sleep part 6

Question 1

What are some of the Benzo-like drugs?

Answer 1

Lunestra
Sonata
Ambien

Question 2

What is ambient used for?

Answer 2

• short term management of insomnia
• can be used long term as well
• CR or extended release helps maintain sleep

Question 3

What are the adverse effects of the bento like drug Zolpidem (ambien)

Answer 3

Drowsiness
Dizziness
Sleep Driving
Other Sleep related complex behaviors
Can intensify the effects of other CNS depressants

Question 4

How are bento’s and bento-like drugs the same and different?

Answer 4

• same mechanism of action

- different structurally

Question 5

What drugs are the Benzo’s?

Answer 5

XANAX
Librium
Klonopin
Valium 
Ativan
Versed 
Restoril

Question 6

What does ambient lack when compared to benzo’s?

Answer 6

Lacks anxiolytic, muscle relaxant, and anticonvulsant actions because zolpidem doesn’t bind with all benzodiazepine receptors

Question 7

What is the melatonin agonist remelteon used for?

Answer 7

• induces sleep
• Not for sleep maintenance
• long term use

Question 8

What are the AE of the melatonin agonist Ramelteon?

Answer 8

somnolence, dizziness, fatigue, sleep driving, hallucinations, agitation, and mania

Question 9

What should pt’s do if they want to take an OTC sleep medication?

Answer 9

• talk to their Dr.
• Taking other medications while on sleeping medications may cause unintended actions. For example with some sleep medications when taken with OTC antihistamines such as Benedryl may cause profound respiratory depression, coma, or death