Insomnia Flashcards
What stimulants are associated with insomnia?
Caffeine
Theophylline
Sympathomimetics amines (pseudoephedrine)
MAOis - especially during early treatment.
What antiepileptics can cause insomnia?
Carbamazepine
Phenytoin
What are the effects of alcohol on insomnia?
Low to moderate amounts can promote sleep.
Excess can disturb sleep.
What impact can beta-blockers have on insomnia?
Propranolol can cause nightmares due to acting in brain, change to a beta-blocker less readily available in the brain.
What antidepressants can cause insomnia?
MAOIs- especially during early treatment.
SSRIs - especially fluoxetine
Which antifungal can cause insomnia?
Griseofulvin
Insomnia lasting > than what is a referral symptom?
4 weeks.
Insomnia in below what age is a referral symptom?
12
Nytol (Diphenhydramine) is licensed only for what patients for short-term relief of insomnia?
Adults and children over 16 years od age.
Take 20 minutes before wanting to go to sleep.
Sominex (20mg) and Phenergan (10mg or 25mg) contain what active?
Promethazine
Sominex and Phenergan are licensed for insomnia in what patient groups?
Adults and children over 16
When should Sominex/Phenergan (Promethazine) be taken?
one hour before bed
How is melatonin used for jet lag?
It has to be taken at bedtime after darkness has fallen on the first day of travel, then again in the same way on the second, and any subsequent day, of travel. Once at the final destination, it should be taken for the following few days at the same time.
