Central Nervous System - Sleep Disorders Flashcards
1
Q
what causes transient insomnia?
A
external factors
- noise
- shift work
- jet lag
2
Q
what is tx of transient insomnia?
A
- rapidly eliminated hypnotic
- only 1/2 dose is given
3
Q
What causes short term insomnia?
A
- emotional problem
- serious medical illness
4
Q
What is tx of short term insomnia?
A
- hypnotic
-mnot given for more than 3 wk (1wk ideal)
5
Q
what causes chronic insomnia?
A
- anxiety
- depression
- alcohol/drug abuse
6
Q
when is tx given in chronic insomnia?
A
when there is an underlying psychiatric compliant
7
Q
what is given as tx in insomnia?
A
- long acting benzodiazepines
- short acting benzodiazepines
- z-hyponotics
8
Q
give examples of long acting benzodiazepines
A
- nitrazepam
- diazepam
- flurazepam
9
Q
when is long-acting benzodiazepines used in insomnia?
A
- used for sleep maintenance
- higher hangover effect following day
10
Q
give examples of short-acting benzodiazepines
A
- loprazolam
- lormetazepam
- temazepam
11
Q
short acting benzodizapines s/e
hangover effect, withdrawal symptoms
A
- little or no hangover effect
- sleep onset
- high chance of withdrawal symptoms
12
Q
give examples of Z-hypnotics?
A
- zolpidem
- zopiclone
13
Q
what class of drug is zolpidem + zopiclone ?
A
CNS depressants
14
Q
when does dependency for zolpidem + zopiclone occur?
A
- 3-14DY of use
- should be taken intermittently
- only use for 4WK max
15
Q
who should avoid benzodiazepines + Z-hypnotics?
A
elderly due to falls and injury
