Mayo Proceedings: Pharmacotherapy Failure in Chronic Insomnia Patients

Barry Krakow, MD, Victor Ulibarri, RPGST, and Natalia McIver, RPGST from the Sleep & Human Health Institute, and the Maimonides Sleep Arts and Sciences, Ltd, in Albuquerque, NM, and the Los Alamos Medical Center, in Los Alamos, NM, preview their article appearing online ahead of print and in the December 2014 issue of Mayo Clinic Proceedings, to provide clinicians with a new theory on the co-morbidity of insomnia and sleep apnea among insomnia patients failing drug therapy, including new assessment tools to diagnose sleep apnea when medications fail. Available at:

UARS, Depression, and Suicide Risks

Sourced from Classic Sleep Care: Research continues to mount showing associations between antidepressants and suicidal behavior in adolescents. In a study just published in the British Medical Journal or now popularly called, The BMJ, teenagers using common...

CPAP Failure Revisited

Sourced from Classic Sleep Care: In prior posts, (see What is CPAP Failure and How Can I Improve my Patient’s Compliance) CPAP failure has been discussed, but in my ongoing observations of how other specialists practice sleep medicine and how insurance carriers...

When The Numbers Don’t Add Up: What Are We Missing?

Sourced from Classic Sleep Care A lot of emphasis in medicine is placed on outcomes, meaning the changes or results that emerge after someone uses a specific treatment. The most common sleep outcomes are the changes in sleepiness or tiredness or insomnia. Also, some...

Barry Krakow, M.D.

Barry Krakow, MD is a board certified internist and sleep disorders specialist, who has spent 25 years in medicine in the fields of internal medicine, emergency medicine, addiction medicine, and sleep medicine.

Books by Dr. Krakow

Turning Nightmares Into Dreams Sound Sleep Sound Mind