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How to overcome insomnia during opioid withdrawal?

Insomnia can be a side effect of opioid withdrawal. This can be managed with non-medication strategies such as good sleep hygiene practices, avoiding caffeine or stimulants, cognitive behavioral therapy for insomnia (CBT-I), etc. However, during acute opioid withdrawal, medications such as melatonin, hydroxyzine, Benadryl, among others, can be given safely to help induce sleep while the body is adjusting to being off opioids.

Elena Hill, MD, MPH

Elena Hill, MD; MPH received her MD and Masters of Public Health degrees at Tufts Medical School and completed her family medicine residency at Boston Medical Center. She is currently an attending physician at Bronxcare Health Systems in the Bronx, NY where she works as a primary care physician as well as part time in pain management and integrated health. Her clinical interests include underserved health care, chronic pain and integrated/alternative health.

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Elena Hill, MD, MPH

Elena Hill, MD; MPH received her MD and Masters of Public Health degrees at Tufts Medical School and completed her family medicine residency at Boston Medical Center. She is currently an attending physician at Bronxcare Health Systems in the Bronx, NY where she works as a primary care physician as well as part time in pain management and integrated health. Her clinical interests include underserved health care, chronic pain and integrated/alternative health.

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