INSOMNIA

Tim Dosen Farmakoterapi 1

 Sleep is important
for health
• Occupies 20 – 40% of everyday
• Socially driven:
When
Where
With Whom
• Increased of mortality for short sleep (< 6 hours/
night) and long sleep (> 9 hours/ night)
Gangguan tidur karena
kesulitan tidur terjadi
dalam jangka pendek (akut)
atau jangka panjang Definisi
(kronis). Insomnia
https://www.webmd.com/sleep
-disorders/insomnia-
symptoms-and-causes
 AKUT:
Kesulitan tidur yang terjadi
satu malam sampai beberapa
minggu
Definisi
KRONIK: Insomnia
Kesulitan tidur yang terjadi
minimal 3 malam/ minggu dan 1. International Classification of
Sleep Disorders (ICSD) Criteria
berlangsung sampai 3 bulan
atau lebih 2. https://www.webmd.com/sleep-
disorders/insomnia-symptoms-and-
causes
• Insomnia: 33% - 50% terjadi
pada orang dewasa dan lansia

• Chronic Insomnia: 9%
(dewasa) – 20% (lansia)

• 40% memiliki gangguan

kejiwaan
Epidemiologi
• Banyak dialami wanita
Etiologi
Algoritma Terapi
Cognitive Behavioral Therapy
• Assessment
Sleep diaries
Clinical interview
• Sleep education
• Sleep scheduling/ sleep restriction Terapi Non
• Additional cognitive behavioral
treatment as appropriate
Farmakologi
(1)
 Terapi Non
Farmakologi
(2)
 Terapi
Farmakologi
https://www.uspharmacist.com/article/fdaapproved- Miscellaneous agents
nonbenzodiazepine-receptor-agonists-for-the-
management-of-insomnia
 Terapi
Farmakologi
Benzodiazepine
Reseptor Agonis
Summary
Thanks
Do you have any questions?

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