Chapter 4 BNF (Sleep Disorders) Flashcards Preview

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Flashcards in Chapter 4 BNF (Sleep Disorders) Deck (13)
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1
Q

What type of benzodiazepine should be offered in transient insomnia and how many doses?

A

Short acting

One or two doses

2
Q

How is chronic insomnia treated

A

Treat underlying condition

3
Q

Which z-drug is associated with taste disturbance?

A

Zopiclone

4
Q

Which z-drug is associated with GI disturbance?

A

Zolpidem

5
Q

Which z-drug is shortest acting, how long should it be given for?

A

Zaleplon: 2 weeks

6
Q

What’s first choice for sleep onset insomnia?

A

Z drugs

TOLLL Benzos

7
Q

What’s first choice in sleep maintaininance insomnia with day time anxiety?

A

Diazepam
Nitrazepam
Flurazepam

8
Q

What’s the risk with benzodiazepines in the elderly?

A

Ataxia and confusion

9
Q

What are the side effects of z-drugs ?

A

Paradoxical effects: aggression

Daytime sleepiness

Dependence and withdrawal?

10
Q

What are the withdrawal symptoms of z drugs?

A

Rebound insomnia

Vivid dreams

11
Q

How long does tolerance take to develop with z-drugs ?

A

3 to 14 days

12
Q

What is narcolepsy?

A

Sleep at inappropriate times

13
Q

What are the treatments of narcolepsy ?

A

Modafinil
Methylphenidate
Dexamfetamine