Methods Of Using Low-Dose Doxepin For The Improvement Of Sleep
Methods of preventing early awakenings, and improving sleep efficiency in hours 7 and 8 of a period of sleep, by administration of low doses of doxepin (e.g., 1-6 mg).
1 . A method for treating sleep maintenance insomnia characterized by fragmented sleep during the 8 th hour of sleep in a patient in need thereof, comprising:
identifying an elderly patient having a sleep disorder in which, for a given 8 hour period of desired sleep, the patient experiences fragmented sleep during the final 60 minutes of said period; and
administering to the patient, prior to the start of the sleep period, doxepin or a pharmaceutically acceptable salt thereof in dosage that is effective to improve sleep maintenance insomnia by reducing fragmented sleep during the 8 th hour of the sleep period, wherein the dosage is at least 3 mg, up to 6 mg.
2 . The method of claim 1 , wherein the dosage is effective to improve the sleep maintenance insomnia while minimizing next day residual sedation.
3 . The method of claim 1 , wherein the sleep maintenance insomnia is a chronic insomnia.
4 . The method of claim 1 , wherein the sleep maintenance insomnia is a non-chronic insomnia.
5 . The method of claim 1 , wherein the sleep maintenance insomnia is a transient insomnia.
6 . A method for treating sleep maintenance insomnia characterized by early awakenings during the 8 th hour of sleep in a patient in need thereof, comprising:
identifying an elderly patient having a sleep disorder in which, for a given 8 hour period of desired sleep, the patient experiences early awakenings during the final 60 minutes of said period; and
reducing early awakenings during the 8 th hour of the sleep period by administering to the patient, prior to the sleep period, a dosage of doxepin or the pharmaceutically acceptable salt thereof that is effective to improve sleep maintenance insomnia by reducing early awakenings during the 8 th hour of the sleep period, wherein the dosage is least 3 mg, up to 6 mg.
7 . The method of claim 6 , wherein the dosage is effective to improve the sleep maintenance insomnia while minimizing next day residual sedation.
8 . The method of claim 6 , wherein the sleep maintenance insomnia is a chronic insomnia.
9 . The method of claim 6 , wherein the sleep maintenance insomnia is a non-chronic insomnia.
10 . The method of claim 6 , wherein the sleep maintenance insomnia is a transient insomnia.