Insomnia Flashcards
1
Q
Indication: short term insomnia treatment
ADEs
A
Indication
- Avoid use more than 3 wks
- Start with lowest effective dose
- Taper slowly if longer use
ADEs
- Daytime somnolence
- Amnesia
- Early morning insomnia
- Daytime anxiety, confusion, sleep driving
- Ataxia and falls in elderly
2
Q
Ambien
- MOA
- Dose/Form
A
Zopidem
- MOA: Short acting non-bzn hypnotic agents
- Dose: 10 mg QHS. Elderly 2.5 to 5mg PO QHS
3
Q
Edluar
- Form
A
Zolpidem
- Form: 5 -10mg SL tab.
Place under the tongue.
No water or meal within 20min
4
Q
ZolpiMist
- Form
A
Zolpidem
- Dose: 5-10mg spray over the tongue
5
Q
Intermezzo
- Indicaiton
- Form
- Dose: for men and women
A
Zolpidem
- Indication: for insomnia ass with middle of the night awakening. Take only if there are 4 hrs remaining b/4 wake time
- Form: SL
- Dose: 1.75mg (women) and 3.5(men)
6
Q
Sonata
- Dose
- Half life
- Metabolize
A
Zaleplon
- Dose: Star 5-10mg. Max 20mg. Elderly 5mg QHS
- Half life: 1H => shortest half life
- Metabolize: CYP3A4
7
Q
Restoril
- MOA
- Given:
A
Temazepam
- MOA: Benzo
- Dose: 15min b/4 bedtime
8
Q
Prosom
- MOA
- Dose
A
Estazolam
- MOA: Benzo
- Dose: 15min before bedtime
9
Q
Adapin
- Class
- Indication
- ADEs
A
Doxepin
- Class: antidepressants
- Indication: major depression, hyperactivity hx PLUS insomnia
- ADEs: anticholinergic, AM hangover
10
Q
Elavil
- Class
- Indication
- ADE
- Avoid
A
Amitriptiline
- Class: antidepressants
- Indication: major depression, hyperactivity hx PLUS insomnia
- ADEs: anticholinergic, AM hangover
- Avoid: in elderly due to anticholinergic SEs
11
Q
Desyrel
- Class
- Indication
- ADEs
A
Trazadone
- Class: antidepressants
- Indication: major depression, hyperactivity hx PLUS insomnia
- ADEs: anticholinergic, AM hangover
12
Q
Remeron
- Class
- Indication
- ADEs
A
Mirtazepine
- Class: antidepressants
- Indication: major depression, hyperactivity hx PLUS insomnia
- ADEs: anticholinergic, AM hangover, wt gain, sedation
13
Q
Benadryl
- Dose
- ADE
A
Diphenhydramine
- Dose: 25-50mg QHS
- ADEs: anticholinergic, paradoxical CNS agitation, exacerbates restless leg syndrome
14
Q
Unisom
- Dose
- ADEs
A
Doxylamine
- Dose: 25-50mg QHS
- ADEs: anticholinergic, paradoxical CNS agitation, exacerbates restless leg syndrome
15
Q
Vistaril
- Dose
- ADEs
A
Hydroxyzine
- Dose: 25-50mg QHS
- ADEs: anticholinergic, paradoxical CNS agitation, exacerbates restless leg syndrome