Benzo
Midazolam
No antidote
Highly addictive
What can happen to a patient after taking Benzos for 3-5 weeks?
Rebound insomnia
What are some adverse effects of Benzo?
Hangover effect
Cognitive impairment
headache
What type of medication are given for ADHD?
Amphetamines
What are benzo indications?
Anxiety
Conscious Sedation
Seizures
If a hypnotic- Sleep
What should you give a patient who is having a barn overdose?
- Give activated Charcoal
- Give fluids
- Vasopressors
- Respiratory Support and airway
What is the most common sleeping drug, and what does it cause?
Zolpidem
Hallucinations/Sleepwalking
What benzo is used for sedation?
Midazolam
What are amphetamines' purpose?
- Increase mood alertness
- Decrease fatigue
What is the antidote of Benzo?
Flumazenil
When a patient is having a seizure what would be the order of medication given?
Lorazepam
Phenobarbital
Pentobarbital
Which medications does a person need to able to get 8 hours of sleep at night?
Eszopiclone (Lunesta)
What is phenobarbital used for?
Tonic/Clonic seizures
What amphetamines' is most commonly prescribed for kids with ADHD and what are the main concerns with it?
Atomoxetine - suicidal ideation/depression
What are some natural supplements that people use in place of Benzo? What does one of them cause?
Cava- causes jaundice
Valerian root
What are some indications for Barbs?
- Sedation
- Muscle Relaxant
- Sleep
-Anxiety
- Depression
If a patient is taking a muscle relaxer what else should they avoid?
Alcohol
Benzo
Opioids
Antihistamines
What is baclofen used for? Specifically what disease?
Muscle spasm
MS and Cerebral Palsy
What gender is ADHD most prevalent?
Boys- school age
What are some side effects of Sleep/anxiety medications?
- Sleeping during the day
- Headache
- Confusion
-Falls in older adults
What are some contradictions of Barbs?
- Caution in older adults
- Kidney and liver disease
- Respiratory difficulty
- Drug allergy
Why might your doctor prescribed Benzo over Barbs?
No respiratory depression
What to do for toxicity for muscle relaxants?
Supportive therapy
Fluids to manage crystalluria (avoid kidney stones)
EKG monitoring
Airway
What else should you know about Atomoxetine in school age children?
Doctors will give drug holiday on weekends or school breaks