Pharmacological and non-pharmacological interventions of insomnia in geriatrics: A systematic review

Introduction

Insomnia is the most prevalent sleep disorder in the geriatric population, affecting 30-48% of communitydwelling older adults and higher proportions in residential care settings. Its management is complicated by age-related pharmacokinetic changes, polypharmacy, and disproportionate risks associated with traditionally prescribed hypnotic agents. This systematic review and meta-analysis synthesise contemporary evidence to address two key clinical questions: (1) what pharmacological agents are effective and safe for treating insomnia in older adults; and (2) what non-pharmacological interventions demonstrate efficacy in this population.