Diphenhydramine Counseling Points and Contraindications (Insomnia)

<p>Ethanol is more likely to lead to dependence and tolerance compared to doxylamine</p> Signup and view all the answers

<p>Melatonin has limited benefits and may be effective for some types of insomnia</p> Signup and view all the answers

<p>Valerian has limited benefits and continuous nightly use for days or weeks is needed for effects</p> Signup and view all the answers

<p>Competes with histamine for H1-receptor sites</p> Signup and view all the answers

<p>Dry mouth and throat</p> Signup and view all the answers

<p>7-10 consecutive days</p> Signup and view all the answers

<p>Antihistaminergic</p> Signup and view all the answers

<p>50 mg at bedtime</p> Signup and view all the answers

<p>Daytime napping to catch up on lost sleep</p> Signup and view all the answers

<p>Doxylamine</p> Signup and view all the answers

<p>Caffeine</p> Signup and view all the answers

<p>Minimize adverse effects</p> Signup and view all the answers

<p>Barbiturates</p> Signup and view all the answers

<p>Chronic insomnia lasting more than 3 weeks</p> Signup and view all the answers

<p>Antineoplastics</p> Signup and view all the answers

<p>34.5mg</p> Signup and view all the answers

<p>Cafergot (Rx)</p> Signup and view all the answers

<p>Moderate consumption of up to 200mg/day is acceptable during pregnancy.</p> Signup and view all the answers

<p>Reviewing dosage guidelines and adverse effects of caffeine products.</p> Signup and view all the answers

<p>Suggest trying a lower caffeine product first, as NoDoz Maximum Strength may exacerbate his high blood pressure.</p> Signup and view all the answers

<p>2.5mg/kg/day</p> Signup and view all the answers

<p>Diphenhydramine can cause paradoxical excitation in younger children, so it should be avoided in children under 12 years of age.</p> Signup and view all the answers

<p>The Beers criteria advises against the use of anticholinergics, such as diphenhydramine, in older adults.</p> Signup and view all the answers

<p>Diphenhydramine is classified as pregnancy category B, and it can be used during breastfeeding with caution to minimize CNS effects in infants.</p> Signup and view all the answers

<p>Patients should be discouraged from using multiple pharmacologic insomnia options simultaneously.</p> Signup and view all the answers

<p>The AASM weakly recommends against the use of diphenhydramine for insomnia.</p> Signup and view all the answers

<p>The text does not provide any specific information regarding the use of doxylamine.</p> Signup and view all the answers

<p>Safety and efficacy of doxylamine are not fully established</p> Signup and view all the answers

<p>Ethanol initially improves sleep but can lead to sleep disturbances in the second half of the night</p> Signup and view all the answers

<p>Chronic use of ethanol for insomnia can lead to disorganized sleep and rebound insomnia</p> Signup and view all the answers

<p>Dry mouth, constipation, blurred vision</p> Signup and view all the answers

<p>Diphenhydramine induces drowsiness by blocking histamine H1 receptors</p> Signup and view all the answers

<p>Development of tolerance and need for higher doses to achieve the same effect</p> Signup and view all the answers

<p>Ethanol can lead to dependence and withdrawal symptoms upon discontinuation.</p> Signup and view all the answers

<p>Ethanol can lead to dependence and withdrawal symptoms, while doxylamine does not have this risk.</p> Signup and view all the answers

<p>The text does not provide any information about the use of doxylamine for the treatment of insomnia.</p> Signup and view all the answers

<p>Ethanol can be an effective short-term solution for insomnia, but it should not be used long-term due to the risk of dependence.</p> Signup and view all the answers

<p>The text does not provide any information about the mechanism of action of doxylamine or how it might be used to treat insomnia.</p> Signup and view all the answers

<p>The text advises against the use of diphenhydramine for insomnia in children under 12 due to the risk of paradoxical excitation.</p> Signup and view all the answers

<p>Ethanol can lead to dependence and withdrawal symptoms</p> Signup and view all the answers

<p>Doxylamine is not associated with dependence, unlike ethanol</p> Signup and view all the answers

<p>Ethanol</p> Signup and view all the answers

<p>Diphenhydramine competes with histamine for H1-receptor sites, leading to sedative effects</p> Signup and view all the answers

<p>Dry mouth and constipation</p> Signup and view all the answers

<p>No more than 7-10 consecutive nights</p> Signup and view all the answers

<p>Daytime drowsiness and impaired cognitive function</p> Signup and view all the answers

<p>Worsening of insomnia symptoms over time</p> Signup and view all the answers

<p>Doxylamine is a first-generation antihistamine that can cause daytime drowsiness.</p> Signup and view all the answers

<p>Ethanol (alcohol) can worsen insomnia symptoms and lead to dependence over time.</p> Signup and view all the answers

<p>Doxylamine is an antihistamine that blocks histamine receptors in the brain to promote sleep.</p> Signup and view all the answers

<p>Ethanol (alcohol) is a safe and effective long-term treatment for chronic insomnia.</p> Signup and view all the answers

<p>Hypotension</p> Signup and view all the answers

<p>Reduced anxiety</p> Signup and view all the answers

<p>Doxylamine has a lower risk of dependence compared to ethanol</p> Signup and view all the answers

<p>Hangover effect</p> Signup and view all the answers

<p>Antiplatelet effects</p> Signup and view all the answers

<p>Doxylamine has less potential for respiratory depression than ethanol</p> Signup and view all the answers