Sleep Disorders: Insomnia, Restless Leg Syndrome (RLS) questions with correct answers

Drugs likely to contribute to Insomnia - Answer Bupropion Stimulants OTC appetite suppressants Decongestants MAO-B Inhibitors (if taken late in the day) Fluoxetine (if taken late in the day) Caffeine Steroids Alcohol (initially induces sleep, but prevents deeper stages of sleep and causes nocturia) Any drug that causes urinary retention or nocturia, including antihistamines and diuretics taken later in the day Natural products used for insomnia - Answer St. Johns wort Chamomile tea in the evening Melatonin or valerian (liver toxic) Non-benzodiazepines - Answer Acts selectively at the bzdp receptors to increase GABA -All C-IV -Zolpidem, Zaleplon, Eszopicalone -increased risk of mortality and next-day impairment - potential for abuse and dependence (but preferred over