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==Prevention== Prevention and treatment of insomnia may require a combination of [[cognitive behavioral therapy]],<ref name=Tra2015/> medications,<ref name="abad">{{cite journal | vauthors = Abad VC, Guilleminault C | s2cid = 51866276 | title = Insomnia in Elderly Patients: Recommendations for Pharmacological Management | journal = Drugs & Aging | volume = 35 | issue = 9 | pages = 791β817 | date = September 2018 | pmid = 30058034 | doi = 10.1007/s40266-018-0569-8 }}</ref> and lifestyle changes.<ref name="mayo">{{cite web |title=Insomnia: Diagnosis and treatment |url=https://www.mayoclinic.org/diseases-conditions/insomnia/diagnosis-treatment/drc-20355173 |publisher=Mayo Clinic |access-date=11 October 2018 |date=15 October 2016 |archive-date=4 October 2017 |archive-url=https://web.archive.org/web/20171004131534/https://www.mayoclinic.org/diseases-conditions/insomnia/diagnosis-treatment/drc-20355173 |url-status=live }}</ref> Among lifestyle practices, going to sleep and waking up at the same time each day can create a steady pattern which may help to prevent insomnia.<ref name=Pun2012/> Avoidance of vigorous [[Physical exercise|exercise]] and [[Caffeine|caffeinated drinks]] a few hours before going to sleep is recommended, while exercise earlier in the day may be beneficial.<ref name=mayo/> Other practices to improve [[sleep hygiene]] may include:<ref name=mayo/><ref>{{cite web|url=https://www.webmd.com/sleep-disorders/guide/insomnia-symptoms-and-causes#2-8|title=Insomnia (Acute & Chronic): Symptoms, Causes, and Treatment|vauthors=Pathak N|date=17 January 2017|website=WebMD|access-date=11 October 2018|archive-date=11 October 2018|archive-url=https://web.archive.org/web/20181011022132/https://www.webmd.com/sleep-disorders/guide/insomnia-symptoms-and-causes#2-8|url-status=live}}</ref> * Avoiding or limiting [[nap]]s * Treating pain at bedtime * Avoiding large meals, beverages, [[Alcohol (drug)|alcohol]], and [[nicotine]] before bedtime * Finding soothing ways to relax into sleep, including the use of [[white noise]] * Making the bedroom suitable for sleep by keeping it dark, cool, and free of devices, such as clocks, cell phones, or televisions * Maintain regular exercise * Try relaxing activities before sleeping
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