Requests for hypnotic drugs and placebo response in elderly hospital in-patients

Bayer, Antony James ORCID: https://orcid.org/0000-0002-7514-248X and Pathy, M. S. J. 1985. Requests for hypnotic drugs and placebo response in elderly hospital in-patients. Postgraduate Medical Journal 61 (714) , pp. 317-320. 10.1136/pgmj.61.714.317

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Abstract

Requests for night sedation and the use of placebo as first line drug management were studied prospectively in 1174 consecutive elderly hospital in-patients. Of the 390 (33.2%) patients requesting sleeping pills in hospital, 37 were subsequently satisfied without the prescription of additional medication. A further 216 patients were entirely satisfied with a placebo capsule during all of their hospital stay. An 'active' hypnotic drug was required by only 137 patients, many of whom were noisy and disturbing other patients in the ward. Most of the active hypnotic drugs prescribed to elderly hospital patients are unnecessary and a majority of those requesting hypnotics consistently respond to placebo. There remains a need for greater education of patients, nurses and doctors in the non-pharmacological management of sleep disorders.

Item Type:	Article
Date Type:	Publication
Status:	Published
Schools:	Medicine
Subjects:	R Medicine > R Medicine (General)
Publisher:	BMJ Publishing Group
ISSN:	0032-5473
Last Modified:	24 Oct 2022 11:46
URI:	https://orca.cardiff.ac.uk/id/eprint/49274

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