In patients who can’t fall asleep due to agitation or distress, it is important to evaluate whether this is a transient or chronic condition, and whether or not the patient also suffers from poor Quality of Sleep. Although Circadin® shortens sleep latency to the same extent as ‘z’-drugs34 29, Circadin® is not indicated for treatment of transient insomnia1, and does not have an immediate sedative (‘knock-out’) effect. Further, Circadin® should be taken as a course for 90 days of treatment, and not on an ‘as needed’ basis because it needs time to stabilize the clock system1.
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