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Pharm Sleep
KYCOM Block 12
36
Pharmacology
Graduate
11/19/2013

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Cards

Term
MOA benzodiazepines
Definition
receptors on GABA-Cl channel receptor complex increasing frequency of channel opening causing hyperpolarization
Term
side effects of all sleep BDZ
Definition
tolerance develops fast

increase effect of alcohol

avoid in sleep apenea because it relaxes muscles of upper airway
Term
define insomnia
Definition
cannot initiate or maintain sleep (symptom not disease)
Term
define hypersomnia
Definition
excessive sleep
Term
define circadian rhythm alteration
Definition
disturbance in sleep wake cycle (jet lag)
Term
define parasomnia
Definition
dysfunction of sleep like partial arousal
Term
what are the stages of the sleep cycle, how long, how many
Definition
stages 1-4: NREM
stage 5: REM
95 min each
4-5 per night
Term
what are the short acting sleep BDZ, how long
Definition
3-8 hours
midazolam
triazolam
Term
what are the intermediate acting sleep BDZ, how long
Definition
10-20 hours
temazepam
estazolam
Term
what are the long acting sleep BDZ, how long
Definition
1-3 days
quazepam
fulrazepam
Term
side effects of short acting BDZ for sleep
Definition
Triazolam only: tolerance in days, withdrawl causes rebound
Term
side effects of long acting BDZ for sleep
Definition
daytime sedation
hang over effect
Term
administration of midazolam
Definition
oral suryp, IV, IM
Term
use of midazolam
Definition
peanecthetic and intraoperative medication (anterograde amnesia)
Term
user of triazolam
Definition
reoccuring insomnia
initiating sleep
Term
use of intermediate BDZ for sleep
Definition
frequent waking
Term
use of long BDZ for sleep
Definition
reduce sleep
induration
decreasing waking
increase duration
Term
what type of drug is zolpidem
Definition
imidazopyridine derivative
Term
MOA zolpidem
Definition
binds to BDZ receptor at GABA-Cl channel causing hyperpolarization

does not affect different stages of sleep like BDZ or barbituiates
Term
what type od drug is zaleplon
Definition
pyrazolopurimidine derivative
Term
MOA zaleplon
Definition
binds to BDZ receptor at GABA-Cl channel causing hyperpolarization

does not affect different stages of sleep like BDZ or barbituiates
Term
ecozpiclone MOA
Definition
binds to BDZ receptor at GABA-Cl channel causing hyperpolarization

does not affect different stages of sleep like BDZ or barbituiates
Term
ramelton MOA
Definition
melatonin receptor agonist
binds mT1 and MT2 receptors for melatonin
Term
what type of drug is chloral hydrate
Definition
halogenated alcohol
Term
MOA chloral hydrate
Definition
unknown activate metabolite trichloroethanol
Term
zolpidem side effects
Definition
minimal rebound insomnia and tolerance

sleep walking/activities, amnesia (increases with alcohol)
Term
zaleplon side effects
Definition
minimal rebound insomnia and tolerance
Term
eszoipclone side effects
Definition
minimal rebound insomnia
Term
ramelton side effects
Definition
NO anoxiolytic, muscle relaxant, amnesic, or abuse potential

do not consume alcohol

decreased testosterone
Term
zolpidem use
Definition
sleep longer
jet lag
long term administration
Term
eczopiclone use
Definition
sleep longer
long term use
Term
ramelton use
Definition
difficulty initiating sleep
good for elderly
Term
chloral hydrate use
Definition
sedation in kids (dental)
Term
which sleep medicine is not a controlled substance, why
Definition
ramelteon: no CNS depressiing
Term
which sleep medicine is affected by P450 inducers and inhibitors
Definition
ramelton
Term
which sleep medicine has a continous release capsule, explain how it works
Definition
releases 5-10 mg immediatly and the rest over 3 h
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