Quiz 7 Reverse Flashcards
- Quinolone abx2. SSRIs3. Decongestants4. Dopamine agonists5. Ethanal6. Oral contraceptives7. Thyroid meds
What meds can cause insomnia?
- Ambien (Zolpidem)2. Sonata (Zaleplon)3. Lunesta (Eszopiclone)No effect on sleep stages
Non-Benzos for sleep
Lunesta (Eszopiclone) & XR Ambien (Zolpidem)
Which non-benzos can you use long-term for sleep?
- Restoril - Temazepam2. ProSom - Estazolam3. Dalmane - Flurazepam4. Doral - Quazepam5. Halcion - Triazolam
What are the benzos for sleep?
- Dec. sleep latency2. Dec. awakenings3. REM shortened4. # of REM cycles inc. 5. Sleep time inc.
Benzo sleep aids affects on stages?
Obstructive sleep apnea
Contraindications to benzo sleep aids?
Melatonin receptor agonist1. Dec. testosterone2. Inc. prolactin3. Dec. libido4. Disruption of meses
ADRs Rozerem
- Nytol - Diphenhydramine2. NiteTime Sleep Aid - Doxylamine Only work if Pt sensitive, can develop tolerance
OTC Sleep aids
Anaphylaxis & angioedemaSleep driving, telephone calls, cooking & eating
What is the FDA warning with sleep aids?
- Benzos2. Opiates3. Antipsychotics4. Alcohol
What drugs should you avoid with epilepsy?
- Provigil - Modafinil2. Ritalin - Methylphenidate3. Dexedrine - Amphetamines Inc. dopamine levels at synaptic cleft
What are the Eugeroics for sleep apnea & how do they work?
- Cardiac Pts2. HTN - careful3. Psych Pts4. Kiddos
Who shouldn’t take Eugeroics?
REM sleep-suppressing drugs NE or SSRIs1. Venlaxafine2. Fluoxetine3. Atomoxetine4. Sodium oxybate
Tx for cataplexy?
- Check iron2. Moderate regular exercise3. Leg massage w/ pneumatic compression4. Heat5. Mental alerting activities at times of rest/boredom6. Avoid aggravating factors
Non- pharm Tx for restless legs
- Dopamine agonists (Requip, Mirapex)2. Benzos (Diazepam, Clonazepam)3. Alpha-2-delta Ca channel ligands (Gabapentin, Pregabalin)
Meds to Tx restless legs