Sleep meds

Question 1

What are some drugs classed as benzodiazepines?

Answer 1

Valium (diazepam)
Xanax (alprazolam)
Klonopin (clonazepam)
Librium, Librax (chlordiazepoxide)
Ativan (lorazepam)
Restoril (temazepam)
Halcion (triazolam)
–most are going to end in -pam or -lam and have a z in the name

Question 2

What are some drugs classed as hypnotics (sedatives)?

Answer 2

Lunesta (eszopiclone)
Rozeram (ramelteon)
Belsomra (suvorexant)
Hetlioz (tasimelteon)
Sonata (zaleplon)
Ambien, Zolpimist (zolpidem)

Question 3

What is the adult dose of valium (diazepam)?
PO
IM
IV

Answer 3

PO-2-10 mg
IM or IV-5-10 mg Slow IV push

Question 4

What is the adult dose of alprazolam (Xanax)?
PO

Answer 4

0.25-1mg with max of 4 mg divided daily dose

Question 5

What is the adult dose of temazepam (Restoril)?
PO

Answer 5

15-30 mg
Don’t use in kids <18 yo

Question 6

What is the adult dose of Ativan (lorazepam)?
PO
IM
IV

Answer 6

PO-1-2 mg with max of 6 mg daily
IM: 0.05 mg/kg with max of 4 mg
IV: 2 mg diluted with 2ml of sterile water, NS or D5

Question 7

What is first line drug for agitation requiring rapid tranquilization?

Answer 7

Ativan-Lorazepam

Question 8

Which benzodiazepine is the first line drug for elderly or those with hepatic insufficiency?

Answer 8

Restoril (temazepam)

Question 9

What drugs increase effects of Xanax?

Answer 9

Calcium Channel Blockers

Question 10

What is adult dose of Lunesta (eszopiclone)?

Answer 10

2 mg PO up to 3 mg PO

Question 11

What is adult dose of Ambien (zolpidem)?

Answer 11

Spray in females: 5mg
Spray in males: 5-10 mg
Extended release tab in females: 6.25 mg
Extended release tab in males: 6.25-12.5 mg