Sleep disorders Flashcards Preview

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Flashcards in Sleep disorders Deck (36)
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1
Q

most common sleep disorder

A

insomnia

2
Q

natural products used for insomnia

A

Chamomile tea
melatonin
valerian

3
Q

Drugs that can worsen insomnia

A
alcohol
bupropion
caffeine
fluoxetine
steroids
stimulants
4
Q

Drugs recommended for sleep onset insomnia (trouble falling asleep) 6 drugs

A
eszopiclone
ramelteon
temazepam
triazolam
zaleplon
zolpidem
5
Q

Drugs recommended for sleep maintenance insomnia

5 drugs

A
doxepin
temazepam
eszopiclone
suvorexant
zolpidem
6
Q

Which class is preferred for long-term insomnia treatment?

A

non-benzo sedatives (zolpidem, etc)

less incidence of dependence

7
Q

Nono-benzo sedative side effects

A

somnolence
dizziness
ataxia
parasomnias - sleep walking, sleep-driving, etc

8
Q

zolpimist

A

zolpidem oral spray (5mg/spray)

9
Q

Edluar

Intermezzo

A

zolpidem SL tab

10
Q

Max dose of zolpidem in elderly and females

A

IR: 5 mg HS
CR: 6.25 mg Hs

11
Q

Sonata

A

Zaleplon

12
Q

Belsomra

A

suvorexant

13
Q

Belsomra MOA

A

Orexin receptor antagonist

14
Q

Belsomra dosing

A

10 mg HS
Max: 20 mg
5 mg w/ moderate CYP3A4 iinhibitor

15
Q

Rozerem

A

ramelteon

16
Q

Rozerem MOA

A

melatonin receptor agonist

17
Q

Hetiloz

A

Tasimelteon

18
Q

Hetiloz use

A

non-24 hr sleep-wake disorder

19
Q

Silenor

A

doxepin

20
Q

Silenor dosing

A

6 mg HS

3 mg if 65 or older

21
Q

Withdrawal is possible after taking sedatives frequently after…..

A

2 or more weeks

22
Q

BZDs used for insomnia (6 drugs)

A
Lorazepam
temazepam
estazolam
quazepam
Flurazepam
Triazolam
23
Q

Halcion

A

Triazolam

24
Q

BZDs with long t1/2 and not recommended in the elderly

A

quazepam

flurazepam

25
Q

Triazolam clinical pearls

A

associated with rebound insomnia and daytime anxiety

contraindicated with several CYP3a4 inhibitors

26
Q

Restless leg syndrome

A

Urge to move the lower legs

“creeping sensation”

27
Q

Treatment options for restless leg syndrome

A
dopamine agonist
gabapentin enacarbil (Horizant)
28
Q

Dosing for dopamine agonist in RLS

A

1-3 hours before bedtime (mirapex/requip IR)

Neupro patch: 1 patch daily

29
Q

Horizant administration

A

take around 5 PM

30
Q

Narcolepsy

A

excessive daytime sleepiness with sudden loss of muscle tone and sleep paralysis

31
Q

Provigil

A

modafinil 200 mg daily

stimulant used for narcolepsy

32
Q

Nuvigil

A

armodafinil 150-250 mg daily

stimulant used for narcolepsy

33
Q

Provigil/nuvigil side effects

A
HA
dizziness
anxiety
agitation
rash (requires MedGuide- can be life-threatening)
34
Q

Sodium oxybate

A

agent derived from GABA

indicated for narcolepsy with cataplexy (sudden loss of muscle strength)

35
Q

Sodium oxybate brand

A

Xyrem

36
Q

Sodium oxybate clinical pearls

A

REMS program
same compound as “date rape” drug
start 2.25 grams HS
usually take 6-9 grams HS

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