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Insomnia can be secondary to other conditions, for example anxiety or depression. Other causes are factors such as stress and excessive noise, jet lag, shift work, physical illness and pain, stimulants, sleep apnoea or poor habits at bedtime. Primary insomnia is insomnia of no obvious cause. An anxiolytic is a drug that reduces feelings of anxiety, whereas a hypnotic is a drug that induces sleep. The two terms are interchangeable in the sense that most anxiolytics will induce sleep when given at night and most hypnotics will cause sedation when given during the day.
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