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36 Cards in this Set

  • Front
  • Back

diazepam (Valium) primary use

Anxiety, Procedural sedation, Anesthesia adjunct, Anticonvulsant therapy, Skeletal muscle relaxation (post ortho injury/ surgery)

diazepam (Valium) Prefix or Suffix

-zepam

diazepam (Valium) routes

IV (injection), PO, Rectal

midazolam (Versed) primary use

Pre-surgery, Moderate sedation, (for amnesia, reduced anxiety)

midazolam (Versed) prefix or suffix

-zolam

midazolam (Versed) routes

Injection, PO

temazepam, primary use

Sleep induction (hypnotic)

temazepam prefix or suffix

-zepam

temazepam, routes

PO

eszopiclone (Lunesta) primary use

Provides 7 hours of sleep (Short-to intermediate-acting agent)

eszopiclone (Lunesta) routes

PO

eszopiclone (Lunesta) interactions

*Allow 8 hrs of sleep time (dont expect waking in less than 8 hrs)

ramelteon (primary use)

Used for issues with sleep onset instead of maintenance (similar to melatonin, agonist at melatonin receptors)

ramelteon (interactions)

Avoid if severe liver dysfunction, fluconazole or ketoconazole, rifampin

zaleplon (Sonata) primary use

Short-acting hypnotic, sleep difficulty with early awakening in middle of the night

zaleplon (Sonata) routes

PO

zolpidem (Ambien) primary use

short-acting, lower incidence of daytime sleepiness (compared to benzodiazepines)

zolpidem (Ambien) routes

PO

zolpidem (Ambien) interactions

*Sleepwalking in CR form; extended release

Benzodiazepines

diazepam (Valium), midazolam (Versed), temazepam

Nonbenzodiazepines

eszopiclone (Lunesta), ramelteon, zaleplon (Sonata), zolpidem (Ambien)

pentobarbital (primary use)

Short-acting, usually for insomnia, preoperatively for anxiety and sedation, sometimes for epilepsy, could be used for barbiturate/ hypnotic addiction

pentobarbital (prefix or suffix)

-barbital

pentobarbital (routes)

PO, injectable, rectal

phenobarbital (primary use)

Long-acting, prevention of tonic-clonic seizures, and febrile convulsions, Hyperbilirubinemia in neonates

phenobarbital (prefix or suffix)

-barbital

phenobarbital (routes)

PO, Injections

Barbiturates

pentobarbital, phenobarbital

baclofen (primary use)

Muscle spasms, chronic spastic muscular conditions, hiccups

baclofen (routes)

PO, injectable (also implantable pump)

baclofen (interactions)

When combined with opioid and benzodiazepines it is know as "The Holy Trinity" b/c produces a herion like effect, not a controlled substance, not recommended in pts who have shown hypersensitivity reaction, compromised pulmonary function, active hepatic disease, impaired myocardial function

cyclobenzaprine (Flexeril) primary use

Most commonly used- reduce spasms after musculoskeletal injuries

cyclobenzaprine (Flexeril) routes

PO

cyclobenzaprine (Flexeril) side effects

Sedation

cyclobenzaprine (Flexeril) interactions

Same as baclofen

Muscle relaxants

baclofen, cyclobenzaprine (Flexeril)