A 28-year-old woman at 30 weeks of gestation presents to the GP with significant anxiety and insomnia. She has no history of mental health problems. S...

Question

A 28-year-old woman at 30 weeks of gestation presents to the GP with significant anxiety and insomnia. She has no history of mental health problems. She is unable to function at work. She asks for a sleeping tablet. Which is the most appropriate pharmacological option if non-pharmacological measures have failed?

Accepted Answer

A short course of promethazine 25 mg at night - a sedating antihistamine considered relatively safe in pregnancy for short-term insomnia

Answer

Zopiclone 7.5 mg at night long-term

Answer

Diazepam 5 mg at night

Answer

Amitriptyline 50 mg at night

Answer

Melatonin 2 mg at night

uk-drcog MCQ (SBA): Insomnia in Pregnancy