Insomnia Case

Question 1

6 meds associated w. insomnia

Answer 1

CNS stimulants
bp drugs
respiratory meds
decongestants
hormones (steroids)
etoh, nicotine, cocaine

Question 2

8 dietary supplements that may help w. insomnia

Answer 2

valerian root
kava-kava
melatonin
passion flower
skullcap
lavender
hops
tryptophan

Question 3

2 classes of OTC meds commonly used for insomnia

Answer 3

antihistamines
anticholinergic

Question 4

4 OTC drugs commonly used for insomnia

Answer 4

benadryl
tylenol PM (APAP + benadryl)
sleep-eze
doxylamine (unisom)

Question 5

2 common s.e of OTC sleep aids

Answer 5

vivid dreams
hungover feeling

Question 6

4 non OTC meds used for insomnia

Answer 6

antidepressants
benzos
z drugs
GABA

Question 7

2 antidepressants used as sleep aids

Answer 7

doxepin (TCA)
trazodone (SARI)

Question 8

MOA for benzos

Answer 8

act on GABA receptors (main inhibitory NT)

Question 9

pregnancy category for benzos

Answer 9

X

Question 10

3 benzos used for sleep aids

Answer 10

triazolam (halcion)
estazolam (prosam)
temazepam (restoril)

Question 11

2 z drugs

Answer 11

zolpidem (ambien)
eszopiclone (lunesta)

Question 12

2 sleep aids that are safe in pregnancy

Answer 12

doxylamine (antihistamine)
zolpidem (ambien)

Question 13

when can benzos be used for insomnia

Answer 13

extreme situational

Question 14

benzos for insomnia should be limited to

Answer 14

2 weeks

Question 15

when should antidepressants be used for insomnia

Answer 15

coexisting dpn/anxiety/mania