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Insomnia Background & Non - BZD sleep agents
Insomnia Backgorund & Non-BZD sleep agents
18
Pharmacology
Professional
08/26/2012

Additional Pharmacology Flashcards

 


 

Cards

Term
What are sleeping pills technically called?
Definition
hypnotic
Term
What drugs can contribute to insomnia?
Definition

(1)Bupropion

(2)Stimulants (methylphenidate &c.)

(3)OTC appetite suppressants

(4)Decongestants (pseudoephedrine &c.)

(5)MAO - B Inhibitors, if taken late

(6)Fluoxetine, if taken late

(7)Caffeine

(8)Steroids

(9)Alcohol (initally induces sleep, but prevents deeper stages of sleep and causes nocturia)

(10) Any drug that causes urinary retention or nocturia, including antihistamine and diuretics taken later in the day

Term
Describe good sleep hygeine
Definition

(1) Keep the bedroom dark, comfortable, and quiet

(2) Regular sleep schedule

(3) Avoid daytime naps even after a poor night of sleep - or limit to 30 minutes

(4) Reserve bedroom for only sleep and sex

(5) Turn the face of the clock aside to minimize anxiety about falling asleep

(6) If unable to sleep, get up and do something to take your mind off sleeping

(7) Establish a pre-bedtime ritual to condition your body for sleep

(8) Relax before bedtime with soft music, mild stretching, yoga, or pleasurable reading

(9) Avoid exercising right before bedtime

(10) Do not eat heavy meals before bedtime

(11) Do not take any caffeine in the afternoon

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Term
How to non - benzodiazepines work?
Definition
Act selectively at the benzodiazepine receptors to increase GABA
Term
Name non-benzodiazepines used for sleep
Definition
Zolpidem & Eszopiclone
Term
Brand name for Zolpidem
Definition

Ambien, Ambien CR

 

also: Zolpimist - spray; Ediur SL tabs; Zaleplon (Sonata)

Term
Brand name for Eszopicloen
Definition
Lunesta
Term
Are the non-benzodiazepines controlled?
Definition
CIV
Term
Name the melatonin receptor agonist
Definition

Ramelteon

 

Term
Brand name for ramelteon and is it controlled?
Definition
Rozerem, not controlled
Term
Name a tricyclic antidepressant used in insomnia
Definition
Doxepin extended - release
Term
Brand name for doxepin extended - release and is it controlled?
Definition
Silenor, not controlled
Term
[image]
Definition
Statement. Not a question.
Term
[image]
Definition
Statement. Not a question.
Term
[image]
Definition
Statement. Not a question.
Term
Caution when using ambien, sonata, and lunesta with what type of drugs?
Definition

potent 3A4 inhibitors (e.g., ritonavir, indinavir, saquinavir, atazanavir, ketoconazole, itraconazole, erthromycin and clarithromycin)

Term
Additive side effects with sedation drugs (duh!)
Definition
Statment. Not a question.
Term
Should a heavy meal be eating prior to taking ambien, sonata, or lunesta?
Definition

Should not eat a heavy/high-fat meal within 2 hours before taking this medication; this may prevent the medicine from working properly

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