The patient with insomnia may be taking a medication that is the causative culprit. For example: lpropanolamine. Appetite suppressants. Methyldopa. Phenytoin. Beta-blockers. Diuretics that cause urinary urgency all night (patients should be instructed to take them in the morning). Diphenhydramine, whicle used as a sleep aid, can cause paroxysmal insomnia. Anafranil, Prozac, nicotine patches. Antibiotics, such as Floxin, Bactrim, Gantrisin, Griseofulvin. Desyrel, Cylert, Lioresal, ...

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