Sleep disorders Flashcards
1
Q
How long can benzodiazepines be used for?
A
2 - 4 weeks max
2
Q
Characteristics og benzodiazepine withdrawal syndrome
A
anxiety, loss of apetite, tremor, perspiration, tinnitus, perceptul disturbances
3
Q
How long does it normally take to taper off short term Benzos
A
2 to 4 weeks
4
Q
What is the protocol for stepping a patient down off long term benzos?
A
- transfer pt stepwisse to equivalent dose of Diazepam
- reduce diazepam dose by 1-2mg every 2-4 weeks
- reduce diazepam dose further (in steps of 500mcg)
- then stop
5
Q
Examples of Z drugs
A
Zopiclone and Zolpidem
6
Q
Over what age is melatonin licensed for to treat insomnia
A
> 55 years
7
Q
Benzos with sustained action
A
Alprazolam, diazepam, chlordiazepoxide, clobazam
8
Q
short acting benzos
A
Lorazepam, Oxazepam
9
Q
What is Chloral hydrate used for?
A
Insomnia
