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Flashcards in Sleep Disorders Deck (22):
0

Prosom

Estazolam
Sedative hypnotic benzodiazapine class B
Intermediate t1/2=10-24 hrs

1

Dalmane

Flurazepam
Sedative hypnotic benzodiazapine
Long t1/2= 100hrs
Don't give to geriatrics

2

Doral

Quazepam
Sedative hypnotic benzodiazapine
Long t1/2= 39 hrs
Don't give to geriatrics

3

Restoril

Temazepam
Sedative hypnotic benzodiazapine
Short to intermediate t1/2=3.5-18hrs
Recommended for elderly or hepatic impairment

4

Halcion

Triazolam
Sedative hypnotic benzodiazapine class B
Short t1/2= 1.5-5.5 hrs

5

Ambien

Zolpidem
Non-benzodiazapine hypnotic
Imidazopyridine
5mg F and geriatric. 10 mg M

6

Sonata

Zalepon
Non-benzodiazapine hypnotic
Pyrazolopyrimidine
10mg (5mg for geriatric)

7

Lunesta

Eszopiclone
Non-benzodiazapine hypnotic
Cyclopyrrolone
2mg (1mg for geriatric)

8

Noctec

Chloral hydrate
Non-benzodiazapine hypnotic

9

Rozerem

Ramelton
Melatonin receptor agonist
8mg

10

Provigil

Modafinil
Narcolepsy/Cataplexy

11

Nuvigil

Armodafinil
Narcolepsy/Cataplexy

12

Xyrem

Sodium oxybate
Narcolepsy/Cataplexy

13

Ritalin
Concerta
Methylin
Quillivant

Methylphenidate
Narcolepsy/Cataplexy

14

Adderall

Amphetamine, methamphetamine, d-amphetamine
Narcolepsy/Cataplexy

15

Requip

Ropinirole
Restless leg syndrome

16

Mirapex

Pramipexole
Restless leg syndrome

17

Treatment for difficulty initiating sleep

Use short acting hypnotic
Triazolam
Zolpidem
Sale plan
Ramelteon

18

Treatment for difficulty maintaining sleep

Use intermediate acting hypnotic
Lorazepam
Temazepam
Estazolam
Eszopiclone
Zolpidem ER
Doxepin

19

Treatment for middle of night awakenings >/= 4 hours before wake up time

Zolpidem SL (intermezzo)
Zaleplon

20

Elderly patients

Lorazepam
Temazepam
Zolpidem
Zaleplon
Use non BZDs 1st since BZDs are addictive. Also try sleep hygiene and melatonin 1st

21

Long term use sleep meds (>6months)

Zolpidem ER, eszoplicone, Ramelteon