Promethazine is not a good option to aid sleep quality, especially for people using psychiatric services

Promethazine, a sedating antihistamine, is widely and increasingly prescribed for patients reporting problems sleeping. In this Against the Stream article, the case is made that promethazine is not suitable as a sleep aid for people using mental health services, because it has no good evidence base,...

Full description

Saved in:
Bibliographic Details
Main Author: Jacob D. King
Format: Article
Language:English
Published: Cambridge University Press
Series:BJPsych Bulletin
Subjects:
Online Access:https://www.cambridge.org/core/product/identifier/S2056469424001086/type/journal_article
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1841526442964287488
author Jacob D. King
author_facet Jacob D. King
author_sort Jacob D. King
collection DOAJ
description Promethazine, a sedating antihistamine, is widely and increasingly prescribed for patients reporting problems sleeping. In this Against the Stream article, the case is made that promethazine is not suitable as a sleep aid for people using mental health services, because it has no good evidence base, impedes with psychological and behavioural techniques that do improve sleep in the medium-long term, has underappreciated addictive and recreational-use potential, and an unacceptable side-effect profile. Alternatives to promethazine are described, notably the NICE first-line recommendation, cognitive–behavioural therapy for insomnia.
format Article
id doaj-art-9c43b5bd50034dbcb8f7e85e98ae2ae1
institution Kabale University
issn 2056-4694
2056-4708
language English
publisher Cambridge University Press
record_format Article
series BJPsych Bulletin
spelling doaj-art-9c43b5bd50034dbcb8f7e85e98ae2ae12025-01-16T21:51:31ZengCambridge University PressBJPsych Bulletin2056-46942056-47081310.1192/bjb.2024.108Promethazine is not a good option to aid sleep quality, especially for people using psychiatric servicesJacob D. King0https://orcid.org/0000-0003-3896-9661Division of Psychiatry, Imperial College London, UK Central and North West London NHS Foundation Trust, London, UKPromethazine, a sedating antihistamine, is widely and increasingly prescribed for patients reporting problems sleeping. In this Against the Stream article, the case is made that promethazine is not suitable as a sleep aid for people using mental health services, because it has no good evidence base, impedes with psychological and behavioural techniques that do improve sleep in the medium-long term, has underappreciated addictive and recreational-use potential, and an unacceptable side-effect profile. Alternatives to promethazine are described, notably the NICE first-line recommendation, cognitive–behavioural therapy for insomnia.https://www.cambridge.org/core/product/identifier/S2056469424001086/type/journal_articleSleep–wake disordersgeneral adult psychiatrymental health servicespsychopharmacologypsychological treatments
spellingShingle Jacob D. King
Promethazine is not a good option to aid sleep quality, especially for people using psychiatric services
BJPsych Bulletin
Sleep–wake disorders
general adult psychiatry
mental health services
psychopharmacology
psychological treatments
title Promethazine is not a good option to aid sleep quality, especially for people using psychiatric services
title_full Promethazine is not a good option to aid sleep quality, especially for people using psychiatric services
title_fullStr Promethazine is not a good option to aid sleep quality, especially for people using psychiatric services
title_full_unstemmed Promethazine is not a good option to aid sleep quality, especially for people using psychiatric services
title_short Promethazine is not a good option to aid sleep quality, especially for people using psychiatric services
title_sort promethazine is not a good option to aid sleep quality especially for people using psychiatric services
topic Sleep–wake disorders
general adult psychiatry
mental health services
psychopharmacology
psychological treatments
url https://www.cambridge.org/core/product/identifier/S2056469424001086/type/journal_article
work_keys_str_mv AT jacobdking promethazineisnotagoodoptiontoaidsleepqualityespeciallyforpeopleusingpsychiatricservices