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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:

Nasal Dilator Strips Update 2019: Part II

With such an array of opportunities to use NDS therapy and other conservative treatment approaches, one of the most important research areas for study would address how non-sleep, medical professionals recommend these steps to their patients. Regardless of how things... read more

Nasal Dilator Strip Update 2019: Part I

Sourced From Classic Sleep Care- In 2015, we last discussed nasal strips (NDS) in depth to point out their wide applicability. With increasing experience, I would like to update a few aspects of this conservative yet effective treatment strategy, because I see certain... read more

Do Health Insurance Companies Act Rationally? Part V

Sourced from Classic Sleep Care- We last discussed chinstraps and the difficulties many patients may have in their attempts to consistently use them. Eventually, some of these patients must gain access to the sleep lab as they are unable to accurately manipulate the... read more

Do Health Insurance Companies Act Rationally? Part IV

Sourced from: Classic Sleep Care – Our over-riding premise in this post assumes that turning a patient into a regular user of PAP improves health benefits and saves healthcare dollars. Although the first half of the statement is a given, the second half remains... read more

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