Sleep Disorders Flashcards
(22 cards)
Dalmane
Flurazepam
Sedative hypnotic benzodiazapine
Long t1/2= 100hrs
Don’t give to geriatrics
Prosom
Estazolam Sedative hypnotic benzodiazapine class B Intermediate t1/2=10-24 hrs
Doral
Quazepam
Sedative hypnotic benzodiazapine
Long t1/2= 39 hrs
Don’t give to geriatrics
Restoril
Temazepam
Sedative hypnotic benzodiazapine
Short to intermediate t1/2=3.5-18hrs
Recommended for elderly or hepatic impairment
Halcion
Triazolam Sedative hypnotic benzodiazapine class B Short t1/2= 1.5-5.5 hrs
Ambien
Zolpidem
Non-benzodiazapine hypnotic
Imidazopyridine
5mg F and geriatric. 10 mg M
Sonata
Zalepon
Non-benzodiazapine hypnotic
Pyrazolopyrimidine
10mg (5mg for geriatric)
Lunesta
Eszopiclone
Non-benzodiazapine hypnotic
Cyclopyrrolone
2mg (1mg for geriatric)
Noctec
Chloral hydrate
Non-benzodiazapine hypnotic
Rozerem
Ramelton
Melatonin receptor agonist
8mg
Provigil
Modafinil
Narcolepsy/Cataplexy
Nuvigil
Armodafinil
Narcolepsy/Cataplexy
Xyrem
Sodium oxybate
Narcolepsy/Cataplexy
Ritalin
Concerta
Methylin
Quillivant
Methylphenidate
Narcolepsy/Cataplexy
Adderall
Amphetamine, methamphetamine, d-amphetamine
Narcolepsy/Cataplexy
Requip
Ropinirole
Restless leg syndrome
Mirapex
Pramipexole
Restless leg syndrome
Treatment for difficulty initiating sleep
Use short acting hypnotic Triazolam Zolpidem Sale plan Ramelteon
Treatment for difficulty maintaining sleep
Use intermediate acting hypnotic Lorazepam Temazepam Estazolam Eszopiclone Zolpidem ER Doxepin
Treatment for middle of night awakenings >/= 4 hours before wake up time
Zolpidem SL (intermezzo) Zaleplon
Elderly patients
Lorazepam Temazepam Zolpidem Zaleplon Use non BZDs 1st since BZDs are addictive. Also try sleep hygiene and melatonin 1st
Long term use sleep meds (>6months)
Zolpidem ER, eszoplicone, Ramelteon