non BZDPN hypnotics and sedatives Flashcards
chloral is used for
severe insomnia - short term use when insomnia is interfering with daily life and other therapies have failed
chloral is used for severe insomnia - short term use when insomnia is interfering with daily life and other therapies have failed.
it can be used for a maximum of ….. weeks, and is to be taken at bed time with …….. or ……
max 2 weeks
water or milk at bed time
cautions with chloral - avoid contact with…
Avoid contact with mucous membranes; avoid contact with skin
all interaction of chloral are to do with
sedation
CNS depressant
clomethiazole is used for
severe insomnia short term
also restlessness and agitation, alcohol withdrawal
melatonin is used for
short term use insomnia
jet lag short term use
Insomnia in patients with learning disabilities and behaviour that challenges [where sleep hygiene measures have been insufficient] (initiated under specialist supervision)
melatonin
Max dose for Insomnia in patients with learning disabilities and behaviour that challenges [where sleep hygiene measures have been insufficient] (initiated under specialist supervision)
10mg a day
melatonin being used for Insomnia in patients with learning disabilities and behaviour that challenges [where sleep hygiene measures have been insufficient] (initiated under specialist supervision)
what time to take
30-60min before bedtime
melatonin being used short term for insomnia - when to take
1-2h before bedtime
melatonin - avoid this SSRI Because it very markedly increases exposure to melatonin
Fluvoxamine
cautions melatonin - autoimmune disease
Avoid—limited information available in patients with autoimmune disease; exacerbation reported occasionally.
common side effects of melatonin (3)
arthralgia; increased risk of infection; pain
