-
sudden loss of muscle strength manifested as slurred speech, sagging of the jaw, head nodding, or even complete collapse of the body
cataplexy
-
vivid, fearful illusions that may be experienced at teh onset of sleep or on awakening
hypnagogic hallucinations
-
talking or repetitive movements during the sleep episode
automatic behavior
-
these antihistimine medicines include: benadryl, benylin cough, sleep-eze, sominex, sleepinal)
dipenhydramine
-
there antihistimine medicines include: nitetime, nytol, unisom
doxylamine
-
two herbal products with demonstrated efficacy in promoting relaxation are
valerian and kava
-
natural herb
high doses can damage the liver
potential to interact with RX sleep meds
not to be used unless recommened by Dr.
Kava
-
natural herb
not shown to cause liver damage
valerian root
-
causes drying of the nose and mouth
some pt. complain of dizziness and blurred vision
antihistimine
-
have been developed that more specifically target areas of the brain controling anxiety and sleep
CNS depressants
-
drug that has the ability to relieve anxiety
anxiolytic
-
CNS depressant that produces relaxation, calmness, and a reduction in anxiety and excitement
sedative
-
drug that produces sleep
hypnotic
-
four general classifications of drugs used for patients experiencing axiety or sleep disorders
- 1. benzodiazepines
- 2. nonbenzodiazepine anxiolytics
- 3. antidepressants
- 4. barbituates
-
drug of choice for generalized anxiety disorder GAD, and for short-term management of insomnia, schedule IV
benzodiazepines
-
bind to the gamma-aminobutyric acid (GABA) receptor and intensify the effect of GABA, the natural inhibitory neurotransmitter found throughout the brain
benzos
-
xanax
klonopin
valium
ativan
versed
restoril
benzos
-
ambien
lunesta
buspar
nonbenzos
-
have that ability to reduce anxiety symptoms by altering the levels of two imprtant neurotransmitters in the brain
-
most widely prescribed antidepressant class
can cause weight gain and sexual dysfunction
selective serotonin reuptake inhibitors (SSRIs)
-
cymbalta
effexor
celexa
prozac
lexapro
antidepressants
-
act by binding to GABA receptor chloride channel molecules
low dose: anxiety and causes drowsiness
medium dose: inhibit seizure activity
high dose: induce anesthesia
barbituates
-
phenobarbital
barbiturates
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