non BZDPN hypnotics and sedatives Flashcards
chloral is used for
severe insomnia - short term use when insomnia is interfering with daily life and other therapies have failed
chloral is used for severe insomnia - short term use when insomnia is interfering with daily life and other therapies have failed.
it can be used for a maximum of ….. weeks, and is to be taken at bed time with …….. or ……
max 2 weeks
water or milk at bed time
cautions with chloral - avoid contact with…
Avoid contact with mucous membranes; avoid contact with skin
all interaction of chloral are to do with
sedation
CNS depressant
clomethiazole is used for
severe insomnia short term
short acting hypnotic, not a BZDPN
also restlessness and agitation, alcohol withdrawal
melatonin is used for
short term use insomnia
jet lag short term use
Insomnia in patients with learning disabilities and behaviour that challenges [where sleep hygiene measures have been insufficient] (initiated under specialist supervision)
melatonin
Max dose for Insomnia in patients with learning disabilities and behaviour that challenges [where sleep hygiene measures have been insufficient] (initiated under specialist supervision)
10mg a day
melatonin being used for Insomnia in patients with learning disabilities and behaviour that challenges [where sleep hygiene measures have been insufficient] (initiated under specialist supervision)
what time to take
30-60min before bedtime
melatonin being used short term for insomnia - when to take
1-2h before bedtime
melatonin - avoid this SSRI Because it very markedly increases exposure to melatonin
Fluvoxamine
cautions melatonin - autoimmune disease
Avoid—limited information available in patients with autoimmune disease; exacerbation reported occasionally.
common side effects of melatonin (3)
arthralgia; increased risk of infection; pain
