Pharmacological therapy has an important role in the management of insomnia
. Although older drugs are highly effective for initiating and maintaining
sleep, tolerance and withdrawal effects as well as impairment of daytime pe
rformance are commonly troublesome and limit their use. Aided by increased
knowledge of gamma-aminobutyric acid (GABA) and its receptors, new hypnotic
sedatives have been developed that are Increasingly selective for the vari
ous subunits of the GABA receptor. This development has produced newer agen
ts with very favourable hypnotic profiles and side-effect profiles that pro
vide better treatment options for medical practitioners. The pyrazolopyrimi
dines, the latest in this area, seem to offer some advantages over other ag
ents.