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Medications used in the treatment of insomnia include nonbenzodiazepine receptor agonists, benzodiazepine receptor agonists, the selective melatonin receptor agonist ramelteon, and sedating antidepressants.

They are not recommended in the elderly because of the risk of falls; if used, they should be given at the lowest effective dose for the shortest amount of time.

This is accomplished along a continuum of sedation levels: Prior to the administration of medications, clinicians must know the level of sedation required for a given procedure and the appropriate dose of the pharmacologic agent or agents chosen.

This determines the equipment that one should have readily available prior to starting the procedure.

The older sedative-hypnotics that have a prolonged half-life increase the risk for next-day sedation and daytime psychomotor impairment and pose an increased risk for abuse and dependence.

Other complications of benzodiazepine use include tolerance, withdrawal, abuse, and rebound insomnia.




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Houston’s mom, Cissy Houston — who once sang backup for Franklin — confirmed that Aretha was not Whitney’s godmother. Franklin went public last week about the feud after Warwick spotted her at the Tribeca Film Festival and tried to make amends.


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In the years that followed, Binks became an outcast on Naboo, due to his role in the rise of the Empire.