In Reply We thank Bliwise for his comments on our article1 and for highlighting the role of nocturia in disordered sleep. Routinely in hospital settings, diuretics such as furosemide may be unnecessarily dosed in the late evening (known as q 12 hours, or 9 am and 9 pm), contributing to nocturia, interrupted sleep, and increasing the risk of falls. Unnecessary continuous intravenous maintenance fluids that are not reassessed may also contribute and are important to address.
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Soong C, Cho HJ, Morgenthaler T. An Elderly Bias, Nocturia, and Adverse Effects of Sedative-Hypnotic Medication—Reply. JAMA Intern Med. 2019;179(10):1444–1445. doi:10.1001/jamainternmed.2019.4033
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