Why is it important to use the lowest effective dose of sedative-hypnotics?

Using the lowest effective dose of sedative-hypnotics is important primarily to minimize side effects. Sedative-hypnotics, which are commonly prescribed for conditions such as insomnia or anxiety, can produce a range of side effects, including drowsiness, cognitive impairment, dependency, and withdrawal symptoms. By employing the lowest effective dose, clinicians aim to achieve the desired therapeutic effects while reducing the risk and severity of these adverse effects.

Additionally, higher doses are often associated with an increased risk of complications such as respiratory depression, tolerance, and increased likelihood of falls or accidents, particularly in older adults. Thus, careful dosing is crucial for patient safety and overall treatment success. While other considerations such as preventing chronic insomnia, enhancing sleep architecture, and improving efficacy are important, the primary concern in this context remains the minimization of side effects associated with the medications.