Drugs (Exam #3)

Question 1

Insomnia

Answer 1

Diphenhydramine (Benadryl)

Benzodiazepine Receptor Agonists (BzRAs):

• diazepam (valium)
• chlordiazepoxide (librium)
• lorazepam (ativan)
• flurazepam (dalmane)

Non BzRA benzos:

• zolpidem (ambient)
• zaleplon (sonata)
• melatonin and ramelteon (rozerem)

Sedating antidepressants

Question 2

Hypersomnolence Disorder

Answer 2

Methylphenidate (ritalin, concerta)

Pemoline (cylert)

Adderall (amphetamine and dextroamphetamine)

Modafinil (provigil)

Question 3

Narcolepsy

Answer 3

Tricyclic antidepressants (treat cataplexy)

Sodium Oxybate (xyrem)

CNS Stimulants:

• methylphenidate (ritalin)
• dextroamphetamine (dexedrine)
• pemoline (cylert)
• monafinil (provigil)

Question 4

Obstructive Sleep Apnea-Hypopnea

Answer 4

Surgery: uvulopalatopharyngoplasty

–> CPAP machine

Question 5

Central Sleep Apnea

Answer 5

Reduce opioid medication

Question 6

Restless Leg Disorder (RLD)

Answer 6

Parkinson’s drugs (L-dopa)

Muscle relaxants

Benzos

Opioids

Question 7

Non-REM Sleep Arousal Disorder

Answer 7

None

Question 8

Sleepwalking

Answer 8

Benzos if potential for harm

Question 9

Sleep Terrors

Answer 9

For PTSD use prazosin (minipress)

Question 10

Nightmare Disorder

Answer 10

Prazosin (minipress)

Question 11

Diphenhydramine

Answer 11

Benadryl

Insomnia

Question 12

Benzodiazepine Receptor Agonists (BzRAs) include? Used to treat?

Answer 12

Diazepam (valium), chlordiazepoxide (librium), lorazepam (ativan), flurazepam (dalmane)

Treat Insomnia

Question 13

Non BzRA benzos include? Used to treat?

Answer 13

Zolpidem (ambien), zaleplon (sonata), melatonin and ramelteon (rozerem)

Used to treat Insomnia

Question 14

Sedating Antidepressants

Answer 14

Insomnia

Question 15

Methylphenidate

Answer 15

Ritalin, concerta

Hypersomnolence Disorder and Narcolepsy

Question 16

Pemoline

Answer 16

Cylert

Hypersomnolence Disorder and Narcolepsy

Question 17

Adderall

Answer 17

Amphetamine and Dextroamphetamine

Hypersomnolence Disorder

Question 18

Dextroamphetamine

Answer 18

Dexedrine

Narcolepsy

*Also combined w/ amphetamine (dextroamphetamine + amphetamine = Adderall) to treat Hypersomnolence Disorder

Question 19

Modafinil

Answer 19

Provigil

Hypersomnolence Disorder and Narcolepsy

Question 20

Tricyclic Antidepressants

Answer 20

Narcolepsy

–treat cataplexy

Question 21

Sodium Oxybate

Answer 21

Xylem

Narcolepsy

Question 22

Uvulopalatopharyngoplasty

Answer 22

Surgery used to treat Obstructive Sleep Apnea-Hypopnea

–>CPAP

Question 23

Reducing opioid medications can treat?

Answer 23

Central Sleep Apnea

Question 24

Parkinson’s Drugs

Answer 24

L-dopa

RLD

Question 25

Muscle Relaxants

Answer 25

RLD

Question 26

Benzos

Answer 26

RLD Sleepwalking if potential for harm

Question 27

Opioids

Answer 27

RLD

Question 28

Prazosin

Answer 28

Minipress For PTSD w/ Sleep Terrors; Nightmare Disorder

Question 29

CPAP can help?

Answer 29

Obstructive Sleep Apnea-Hypopnea and Central Sleep Apnea

Question 30

__% of non-institutionalized adults suffer from insomnia, along with __-__% with severe insomnia.

Answer 30

23.6% non-institutionalized adults; 10-15% w/ severe insomnia

Question 31

OCPD

Answer 31

Administer pharmacotherapy for short term for depression or anxiety

Question 32

Intermittent Explosive Disorder

Answer 32

Mood stabilizers such as Lithium (lithobid) Anti-anxiety agents in the Benzo family can be addicting Antidepressants increasing serotonin Anticonvulsants for mood stabilization

Question 33

Kleptomania

Answer 33

Antidepressants Behavioral therapy

Question 34

BPD: Controlling Emotional Dysregulation

Answer 34

Antidepressants have minimal help

Question 35

BPD: Reducing Impulsivity

Answer 35

Anticonvulsants (and sometimes Lithium)

Question 36

BPD: Managing transiet psychotic episodes

Answer 36

Antipsychotics

Question 37

BPD: Decreasing anxiety

Answer 37

Buspirone (Buspar) | --Benzos may worsen and cause agitation