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Acute insomnia treatment guidelines8/17/2023 Lengthen sleep window in 30-minute increments on subsequent reviews depending on progress Maintain a consistent sleep–wake schedule regardless of how much sleep is obtained overnight. Schedule a fixed bed and wake time based on estimated total sleep time, with at least six hours of opportunity for sleep, aiming for no longer than 30 minutes of wakefulness. This reduces the unnecessary amount of time spent in bed awake and increases sleep drive and sleep debt to consolidate sleep on subsequent nightsĪssess patient’s natural time of feeling sleepy and estimated total sleep time overnight (a sleep diary is often helpful in this setting). Avoid caffeine and nicotine before bedtimeĪims to balance estimated total sleep time with opportunity to sleep.Promotes healthy bedtime behaviours and an ideal environment for sleep Insomnia is not attributable to the physiological effects of a substance (e.g. narcolepsy, breathing-related sleep disorder, a circadian rhythm sleep–wake disorder, parasomnia).Ĭoexisting mental disorders and medical conditions do not adequately explain the predominant complaint of insomnia. Is not better explained by, and does not occur exclusively during, the course of another sleep–wake disorder (e.g. Occurs despite adequate opportunity for sleep. early morning awakening with inability to return to sleep.ĭisturbance causes clinically significant distress or impairment (social, occupational, educational, academic, behavioural or other important areas of functioning).įrequency of at least three nights per week.difficulty maintaining sleep (frequent awakenings or problems returning to sleep after awakening).The government needs the advice of PBAC before changing the eligibility criteria.Dissatisfaction with sleep quality or quantity associated with one or more of the following: The PBAC is an independent, expert body appointed by the government. The Pharmaceutical Benefits Advisory (PBAC) recommends the eligibility criteria for oral antiviral treatments to the government. Read the Consumer Medicine Information for the treatment you are prescribed and talk to your GP about contraceptives and what is best for your situation. If you are sexually active, you should use an effective form of contraception while taking oral antiviral COVID-19 treatments. If you have severe kidney or liver disease, you should not have the oral antiviral treatment – Paxlovid. Staying up to date with COVID-19 vaccinations will ensure protection for you and your baby. If you are pregnant or breastfeeding, you should not have any oral antiviral COVID-19 treatments. Who should not have oral antiviral treatments If you don’t have a Medicare card, our fact sheet outlines the options available to you. State and territory hospitals can provide the oral antivirals if you are advised to have treatment, but you are not eligible under the PBS. If you have a Medicare card, and are eligible, the Pharmaceutical Benefits Scheme PBS subsidises the cost of oral antiviral COVID-19 medication.įrom 1 January 2023 the maximum that a pharmacy can charge per oral medication is: Supplies of the COVID-19 treatments can also be accessed through state and territory health departments. You can use the Find a pharmacy website to search for nearby pharmacies that stock oral antiviral treatments. A friend or family member can collect the medications, or you can have them delivered to your home. Your GP can electronically send your prescription to the pharmacy or send you an electronic script. If you are eligible for oral antiviral treatments, you will be able to pick up the medications at your local pharmacy with a prescription. use the health Service Finder to search for one near you.call HealthDirect's free helpline on 1800 022 222.If you don't have a regular GP, or can't get an appointment quickly, you can: If you test positive and haven’t already made a plan with your GP or approved Nurse Practitioner, you should contact them as soon as possible. You should then contact them for a script as soon as you test positive. If you are 70 years or older or at higher risk of severe illness from COVID-19, it is important to speak to your GP about oral treatments before you get sick. You need to start oral antiviral treatments within 5 days of symptoms starting or testing positive for COVID-19.
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