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: http://tinyurl.com/kgz3q3s


What is CPAP Failure?

In previous blog posts, I have talked extensively about how a patient may not respond well to a basic CPAP device and therefore might want to consider a more advanced device such as APAP, BPAP, ABPAP or ASV. I want to drill down on this topic to specifically highlight...

RemZzzs® Mask Liners & PAP Therapy

A PAP mask often causes redness, bruising or other irritation to facial skin, and these problems are not as widely recognized or addressed in sleep medicine circles despite interference with many patients’ efforts to use PAP. In no small number of cases, mask...

Nasal Dilator Strips: Application Tips

As simple as the nasal strips look in appearance, most users will benefit from a few tips to enhance their results in applying them. These instructions fall into the three categories of how to put them on, how to take them off, and special applications. To put on the...

Using Nasal Dilator Strips to Treat OSA/UARS

Sourced from Classic Sleep Care I am often asked the question of whether or not nasal dilator strips (NDS), most commonly seen on the noses of NFL players, provide any benefits to patients with OSA/UARS. Most people are perplexed when without reservation I affirm that...

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.