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Insomnia / Nerv Sys
ch 17, therapeutic agents for the nervous system - pharm tech
Question | Answer |
---|---|
insomnia | person experiences impaired daytime functioning due to a difficulty falling asleep (DFA), difficulty maintaining sleep (DMS), or poor quality sleep |
medications approved to treat insomnia | benzodiazepines, non-benzodiazepines hypnotics, melatonin receptor agonists, dual orexin receptor antagonist, antihistamines and certain antidepressants |
Special Note for elderly | pharmacists do not recommend OTC sleep products containing diphenhydramine (i.e. Tylenol PM) because they may cause confusion and increase risk for falls |
Restoril | temazepam *benzodiazepine |
Dalmane | flurazepam *benzodiazepine (use with caution in elderly patients) |
Halcion | triazolam *benzodiazepine |
Lunesta | eszopiclone *nonbenzodiazepine hypnotics (CIV) |
Ambien | zolpidem *nonbenzodiazepine hypnotics (CIV) |
Sonata | zaleplon *nonbenzodiazepine hypnotics (CIV) |
Rozerem | ramelteon *nonbenzodiazepine hypnotics |
example of a Melatonin Receptor Agonist for insomnia | melatonin *OTC |
Belsomra | suvorexant *Dual Orexin Receptor Antagonist |
Special note for Belsomra / suvorexant | CIV |
Benadryl | diphenhydramine *OTC antihistamines for sleep |
Unisom | doxylamine *OTC antihistamines for sleep |
Elavil | amitriptyline *Tricyclic antidepressants with a sedating effect |
Silenor | doxepin *Tricyclic antidepressants with a sedating effect |
trazodone | misc antidepressant with sedating effect |