Question

You will undoubtedly run into insomnia as a chronic issue among your patients. There are many...

You will undoubtedly run into insomnia as a chronic issue among your patients. There are many novel ways to deal with it. Benzodiazepines are usually frowned upon by most practices.

The most commonly used medications are:

Trazodone (Desyrel (C))

Mirtazapine (Remeron (C))

Hydroxyzine Pamoate Capsules

Eszopiclone (Lunesta(C))

If you were to deal with a patient who tells you that their ability to fall asleep and stay asleep is seriously affected by their psychiatric illness and there were no contraindications to prescribing any one of the above, what are your concerns about these drugs? What would your patient education include? How would you tell them to take the medication? How often would you follow up with them?

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Answer #1

Trazadone and Mirtazapine are antidepressants

Concerns about these drug

The major side effects of these drugs are feeling jittry,anxious,sexual trouble,weight gain, sucidal tendency patient .

There is major life threatening drug interaction of trazodone with MOA inhibitor.

Since the patients get sucidal tendency they should be always ovbserved for .keep all the harmful elements away from reach of patient .keep all sharps away from patient .

Advice the patient to take medication regularly because it takes at lease two weeks for you to get certain effects .

Take the medication along with food at bed time

A regular follow up is needed your care giver also should report in case of any change in mood or behaviour.

Hydroxyzine pamoate is a antihistamine receptor it is used for insomnia.take this medication along with food at bed time major side effects are drowsiness, lethargy,dizziness .

Do not take this medication and drive

The medication cause dry mouth so take plenty of oral fluids to avoid ulcers .

Eszopiclone is a drug used for insomnia

The major side effects include dizziness,sleep walking ,sleep talking

Take this medication after food at bed time

Avoid driving after taking this medication

This medication cause sucidal thoughts so care should be taken .

It alos causes dry mouth so otal Hydration is essential.

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