[Omeo33] Art 1166 - Sleep Med Rev, 2010, 14 (5), 329-337

[Gino Santini]

Homeopathy for insomnia: A systematic review of research evidence
Katy L. Cooper and Clare Relton

Background - Insomnia is a common problem which impacts on quality of  
life. Current management includes psychological and behavioural  
therapies and/or pharmacological treatments.
Objective - To systematically review research evidence for  
effectiveness of homeopathy in the management of insomnia.
Methods - Comprehensive searches of biomedical databases (MEDLINE,  
EMBASE, CINAHL, Cochrane library, Science Citation Index), homeopathy- 
specific and complementary medicine-specific databases were conducted.
Results - (A) Homeopathic medicines: four randomised controlled trials  
(RCTs) compared homeopathic medicines to placebo. All involved small  
patient numbers and were of low methodological quality. None  
demonstrated a statistically significant difference in outcomes  
between groups, although two showed a trend favouring homeopathic  
medicines and three demonstrated significant improvements from  
baseline in both groups. A cohort study reported significant  
improvements from baseline. (B) Treatment by a homeopath: No  
randomised controlled trials of treatment by a homeopath were  
identified. One cohort study, three case series and over 2600 case  
studies were identified.
Conclusions - The limited evidence available does not demonstrate a  
statistically significant effect of homeopathic medicines for insomnia  
treatment. Existing RCTs were of poor quality and were likely to have  
been underpowered. Well-conducted studies of homeopathic medicines and  
treatment by a homeopath are required to examine the clinical and cost  
effectiveness of homeopathy for insomnia.

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