From the Research
Imipramine (25-50mg at bedtime) is the most effective medication for night terrors, as it has been shown to suppress REM sleep and reduce the frequency of night terrors 1. When considering treatment options for night terrors, it's essential to prioritize the patient's quality of life and minimize the risk of morbidity and mortality. Some key points to consider when treating night terrors include:
- Implementing good sleep hygiene practices, such as maintaining a consistent sleep schedule and creating a relaxing bedtime routine, before starting medication
- Considering behavioral interventions, such as cognitive behavioral therapy, as a first-line treatment for night terrors
- Using medication, such as imipramine, as a second-line treatment for severe, frequent, and disruptive night terrors
- Monitoring patients for potential side effects and adjusting treatment plans as needed
- Consulting with a sleep specialist if night terrors persist despite treatment It's also important to note that while benzodiazepines, such as diazepam, may be effective for short-term management of night terrors, they can be habit-forming and are generally not recommended for long-term use 2. Additionally, psychosocial interventions, such as imagery rehearsal therapy and mindfulness-based therapies, may be effective in reducing the frequency and intensity of night terrors, and can be used in conjunction with medication or as a standalone treatment 3, 4, 2. Overall, a comprehensive treatment plan that prioritizes the patient's quality of life and minimizes the risk of morbidity and mortality is essential for effectively managing night terrors.