A 36-year-old man has recently started working night shifts and develops severe insomnia. He asks his GP for sleeping tablets. There is no underlying ...

Question

A 36-year-old man has recently started working night shifts and develops severe insomnia. He asks his GP for sleeping tablets. There is no underlying depression or physical illness. What is the most appropriate initial management?

Accepted Answer

Advise on sleep hygiene measures and consider short-term hypnotics only if necessary

Answer

Prescribe long-term benzodiazepines

Answer

Prescribe high-dose sedating antidepressants

Answer

Refer urgently to psychiatry

Answer

Start long-term Z-drug therapy

uk-plab-1 MCQ (SBA): Insomnia and sleep hygiene

A 36-year-old man has recently started working night shifts and develops severe insomnia. He asks his GP for sleeping tablets. There is no underlying depression or physical illness. What is the most appropriate initial management?