Prevention and treatment of insomnia may require a combination of cognitive behavioral therapy, medications, and lifestyle changes. 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. Avoidance of vigorous exercise and caffeinated drinks a few hours before going to sleep is recommended, while exercise earlier in the day may be beneficial. Other practices to improve sleep hygiene may include: * Avoiding or limiting naps * Treating pain at bedtime * Avoiding large meals, beverages, alcohol, and nicotine before bedtime * Finding soothing ways to relax into sleep, including 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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