Insomnia and Sleepiness Flashcards
What is insomnia?
difficulty sleeping at least 3 times/week for 3 months
What are some causes of sleep inpairment?
medical, psychiatric(40%), drug induced/relatted, enviormental, social
Non-Pharmacological therapies for insomnia?
regular sleep schedule, excersixe, avoid alcohol and stimulants in afternoon, no blue light before bed, comfortable sleep enviorment, stimulus control
Who should use OTC treatments of insomnia?
for transient/short term insomnia, difficulty initiating sleep, max use of 2 weeks
Who should not use OTC treatment for insomnia?
those with chronic insomnia, less than 12 years, >65, medical/psychiatric
What antihistamines can be used to treat insominia?
Diphenhydramine(citrate 38mg= HCl 25mg), Doxylamine
True or false: one should not continue to self treat for insomnia for more than 2 weeks because risk of tolerance developing.
true
What is melatonin?
a nutritional supplement that is naturally secreted by pineal gland in darkness
Who produces more melatonin: children or elderly?
children
What drugs do melatonin interact with?
warfarin, nifedipine, fluvoxamine, corticosteriods
What are causes of fatigue?
depression, anxiety, stress, medical conditions, pregnancy
True or false: Caffeine is used to treat fatigue.
false. only for sleepiness
What can be used to treat sleepiness?
sleep, caffeine
What is the dosing of caffeine?
100-200 mg every 3-4 hours, max 600 mg
WHo should not self trest sleepiness/fatigue?
younger than 12, taking medications, chronic fatigue, heart disease, high blood pressure, pregnant, anxiety, medication induced drowsiness
