TY - JOUR
T1 - Sleep Management Among Patients with Substance Use Disorders
AU - Chakravorty, Subhajit
AU - Vandrey, Ryan G.
AU - He, Sean
AU - Stein, Michael D.
N1 - Funding Information:
Disclosure Statement: Dr S. Chakravorty has received research support from AstraZeneca and Teva Pharmaceuticals. Dr R.G. Vandrey is a paid consultant or serves on the advisory board of Zynerba Pharmaceuticals, Insys Therapeutics Inc, Battelle Memorial Institute, and several small US businesses engaged in state medicinal cannabis programs. The study was supported by VA grant IK2CX000855 (S. Chakravorty), U01 DA031784 (R.G. Vandrey), R01 DA034261, R01 NR015977 R34 DA032800 R21 DA031369 (M.D. Stein). The content of this publication does not represent the views of the Department of Veterans Affairs or any other institution.
Funding Information:
Disclosure Statement: Dr S. Chakravorty has received research support from AstraZeneca and Teva Pharmaceuticals . Dr R.G. Vandrey is a paid consultant or serves on the advisory board of Zynerba Pharmaceuticals , Insys Therapeutics Inc , Battelle Memorial Institute , and several small US businesses engaged in state medicinal cannabis programs. The study was supported by VA grant IK2CX000855 (S. Chakravorty), U01 DA031784 (R.G. Vandrey), R01 DA034261 , R01 NR015977 R34 DA032800 R21 DA031369 (M.D. Stein). The content of this publication does not represent the views of the Department of Veterans Affairs or any other institution.
Publisher Copyright:
© 2018
PY - 2018/7
Y1 - 2018/7
N2 - Sleep and substance use disorders commonly co-occur. Insomnia is commonly associated with use and withdrawal from substances. Circadian rhythm abnormalities are being increasingly linked with psychoactive substance use. Other sleep disorders, such as sleep-related breathing disorder, should be considered in the differential diagnosis of insomnia, especially in those with opioid use or alcohol use disorder. Insomnia that is brief or occurs in the context of active substance use is best treated by promoting abstinence. A referral to a sleep medicine clinic should be considered for those with chronic insomnia or when another intrinsic sleep disorder is suspected.
AB - Sleep and substance use disorders commonly co-occur. Insomnia is commonly associated with use and withdrawal from substances. Circadian rhythm abnormalities are being increasingly linked with psychoactive substance use. Other sleep disorders, such as sleep-related breathing disorder, should be considered in the differential diagnosis of insomnia, especially in those with opioid use or alcohol use disorder. Insomnia that is brief or occurs in the context of active substance use is best treated by promoting abstinence. A referral to a sleep medicine clinic should be considered for those with chronic insomnia or when another intrinsic sleep disorder is suspected.
KW - Alcoholism
KW - Cocaine-related disorders
KW - Marijuana abuse
KW - Opioid-related disorders
KW - Sleep initiation and maintenance disorders
KW - Substance-related disorders
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U2 - 10.1016/j.mcna.2018.02.012
DO - 10.1016/j.mcna.2018.02.012
M3 - Review article
C2 - 29933826
AN - SCOPUS:85047217310
SN - 0025-7125
VL - 102
SP - 733
EP - 743
JO - Medical Clinics of North America
JF - Medical Clinics of North America
IS - 4
ER -