Insomnia in older adults: A review of treatment options
Cleveland Clinic Journal of Medicine,
Journal Year:
2025,
Volume and Issue:
92(1), P. 43 - 50
Published: Jan. 1, 2025
Insomnia
is
a
common
and
challenging
complaint
in
older
adults
(>
65
years)
because
of
age-related
alterations
sleep
physiology.
Cognitive
behavioral
therapy
for
insomnia
the
gold
standard
treatment
young
as
well
patients.
Both
clinicians
patients
often
prefer
simplicity
medication,
but
risks
associated
with
some
hypnotics
increase
age.
Pharmacologic
options
include
low-dose
doxepin,
melatonin,
ramelteon,
dual
orexin
receptor
antagonists.
A
well-informed
clinician
can
help
navigate
benefits
both
pharmacologic
options.
Language: Английский
A randomised, placebo-controlled, double blind, crossover trial on the effect of a 20:1 cannabidiol: Δ9-tetrahydrocannabinol medical cannabis product on neurocognition, attention, and mood
European Neuropsychopharmacology,
Journal Year:
2024,
Volume and Issue:
82, P. 35 - 43
Published: March 14, 2024
As
cannabinoid-based
medications
gain
popularity
in
the
treatment
of
refractory
medical
conditions,
it
is
crucial
to
examine
neurocognitive
effects
commonly
prescribed
products
ensure
associated
safety
profiles.
The
present
study
aims
investigate
acute
a
standard
1
mL
sublingual
dose
CannEpil®,
medicinal
cannabis
oil
containing
100
mg
cannabidiol
(CBD)
and
5
Δ9-tetrahydrocannabinol
(THC)
on
neurocognition,
attention,
mood.
A
randomised,
double-blind,
placebo-controlled,
within-subjects
design
assessed
31
healthy
participants
(16
female,
15
male),
aged
between
21
58
years,
over
two-week
experimental
protocol.
Neurocognitive
performance
outcomes
were
using
Cambridge
Neuropsychological
Test
Automated
Battery,
with
Profile
Mood
States
questionnaire,
Bond-Lader
Visual
Analogue
Scale
used
assess
subjective
state
CannEpil
increased
Total
Errors
Spatial
Span
Correct
Latency
(median)
Pattern
Recognition
Memory,
while
also
increasing
Efficiency
Score
(lower
score
indicates
greater
efficiency)
relative
placebo
(all
p
<
.05).
Subjective
Contentedness
(p
.01)
Amicability
.05)
at
around
2.5
h
post
dosing,
placebo.
Drowsiness
or
sedative
effect
was
reported
by
23
%
three
six
hours
administration.
Plasma
concentrations
CBD,
THC,
their
metabolites
not
significantly
correlated
any
observed
alterations
state,
adverse
event
occurrence.
An
impairs
select
aspects
visuospatial
working
memory
delayed
pattern
recognition,
largely
preserving
mood
states
among
individuals.
Intermittent
reports
drowsiness
sedation
underscore
inter-individual
variability
state.
(ANZCTR;
ACTRN12619000932167;
https://www.anzctr.org.au)
Language: Английский
Cannabinoids for Treating Sleep
Current Addiction Reports,
Journal Year:
2025,
Volume and Issue:
12(1)
Published: Feb. 19, 2025
Language: Английский
Effectiveness of a Cannabinoids Supplement on Sleep and Mood in Adults With Subthreshold Insomnia: A Randomized Double‐Blind Placebo‐Controlled Crossover Pilot Trial
Health Science Reports,
Journal Year:
2025,
Volume and Issue:
8(2)
Published: Feb. 1, 2025
Conduct
a
pilot
randomized
double-blind
placebo-controlled
crossover
trial
for
adults
with
subthreshold
insomnia
symptoms
to
examine
the
effectiveness
of
cannabinoids
supplement
on
sleep
quality
and
health
outcomes.
Adults
(N
=
20,
Mage
47.40)
were
either
Cannabinoids
Supplement
(CS)
or
Placebo
Condition
(PC)
10
days.
The
CS
was
an
oral
soft
gel
that
contained
3
mg
Δ9-tetrahydrocannabinol,
6
cannabinol,
cannabidiol,
90
proprietary
food-grade
terpene
blend.
Following
2-week
washout,
they
completed
alternate
condition.
following
validated
questionnaires
collected
at
baseline
each
condition:
Insomnia
Severity
Index,
Pittsburgh
Sleep
Quality
Bergen
Scale,
Profile
Mood
States
(POMS),
Perceived
Stress
Pain
Questionnaire.
Trait
Anxiety
Inventory,
Flinders
Daytime
Fatigue,
Health-related
Life
Scale.
Clinical
registry
number
ISRCTN
15022302.
When
compared
PC,
had
significantly
improved
quality/efficiency,
symptoms,
health-related
life,
p
<
0.05.
Nonsignificant
improvements
PC
found
POMS
mood
subscales
tension,
anger,
fatigue,
depression,
vigor,
as
well
anxiety.
Esteem
subscale
from
Baseline
Post
PC.
Both
Vigor
baseline.
CS.
No
adverse
events
reported.
This
cannabinoid-based
formulation
well-tolerated
may
improve
adults'
quality/efficiency
life.
Larger
controlled
trials
are
encouraged
longer-term
effects
this
in
variety
populations
environments.
Language: Английский
Sleep and Substance Use: Exploring Reciprocal Impacts and Therapeutic Approaches
Christopher Bolling,
No information about this author
M. Elizabeth Cardoni,
No information about this author
J. Todd Arnedt
No information about this author
et al.
Current Psychiatry Reports,
Journal Year:
2025,
Volume and Issue:
unknown
Published: Feb. 25, 2025
Language: Английский
The differential effects of medicinal cannabis on mental health: A systematic review
Clinical Psychology Review,
Journal Year:
2025,
Volume and Issue:
unknown, P. 102581 - 102581
Published: March 1, 2025
Language: Английский
The effect of nightly use of 150 mg cannabidiol on daytime neurocognitive performance in primary insomnia: a randomized controlled pilot trial
Psychopharmacology,
Journal Year:
2024,
Volume and Issue:
unknown
Published: Aug. 17, 2024
Abstract
Rationale
Cannabidiol
(CBD)
is
increasingly
used
as
a
sleep
aid
for
insomnia;
yet
neurocognitive
and
subjective
state
effects
following
daily
therapeutic
use
are
unclear.
Objectives
To
measure
the
effect
of
CBD
on
performance
mood
in
population
with
primary
insomnia.
Methods
This
study
randomized,
placebo-controlled,
parallel
design
incorporating
single-blind
placebo
run-in
week
followed
by
two-week
double-blind
dosing
period,
during
which
participants
consumed
150
mg
(
N
=
15)
or
sublingually
60-minutes
before
bed.
Attention,
executive
function,
reasoning,
information
processing,
working
episodic
memory
were
assessed
using
CogPro
system
at
beginning
run-in,
after
1-week
2-weeks
dosing.
Subjective
states
visual
analogue
scales
side
recorded
daily.
Results
Cognitive
was
unaffected
nightly
supplementation
(all
p
>
0.05).
From
baseline
to
trial
conclusion,
those
receiving
reported
greater
experience
calmness,
clear-headedness,
coordination
more
likely
report
side-effects
dry
mouth
relative
<
Conclusions
Relative
placebo,
daytime
cognitive
functioning
insomnia
preserved
under
conditions.
suggested
an
overall
favourable
safety
profile,
larger
controlled
trials
thorough
analyses
varying
phenotypes
necessary
corroborate
these
findings.
Language: Английский
Using Cannabis and CBD to Sleep: An Updated Review
Current Psychiatry Reports,
Journal Year:
2024,
Volume and Issue:
unknown
Published: Nov. 29, 2024
Language: Английский
A Cannabidiol/Terpene Formulation Increases Restorative Sleep in Insomniacs: A Double-Blind, Placebo-controlled, Randomized, Crossover Study
Michael Wang,
No information about this author
Marcus Faust,
No information about this author
Scott Abbott
No information about this author
et al.
medRxiv (Cold Spring Harbor Laboratory),
Journal Year:
2023,
Volume and Issue:
unknown
Published: June 5, 2023
ABSTRACT
Study
Objectives
Cannabidiol
(CBD)
is
increasingly
used
as
a
health
supplement,
though
few
human
studies
have
demonstrated
benefits.
The
primary
objective
of
this
study
was
to
evaluate
the
effects
an
oral
CBD-terpene
formulation
on
sleep
physiology
in
insomniacs.
Methods
In
double-blind,
placebo-controlled,
randomized
clinical
trial,
125
insomniacs
received
administration
CBD
(300
mg)
and
terpenes
(1
mg
each
linalool,
myrcene,
phytol,
limonene,
α-terpinene,
α-terpineol,
α-pinene,
β-caryophyllene)
for
≥
four
days/week
over
weeks
using
crossover
design.
medication
devoid
Δ
9
-Tetrahydrocannabinol
(Δ
-THC).
outcome
measure
percentage
time
participants
spent
combination
slow
wave
(SWS)
rapid
eye
movement
(REM)
stages,
measured
by
wrist-worn
sleep-tracking
device.
Results
This
regimen
significantly
increased
mean
nightly
SWS
+
REM
compared
placebo
[mean
(SEM),
1.28%
(0.60%),
95%
C.I.
0.09
2.46,
P
=
0.03].
More
robust
increases
were
observed
with
low
baseline
sleep,
well
day-sleepers.
For
select
participants,
increase
averaged
much
48
min/night
four-week
treatment
period.
had
no
effect
total
(TST),
resting
heart
rate
or
variability,
adverse
events
reported.
Conclusions
Select
ratios
may
potential
provide
safe
efficacious
alternative
over-the-counter
(OTC)
aids
commonly
prescribed
medications.
BRIEF
SUMMARY
Current
Knowledge/Study
Rationale
Physicians
are
asked
their
patients
regarding
merits
insomnia
other
ailments,
but
lack
any
rigorous
research
support
recommending
its
use.
current
represents
first
placebo-controlled
trial
investigate
how
cannabidiol
influences
Impact
contrast
many
OTC
medicines,
which
critical
immune
system,
tissue
regeneration,
cognition
memory.
These
results,
if
confirmed
larger
trials,
suggests
that
might
offer
promising
prescription
medications
aids.
Language: Английский
Cannabidiol Supplements in Romania: Bridging the Gap Between Marketed Claims and Clinical Reality
Pharmacy,
Journal Year:
2024,
Volume and Issue:
12(6), P. 176 - 176
Published: Nov. 25, 2024
In
recent
years,
the
European
market,
including
Romania,
has
witnessed
a
significant
increase
in
promotion
of
cannabidiol
(CBD)-based
products,
often
presented
as
effective
treatments
for
various
health
conditions.
This
study
investigates
inconsistencies
between
claims
associated
with
these
supplements
and
evidence
from
clinical
trials.
To
identify
products
available
on
Romanian
systematic
review
online
pharmacies
websites
that
specialize
selling
CBD-based
been
performed.
Additionally,
trials
conducted
to
assess
efficacy
CBD
specified
indications.
Our
analysis
revealed
some
claims,
such
those
related
post-traumatic
stress
disorder,
lack
substantial
evidence.
Moreover,
even
when
support
exists,
dosages
recommended
are
significantly
lower
than
used
trials,
raising
concerns
about
their
efficacy.
These
findings
highlight
need
stricter
regulatory
oversight
more
transparent
communication
ensure
consumer
expectations
aligned
scientific
evidence,
ultimately
promoting
informed
decision-making
safety.
Language: Английский