Insomnia

Question 1

What are the symptoms of insomnia ?

Answer 1

• difficulty initiating sleep, difficulty maintaining sleep

- early morning awaking, poor sleep quality

Question 2

What type of insomnia there are ?

Answer 2

Transient Insomnia
Short-term insomnia
Chronic insomnia

Question 3

How to treat transient insomnia ?

Answer 3

Better to give short acting hypnotic, give only one or two doses

Question 4

How to treat short-term insomnia ?

Answer 4

usually related to emotional problem or serious medical illness. Short acting hypnotic is usually appropriate, give for no more than three weeks, give intermittently and omit some doses

Question 5

Name short acting hypnotics ? ( z- drugs ) CD4 part 1

Answer 5

zopiclone ( taste disturbance )
zolpidem, ( GI disturbance, leave 8 hours before driving )
zaleplon ( shortest acting )
Little hangover effect

Question 6

How long should Z drugs be used ?

Answer 6

Zaleplon only max two weeks, others max four weeks

Question 7

Name long acting benzodiazepines?

Answer 7

Nitrazepam
Diazepam
flurazepam

Question 8

Name shorter acting benzodiazepines ?

Answer 8

temazepam (CD3)
lorazepam
loprazolam
loretazepam
oxazepam

Question 9

How does Z-drugs work ?

Answer 9

act on benzodiazepine site of GABA a receptors to facilitate and enhance the binding of GABA to GABA a receptors.

Question 10

Side effects of Z-drugs ?

Answer 10

paradoxical effects

daytime sleepiness

Question 11

How quick tolerance develops with Z- drugs ?

Answer 11

in 3 to 14 days of continues use; take only when needed