Insomnia/Antidepressants
What are the common side effects of SSRI medications? What are the symptoms of serotonin syndrome?
Common: Sexual SE, weight, GI, tremors
Serotonin Syndrome: agitation or confusion, muscle rigidity, hyperreflexia, tachycardia, diaphoresis, fever, diaphoresis
What potential risks to overall health and function are posed by chronic stress?
Sleep, heart disease, stomach ulcers, anxiety disorders, social and professional dysfunction
What is the name of the nonbenzodiazepine receptor agonist studied?
What are contraindications for the use of this medication?
Drug: Eszopiclone
Contraindications: severe liver disease, pregnancy/lactation, complex sleep behaviors
What potential risks are associated with benzodiazepines?
Common effects include drowsiness, dizziness, and impaired coordination.
Serious risks include respiratory depression, misuse, dependence, and withdrawal.
What is the name of the supplement OTC product that can be used for insomnia?
Melatonin
What are the contraindications for hydroxyzine?
Avoid hydroxyzine in clients with allergy, a prolonged QT interval, or who are breastfeeding.
What prescription medication targets melatonin receptors in the brain?
Ramelteon
A - Which antipsychotic reduces neurological overactivity, agitation and psychosis and promotes sleep?
B - Which antipsychotic reduces agitation and can decrease anxiety and depression?
A - Haloperidol
B - Quetiapine
What client education should be provided to a client taking bupropion?
Blocks Norepinephrine and Dopamine Reuptake; can cause insomnia, agitation, dry mouth, tachycardia, hypertension, weight gain and sexual SE; Do not stop abruptly; No food interactions
What are some signs of Lithium toxicity?
worsening tremor, weakness, poor coordination, slurred speech, vomiting, diarrhea or drowsiness