Term
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Definition
Maintain Regular sleep schedule, avoiding prolonged naps
Exercise daily
Avoid nicotine, caffeine, nicotine, alcohol, other drugs
Avoid large meals in the evening
Turn clock face away and always use an alarm
Keep bedroom dark, and only use for sleep or sex |
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Term
BDZs - Some properties
Who to watch out in |
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Definition
Hypnotic and sedative
Can cause confusion and ataxia in the elderly |
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Term
| What BDZs are indicated for insomnia |
|
Definition
| Flurazepam, Nitrazepam, Temazepam, and Triazolam |
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Term
| Which BDZs indicated for insomnia have long half-lives and therefore build up with repeated dosing? |
|
Definition
Flurazepam & Nitrazepam
Not recommended in the elderly |
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Term
| Which BDZ is a good all purpose hyponotic with less hangover effects or rebound insomnia? |
|
Definition
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Term
| Which BDZ indicated for insomnia has a fast onset and short duration, making it good for initial insomnia? |
|
Definition
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|
Term
Oxazepam for insomnia?
when to take it? |
|
Definition
YES, although not indicated...
Take it 60-90 minutes before bed for initial insomnia, or immediately before bed for maintenance imsomnia |
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Term
Zopiclone, what is of concern ?
How is Zopiclone's tolerance and rebound insmonia vs BDZs? |
|
Definition
Zopiclone - can cause hangover effects that impair morning driving
LESS tolerance than BDZs, with less rebound effects |
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|
Term
| L-tryptophan, place in therapy ? |
|
Definition
| In high doses has a hypnotic effect, useful when trying to avoid BDZs |
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|
Term
| Treatment length with BDZs? |
|
Definition
| 2 weeks, except triazolam : 5-7 days |
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