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Chapter 8
Insomnia
10
Medical
Professional
08/21/2011

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Cards

Term
Sleep Hygiene Tips
Definition
Maintain Regular sleep schedule, avoiding prolonged naps

Exercise daily

Avoid nicotine, caffeine, nicotine, alcohol, other drugs

Avoid large meals in the evening

Turn clock face away and always use an alarm

Keep bedroom dark, and only use for sleep or sex
Term
BDZs - Some properties

Who to watch out in
Definition
Hypnotic and sedative

Can cause confusion and ataxia in the elderly
Term
What BDZs are indicated for insomnia
Definition
Flurazepam, Nitrazepam, Temazepam, and Triazolam
Term
Which BDZs indicated for insomnia have long half-lives and therefore build up with repeated dosing?
Definition
Flurazepam & Nitrazepam

Not recommended in the elderly
Term
Which BDZ is a good all purpose hyponotic with less hangover effects or rebound insomnia?
Definition
Temazepam!
Term
Which BDZ indicated for insomnia has a fast onset and short duration, making it good for initial insomnia?
Definition
Triazolam
Term
Oxazepam for insomnia?

when to take it?
Definition
YES, although not indicated...

Take it 60-90 minutes before bed for initial insomnia, or immediately before bed for maintenance imsomnia
Term
Zopiclone, what is of concern ?

How is Zopiclone's tolerance and rebound insmonia vs BDZs?
Definition
Zopiclone - can cause hangover effects that impair morning driving

LESS tolerance than BDZs, with less rebound effects
Term
L-tryptophan, place in therapy ?
Definition
In high doses has a hypnotic effect, useful when trying to avoid BDZs
Term
Treatment length with BDZs?
Definition
2 weeks, except triazolam : 5-7 days
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