Question

n Pharmacology 17. A young man with a history of occasional drug abuse is in the doctor's office com hypnotic agent might be the best choice for this patient? ysician is wniting a prescription for a hypnotic with no refills. Which is a 36-year-old alcoholic. She has unsuccessfully attempted to quit drinking multiple times. Her physician has decided to initiate disulfiram therapy. What should June be told before taking this medication? 18. June isa 19. John is a healthy 29-year-old who has recently had trouble sleeping. His physician has prescribed Dalmane 30 mg While talking with John, he tells you how happy he is to know that he is going to get a good night's sleep. He works in a high-energy office and was concerned that he might be in danger of losing his job due to his recent lack of energy. Do you think this should be brought to the physician's attention? Why? Would you expect the drug therapy to change? If so, which medication do you think it might be changed to? 20. Julie has never had trouble sleeping until the past month. She is going through a stressful period and is having difficulty falling asleep. Once asleep, she usually sleeps through the night. Her care provider had prescribed Ambien 5 mg in a quantity to last 2 weeks. Do you feel this is appropriate? Why?

Answer 1

17.Insomnia experienced by this patient is due to alcoholism. Hypnotic are drugs.The doctor has prescribed a non refill prescription for hypnotic (short term treatment ) because the patient is an occasional drinker who can sleep otherwise. But due to other factors (tension,stess,worklife balance )can make him fall asleep.So the prescription should be something which gives him a rapid onset of sleep due to difficulty in falling asleep .The most common medication ordered here are Zolpidem

18.Disulfiram is an antabuse drug.When alcohol is taken along with this drug it may cause an unpleasant effect (nause,vomiting, dizziness ,flushing,throbbing headache, diaphoresis,palpitations, chest pain,tachycardia, tachypnea,blurred vision, confusion, sever hypotension )This is because of increase in acetaldehyde level when alcohol is taken.So strictly avoid alcohol

Report any severe adverse reactions like vision problems, lack of potency.

19.Dalmane (Flurozepam) 7s a drug which belongs to sedative and hypnotic. The half life of it is 40 to 250 hours. Patients should have a adequate sleep time of 7-8 hours strictly because getting up earlier due to any reason may lead to memory loss for certain time and lack if energy .As this patient is working in a high energy office,this drug may interfere his work ,so it has yo be informed to the drug.Instead patient can be prescribed for mild benzodiazepine drugs.

20.Ambien (Zolpidem) is a drug which is prescribed for patients who has difficulty in falling asleep.It is prescribed for a period of two weeks are less.This drug has an effect of increasing the melatonin content responsible for sleep.The patient will have a good night time sleep.