A GP guide to comorbid insomnia and sleep apnoea

Insomnia and obstructive sleep apnoea often coexist - it's important to identify and treat both conditions to ensure positive outcomes

Sleep disorders are very common in the adult population — particularly obstructive sleep apnoea (OSA) and insomnia — and are increasingly managed by GPs.

Commonly, these two conditions coexist, adding to the complexity of managing such patients. The comorbid occurrence of insomnia and OSA is known as COMISA.

Because of a large overlap of symptoms between OSA and insomnia, it is often easy to focus on one condition and overlook the other.

Failure to recognise COMISA will result in persistent symptoms and treatment failure.