Time Trends in the Family Physician Management of Insomnia: The Australian Experience (2000-2015).

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1. Summary

The BEACH study has been investigating the clinical practice of Australian GPs for 15 years using a rolling cross-sectional survey of 100 consecutive patients seen by each GP randomly selected. In this analysis we found that contrary to expectations the rate of patients seen for insomnia has not increased over the years. Pharmacology remains the mainstay of treatment and cognitive behavioral therapy has made essentially no impact on the treatment of insomnia patients in general practice. The mix of pharmacology has markedly changed though. We tracked the rise and fall of zolpidem prescriptions and the fall and rise again in temazepam. We also tracked the rise in prescription melatonin. We did not however find that quietiapine was being prescribed by GPs for insomnia as was suspected by some.

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https://www.ncbi.nlm.nih.gov/pubmed/28454597

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