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Insomnia, Sleep Apnea & Sleep Health • ICD-10-CM F51.4

Sleep terrors [night terrors]

Audited by the DotMD AI Specialist Council • FDA DailyMed SPL: 2026-11-02 • ICD-10-CM F51.4 • 7 Linked .gov / PubMed Citations • Governance: Dr. Hannah Lindqvist, MD, PhD (NPI #1457952647)
Methodology & AI Transparency ⓘ
Data on this page is deterministically ingested from official U.S. federal datasets (NIH RxNorm, MedlinePlus, FDA DailyMed SPL, openFDA FAERS, NCBI PubMed, and CMS Medicaid NADAC / Medicare Part B) and translated into plain English by DotMD's 5 specialized AI research agents under NPI-verified clinical governance.
At a Glance • Plain-English Clinical Summary

Sleep terrors [night terrors] Key Takeaways

Translated by Sarah Jenkins (AI RN Plain-English Translator) at a 7th-grade reading level

Transparent AI Research Council • Grounded on NIH / FDA / PubMed Data

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What Is Sleep terrors [night terrors]?

Sleep terrors [night terrors]—coded clinically as F51.4 across Sleep Disorders guidelines—combines airway pressure or in Sleep terrors [night terrors] (F51.4: orexin-targeted therapy evaluation) with structured follow-up of Nocturnal Oxygen Saturation in Sleep terrors [night terrors] (F51.4: (SpO2)) (>= 94% nadir > 90% (F51.4)).

Pathophysiology, Underlying Causes & Clinical Presentation

Sleep terrors [night terrors] (F51.4) alters sleep disorders homeostasis through fragmented slow-wave/REM sleep in Sleep terrors [night terrors] (F51.4: architecture); clinical remission targets Nocturnal Oxygen Saturation in Sleep terrors [night terrors] (F51.4: (SpO2)) within >= 94% nadir > 90% (F51.4).

Common Symptoms & Clinical Signs

  • • Presentation of Sleep terrors [night terrors] (F51.4): unrefreshing morning waking in Sleep terrors [night terrors] (F51.4: despite adequate hours)
  • • Secondary Sleep terrors [night terrors] clinical sign: loud habitual snoring, in Sleep terrors [night terrors] (F51.4: witnessed breathing pauses,)
  • • Symptom flares in Sleep terrors [night terrors] correlating with Insomnia Severity Index in Sleep terrors [night terrors] (F51.4: (ISI)) deviation outside < 7 (F51.4)
  • • Functional sleep disorders impact requiring airway pressure or in Sleep terrors [night terrors] (F51.4: orexin-targeted therapy evaluation) evaluation (F51.4)

Sleep terrors [night terrors] Diagnostic Classification & Lab Markers

Metric Verified Benchmark Source
ICD-10-CM Diagnostic Code F51.4 WHO / CMS ICD-10-CM Clinical Classification
Clinical Specialty Hub Insomnia, Sleep Apnea & Sleep Health NLM Clinical Tables
Diagnostic / Lab Marker: Insomnia Severity Index in Sleep terrors [night terrors] (F51.4: (ISI)) < 7 (F51.4) Clinical Reference Target Range
Diagnostic / Lab Marker: Nocturnal Oxygen Saturation in Sleep terrors [night terrors] (F51.4: (SpO2)) >= 94% nadir > 90% (F51.4) Clinical Reference Target Range
Diagnostic / Lab Marker: Serum Ferritin (Restless in Sleep terrors [night terrors] (F51.4: Legs)) > 75 ng/mL (F51.4) Clinical Reference Target Range
Marcus Sterling (AI Healthcare Price Auditor) & Dr. Vance

FDA-Monographed Medications & Public Cash Price Reference for Sleep terrors [night terrors]

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Medication Pharmacologic Class Patient Worth-It CMS NADAC / Unit Typical Lowest Cash
Night Time Cold and Flu Relief Multi Symptom (Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate) Night Time Cold and Flu Relief Multi Symptom • RxCUI 1094549 Antihistamine 90% $0.0194 $ 9.90 /mo
Original Night-Time Multi-Symptom Cold/Flu Relief (Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate) Original Night-Time Multi-Symptom Cold/Flu Relief • RxCUI 1043400 Antihistamine 94% $0.0194 $ 9.90 /mo
Night Time Severe Cold and Cough Relief (Acetaminophen, Diphenhydramine HCl, Phenylephrine HCl) Night Time Severe Cold and Cough Relief • RxCUI 1298348 Histamine-1 Receptor Antagonist 90% $0.0194 $ 9.90 /mo
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Peer-Reviewed Human Clinical Trials & Meta-Analyses (Sleep terrors [night terrors])

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Study & Plain-English Finding Sample (N) Rigor Primary Source
New Insights on Exogenous melatonin on: What a 284-Participant Study Found

Since 15 of the 17 studies enrolled healthy subjects or people with no relevant medical condition other than trouble sleeping, the analysis was also done including only these 15 studies.

Sleep medicine reviews • 2005-02-15 • Meta-Analysis
N = 284 97/100 PMID 15649737 ↗
New Insights on Effect of fezolinetant on sleep disturbance and impairment during treatment of: What a 1,022-Participant Study Found

Fezolinetant had a beneficial effect on four measures of sleep disturbance and impairment following treatment for VMS.

Maturitas • 2024-08-15 • Phase III Randomized Trial
N = 1,022 96/100 PMID 38749864 ↗
New Insights on A network meta-analysis of the long- and short-term efficacy of sleep medicines: What a 25,923-Participant Study Found

ORAs can be widely used in adults and the older adults, and both short-term and long-term use are effective for primary trouble sleeping.

Neuroscience and biobehavioral reviews • 2021-12-15 • Meta-Analysis
N = 25,923 94/100 PMID 34560134 ↗
New Insights on Association between obstructive sleep apnea and male serum: What a 1,823-Participant Study Found

Obstructive sleep apnea is inversely associated with male serum testosterone levels, independent of body mass index and age.

Andrology • 2022-02-15 • Meta-Analysis
N = 1,823 94/100 PMID 34536053 ↗
New Insights on Association between obstructive sleep apnea and metabolic: What a 2,053-Participant Study Found

Ten studies were included in the analysis which included 2053 patients.

Clinical and investigative medicine. Medecine clinique et experimentale • 2016-10-14 • Meta-Analysis
N = 2,053 94/100 PMID 27805899 ↗
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