www.pharmteacher.com INSOMNIA for PT
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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List some medications that cause insomnia: | show 🗑
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State the mechanism of action for the benzodiazepines: | show 🗑
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show | GABA is an inhibitory neurotransmitter. It slows neuronal activity
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How should sleep aids be used? | show 🗑
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List the principles of good sleep hygiene: | show 🗑
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show | doxylamine & diphenhydramine (Unisom, Benadryl, Tylenol PM, Advil PM)
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show | the OTC antihistamine sleep aids (diphenhydramine & doxylamine)
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State the mechanism of action of ramelteon (Rozerem): | show 🗑
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This sleep aid is prescription only, but is not a controlled substance: | show 🗑
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show | similar in chemical structure and MOA but only used as hypnotics. They are not used for status epilepticus, anxiety, or general sedation
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These sleep aids have a very short half-life & quick onset of action, & therefore should be taken right before bedtime: | show 🗑
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show | …pam or …lam
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show | sedatives, treat acute anxiety and insomnia; some treat status epilepticus, alcohol withdrawal, and muscle spasms
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show | diazepam & clonazepam
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List the common ADRs of the benzodiazepines: | show 🗑
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show | opposite of what the drug does (anxiety, insomnia, panic, sweating, tremors, agitation, HTN, muscle twitching, status epilepticus)
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What drugs might interact with benzodiazepines? | show 🗑
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show | alcohol, opioids, sleep aids, skeletal muscle relaxants, sedating antihistamines, seizure drugs
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show | alcohol, opioids
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show | Benzos, especially long-acting benzos, may increase the risk of falls in older adults due to their effects of dizziness, drowsiness, cognitive impairment, ataxia, etc.
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ADRs include sleep walking, sleep eating, & other activities while not fully awake: | show 🗑
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show | wake/sleep same time each day; get sunlight; exercise; no long naps; avoid heavy meals/alcohol/diuretics/CNS stimulants at bedtime; avoid non-sleep activity in bedroom; bedtime routine
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