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Pass Naplex Now Book II > Insomnia > Flashcards

Flashcards in Insomnia Deck (23)
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1
Q

Indication: short term insomnia treatment

ADEs

A

Indication

  • Avoid use more than 3 wks
  • Start with lowest effective dose
  • Taper slowly if longer use

ADEs

  • Daytime somnolence
  • Amnesia
  • Early morning insomnia
  • Daytime anxiety, confusion, sleep driving
  • Ataxia and falls in elderly
2
Q

Ambien

  • MOA
  • Dose/Form
A

Zopidem

  • MOA: Short acting non-bzn hypnotic agents
  • Dose: 10 mg QHS. Elderly 2.5 to 5mg PO QHS
3
Q

Edluar

  • Form
A

Zolpidem

  • Form: 5 -10mg SL tab.
    Place under the tongue.
    No water or meal within 20min
4
Q

ZolpiMist

  • Form
A

Zolpidem

  • Dose: 5-10mg spray over the tongue
5
Q

Intermezzo

  • Indicaiton
  • Form
  • Dose: for men and women
A

Zolpidem

  • Indication: for insomnia ass with middle of the night awakening. Take only if there are 4 hrs remaining b/4 wake time
  • Form: SL
  • Dose: 1.75mg (women) and 3.5(men)
6
Q

Sonata

  • Dose
  • Half life
  • Metabolize
A

Zaleplon

  • Dose: Star 5-10mg. Max 20mg. Elderly 5mg QHS
  • Half life: 1H => shortest half life
  • Metabolize: CYP3A4
7
Q

Restoril

  • MOA
  • Given:
A

Temazepam

  • MOA: Benzo
  • Dose: 15min b/4 bedtime
8
Q

Prosom

  • MOA
  • Dose
A

Estazolam

  • MOA: Benzo
  • Dose: 15min before bedtime
9
Q

Adapin

  • Class
  • Indication
  • ADEs
A

Doxepin

  • Class: antidepressants
  • Indication: major depression, hyperactivity hx PLUS insomnia
  • ADEs: anticholinergic, AM hangover
10
Q

Elavil

  • Class
  • Indication
  • ADE
  • Avoid
A

Amitriptiline

  • Class: antidepressants
  • Indication: major depression, hyperactivity hx PLUS insomnia
  • ADEs: anticholinergic, AM hangover
  • Avoid: in elderly due to anticholinergic SEs
11
Q

Desyrel

  • Class
  • Indication
  • ADEs
A

Trazadone

  • Class: antidepressants
  • Indication: major depression, hyperactivity hx PLUS insomnia
  • ADEs: anticholinergic, AM hangover
12
Q

Remeron

  • Class
  • Indication
  • ADEs
A

Mirtazepine

  • Class: antidepressants
  • Indication: major depression, hyperactivity hx PLUS insomnia
  • ADEs: anticholinergic, AM hangover, wt gain, sedation
13
Q

Benadryl

  • Dose
  • ADE
A

Diphenhydramine

  • Dose: 25-50mg QHS
  • ADEs: anticholinergic, paradoxical CNS agitation, exacerbates restless leg syndrome
14
Q

Unisom

  • Dose
  • ADEs
A

Doxylamine

  • Dose: 25-50mg QHS
  • ADEs: anticholinergic, paradoxical CNS agitation, exacerbates restless leg syndrome
15
Q

Vistaril

  • Dose
  • ADEs
A

Hydroxyzine

  • Dose: 25-50mg QHS
  • ADEs: anticholinergic, paradoxical CNS agitation, exacerbates restless leg syndrome
16
Q

Melatonin

A

Melatonin

17
Q

Rozerem

  • MOA
  • Dose
  • Avoid
A

Ramelteon

  • MOA: melatonin receptor agonist
  • Dose: 8mg PO QHS within 30 b/4 bedtime.
  • Avoid: give after a high fat meal and liver disease
18
Q

Valerian root

A

Valerian root

19
Q

Sinequan

  • Class
  • Indication
  • ADEs
A

Doxepin

  • Class: antidepressants
  • Indication: major depression, hyperactivity hx PLUS insomnia
  • ADEs: anticholinergic, AM hangover
20
Q

Silenor

  • Class
  • Indication
  • ADEs
A

Doxepin

  • Class: antidepressants
  • Indication: major depression, hyperactivity hx PLUS insomnia
  • ADEs: anticholinergic, AM hangover
21
Q

Hetlioz

  • Indication
  • Administration
A

Tasimelteon

  • Indication: Melatonin receptor agonist for non-24H sleep awake disorder in BLIND patients
  • Administration: take without food
22
Q

Lunesta

A

Eszopiclone

23
Q

Belsomra

  • MOA
  • Indication
  • Administration
  • CS
A

Suvorexant

  • MOA: Orexin receptor antagonist
  • I: insomnia
  • Administration: take only if there are 7H remaining
  • CS-IV