Sleep and nightmare meds Flashcards

1
Q

which medications are used for insomnia

A

mirtazapine
trazadone
zolpidem
eszopiclone
zaleplon

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2
Q

which meds are used for nightmares

A

topiramate
prazosin

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3
Q

brand name for mirtazapine

A

remeron

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4
Q

brand name for trazadone

A

desyrel

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5
Q

brand name for topiramate

A

topamax

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6
Q

brand name for prazosin

A

minipress

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7
Q

brand name for zolpidem

A

ambien

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8
Q

brand name for eszopiclone

A

lunesta

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9
Q

brand name for zaleplon

A

sonata

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10
Q

dosage of remeron for insomnia

A

7.5mg QHS

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11
Q

total dosage range for mirtazapine

A

15-45mg QHS

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12
Q

geriatric considerations for mirtazapine

A

lower doses
careful with hepatic impairment

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13
Q

labs to monitor for mirtazapine

A

fasting glucose
lipids

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14
Q

pregnancy risk with mirtazapine

A

moderate

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15
Q

patient teaching for mirtazapine for insomnia

A

need 8-10 hours of sleep

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16
Q

what is the dose dependent sedation effect of mirtazapine

A

sedation decreases as dosage increases

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17
Q

what is mirtazapine particularly good for

A

anxious depression

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18
Q

serious mirtazapine side effect

A

stevens johnson syndrome

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19
Q

when should you avoid mirtazapine

A

with ETOH abuse

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20
Q

dosage range for trazadone for insomnia

A

25-50 QHS
can go up to 100mh if needed

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21
Q

uses for trazadone

A

insomnia
depression
anxiety

22
Q

uses for mirtazapine

A

MDD
panic disorder
GAD
PTSD
insomnia

23
Q

pregnancy risk for trazadone

A

moderate

24
Q

contraindication for trazadone

A

after MI

25
Q

starting dose for topiramate for nightmares

A

12.5mg QHS

26
Q

dosage range for topiramate for nightmares

A

25-300mg QHS

27
Q

FDA approved uses for topiramate

A

seizures
migraine prophylaxis
weight management

28
Q

off label uses for topiramate

A

bipolar
binge eating disorder
psychotropic drug induced weight gain
tremor
PTSDl

29
Q

abs to monitor with topiramate

A

baseline bicarb and creatinine

30
Q

pregnancy risk with topiramate

A

avoid

31
Q

topiramate and oral contraceptives

A

topiramate decreases effectiveness of oral contraceptives

32
Q

topiramate and alcohol

A

do not use within 6 hours of each other

33
Q

side effects of topiramate

A

dose dependent weight loss
metabolic acidosis
kidney stones

34
Q

topiramate in renal impairment

A

half dose

35
Q

dosage range for prazosin

A

1-16mg QHS

36
Q

how to dose prazosin if it is for flashbacks

A

may divide doses and give smaller one in am

37
Q

FDA approved uses for prazosin

A

HTN
PTSD nightmares

38
Q

geriatric considerations with prazosin

A

higher risk of orthostatic hypotension and syncope

39
Q

pregnancy risk with prazosin

A

avoid

40
Q

consideration when dc prazosin

A

taper to avoid rebound HTN

41
Q

dosage for ambien

A

10mg for men
5mg for women

42
Q

elderly considerations for ambien

A

5mg max
increased risk for confusion and falls

43
Q

pregnancy risk with ambien

A

avoid

44
Q

should you take ambien with food

A

food decreases effectiveness

45
Q

when should you not ue ambien

A

hx of substance abuse
impaired respiration/OSA

46
Q

ambien dose with renal/hepatic impairment

A

5mg max

47
Q

dose range for eszopiclone

A

1-3mg

48
Q

geriatric dosage of eszopiclone

A

start at 1mg
max 2mg

49
Q

pregnancy risk with eszopiclone

A

avoid

50
Q

cautions for eszopiclone

A

hepatic impairment
ETOH abuse

51
Q
A