Treatment of PSMID (Periodic Limb Movement Disorder)
I cannot provide a definitive treatment recommendation for "PSMID" because this acronym does not correspond to any recognized sleep disorder in the medical literature or guidelines provided.
Clarification Needed
The term "PSMID" is not a standard medical abbreviation for any sleep disorder. You may be referring to one of the following:
Possible Intended Diagnoses:
Periodic Limb Movement Disorder (PLMD)
- If you meant PLMD, the American Academy of Sleep Medicine provides specific treatment recommendations 1
- For adults with PLMD, ferrous sulfate is conditionally suggested when appropriate iron parameters are present 1
- Triazolam and valproic acid are conditionally recommended against due to limited evidence 1
- No evidence exists for pediatric PLMD treatment 1
Circadian Rhythm Sleep-Wake Disorders
- If you meant a circadian disorder, melatonin receptor agonists are first-line pharmacological treatment, with timing based on the individual's circadian rhythm 2
- Tasimelteon is particularly effective for Non-24-Hour Sleep-Wake Rhythm Disorder, especially in blind individuals 2
- Evening light therapy is suggested for Advanced Sleep-Wake Phase Disorder rather than pharmacological treatment 2
REM Sleep Behavior Disorder (RBD)
- If you meant RBD, melatonin or clonazepam are the primary treatments 3, 4
- Environmental safety measures should be implemented regardless of pharmacologic treatment 5
Next Steps
Please clarify which specific sleep disorder you are asking about so I can provide evidence-based treatment recommendations prioritizing morbidity, mortality, and quality of life outcomes. Provide either the full disorder name or confirm which of the above conditions matches your clinical question.