doses used PRN for sleep.
• Olanzapine and Quetiapine 2nd gen antipsychotics used for sleep and delirium. Avoid in older patients with dementia (black box warning).
• Melatonin does not make you feel drowsy. It enhances natural sleep wake cycle. Must be paired with good sleep hygiene. Only need very small amounts (1 mg). Give 1 hr before bedtime. [1|https://link.springer.com/article/10.1007/s00415-020-10381-w]