sleep disorder Flashcards
insomnia
> 3 times weekly for atleast 3 months
non drug
sleep hyegine
DC meds that cause insomnia
meds that cause insomnia
acetylcholinesterase inhibitors
alcohol
antiretrovirals
aripriprazole
atomoxetine
buprpion
caffine
decongestants
diuretics
fluoxetine if late in the day
steroids
stimulants
varenicline
natural meds
melatonin
valerian
chamomile tea
hwat are some sleep hyegines
keep room dark comfortable quiet
regular sleep schedule
avoid day naps
reserve bedroom for sleep
establish prebedtime ritual
do not eat heavy meals
do not take caffiene in the afternoon
which drugs help falling and staying asleep
eszopiclone
zolpidem
which drugs help falling asleep
EZ
ramelteon
zaleplon
which drugs help staying asleep
doxepin
suvorexant
what are hypnotics
ezopiclone (lunesta)
zolpidem (ambien)
zaleplon (sonata)
all are controlled drugs
preffered over benzos
potential for abuse
orexin receptor antagonist
blocks orexin neuropeptide signaling system
lemborexant (dayvigo)
suvorexant (belsomra)
- somnolence
do not use in narcolepcy
melatonin receptro agonists
MOA- MT1 MT2 receptor agonist
ramelteon (rozerem
tasimelteon
melatonin receptro agonists
MOA- MT1 MT2 receptor agonist
ramelteon (rozerem
tasimelteon
tricyclic antidepressant
block acetylcholine and histamine receptors
- doxepin silenor
2 week washout with MAO
trazodone and mirtazapine can also be used
benz
temazepam
moa- gaba inducer
antihistamine
diphenhydramine
doxylamine unisom
- avoid in BPH and glaucoma
