Drugs (Exam #3) Flashcards

1
Q

Insomnia

A

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

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2
Q

Hypersomnolence Disorder

A

Methylphenidate (ritalin, concerta)

Pemoline (cylert)

Adderall (amphetamine and dextroamphetamine)

Modafinil (provigil)

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3
Q

Narcolepsy

A

Tricyclic antidepressants (treat cataplexy)

Sodium Oxybate (xyrem)

CNS Stimulants:

  • methylphenidate (ritalin)
  • dextroamphetamine (dexedrine)
  • pemoline (cylert)
  • monafinil (provigil)
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4
Q

Obstructive Sleep Apnea-Hypopnea

A

Surgery: uvulopalatopharyngoplasty

–> CPAP machine

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5
Q

Central Sleep Apnea

A

Reduce opioid medication

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6
Q

Restless Leg Disorder (RLD)

A

Parkinson’s drugs (L-dopa)

Muscle relaxants

Benzos

Opioids

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7
Q

Non-REM Sleep Arousal Disorder

A

None

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8
Q

Sleepwalking

A

Benzos if potential for harm

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9
Q

Sleep Terrors

A

For PTSD use prazosin (minipress)

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10
Q

Nightmare Disorder

A

Prazosin (minipress)

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11
Q

Diphenhydramine

A

Benadryl

Insomnia

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12
Q

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

A

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

Treat Insomnia

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13
Q

Non BzRA benzos include? Used to treat?

A

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

Used to treat Insomnia

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14
Q

Sedating Antidepressants

A

Insomnia

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15
Q

Methylphenidate

A

Ritalin, concerta

Hypersomnolence Disorder and Narcolepsy

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16
Q

Pemoline

A

Cylert

Hypersomnolence Disorder and Narcolepsy

17
Q

Adderall

A

Amphetamine and Dextroamphetamine

Hypersomnolence Disorder

18
Q

Dextroamphetamine

A

Dexedrine

Narcolepsy

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

19
Q

Modafinil

A

Provigil

Hypersomnolence Disorder and Narcolepsy

20
Q

Tricyclic Antidepressants

A

Narcolepsy

–treat cataplexy

21
Q

Sodium Oxybate

A

Xylem

Narcolepsy

22
Q

Uvulopalatopharyngoplasty

A

Surgery used to treat Obstructive Sleep Apnea-Hypopnea

–>CPAP

23
Q

Reducing opioid medications can treat?

A

Central Sleep Apnea

24
Q

Parkinson’s Drugs

A

L-dopa

RLD

25
Q

Muscle Relaxants

A

RLD

26
Q

Benzos

A

RLD

Sleepwalking if potential for harm

27
Q

Opioids

A

RLD

28
Q

Prazosin

A

Minipress

For PTSD w/ Sleep Terrors; Nightmare Disorder

29
Q

CPAP can help?

A

Obstructive Sleep Apnea-Hypopnea and Central Sleep Apnea

30
Q

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

A

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

31
Q

OCPD

A

Administer pharmacotherapy for short term for depression or anxiety

32
Q

Intermittent Explosive Disorder

A

Mood stabilizers such as Lithium (lithobid)

Anti-anxiety agents in the Benzo family can be addicting

Antidepressants increasing serotonin

Anticonvulsants for mood stabilization

33
Q

Kleptomania

A

Antidepressants

Behavioral therapy

34
Q

BPD: Controlling Emotional Dysregulation

A

Antidepressants have minimal help

35
Q

BPD: Reducing Impulsivity

A

Anticonvulsants (and sometimes Lithium)

36
Q

BPD: Managing transiet psychotic episodes

A

Antipsychotics

37
Q

BPD: Decreasing anxiety

A

Buspirone (Buspar)

–Benzos may worsen and cause agitation