Diphenhydramine Counseling Points and Contraindications (Insomnia)
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Questions and Answers

Which of the following is a common side effect associated with the use of anticholinergic medications like diphenhydramine?

  • Increased heart rate and blood pressure
  • Salivation and urination
  • Dry mouth and constipation (correct)
  • Drowsiness and fatigue

What is the primary concern with the use of ethanol (alcohol) for the treatment of insomnia?

  • Ethanol is a safe and effective treatment for insomnia and has no known side effects
  • Ethanol initially improves sleep but can lead to sleep disturbances in the second half of the night (correct)
  • Ethanol is not an effective treatment for insomnia and should never be used
  • Ethanol can cause severe liver damage and should not be used for any medical purpose

What is the primary concern with the use of doxylamine for the treatment of insomnia?

  • Doxylamine is the preferred treatment for insomnia and has no known side effects
  • Doxylamine is more effective than diphenhydramine for the treatment of insomnia
  • Doxylamine has not been fully established for safety and efficacy in the treatment of insomnia (correct)
  • Doxylamine is highly addictive and should never be used for the treatment of insomnia

What is the key difference between the use of doxylamine and ethanol for the treatment of insomnia?

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

Which of the following is a true statement about the use of melatonin for the treatment of insomnia?

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

Which of the following is a true statement about the use of valerian (Valeriana officinalis) for the treatment of insomnia?

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

What is the mechanism of action of Diphenhydramine in the treatment of insomnia?

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

Which of the following is a common side effect of Diphenhydramine use in insomnia treatment?

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

How long should the use of Diphenhydramine be limited to in the treatment of insomnia?

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

What effect does Diphenhydramine have on the body that leads to dry mouth, constipation, and blurred vision as side effects?

<p>Antihistaminergic (A)</p> Signup and view all the answers

What is the recommended dose of Diphenhydramine for the treatment of insomnia?

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

Which of the following is NOT a recommended sleep hygiene practice for managing insomnia?

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

What is a potential pharmacologic treatment option for insomnia that was mentioned in the text?

<p>Doxylamine (A)</p> Signup and view all the answers

Which of the following drugs is NOT recommended for insomnia according to the text?

<p>Caffeine (C)</p> Signup and view all the answers

What is one of the treatment goals for insomnia discussed in the text?

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

Which of the following drugs can cause withdrawal insomnia according to the text?

<p>Barbiturates (C)</p> Signup and view all the answers

What is a common exclusion for self-care in insomnia treatment according to the text?

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

Which drug class mentioned in the text is NOT associated with causing insomnia?

<p>Antineoplastics (A)</p> Signup and view all the answers

According to the information provided, what is the caffeine content of a 12 oz can of Coca-Cola?

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

Which of the following medications contains the highest amount of caffeine?

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

Which of the following statements about caffeine and special populations is true?

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

Which of the following should be included in patient counseling regarding caffeine?

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

Based on the patient case provided, which of the following would be an appropriate response to T.J.'s question about taking NoDoz Maximum Strength?

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

According to the information provided, what is the maximum recommended caffeine intake for children?

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

Which of the following statements regarding the use of diphenhydramine in children is correct?

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

Which of the following statements regarding the use of diphenhydramine in older adults is correct?

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

Which of the following statements regarding the use of diphenhydramine during pregnancy and breastfeeding is correct?

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

Which of the following statements regarding patient counseling for insomnia treatment is correct?

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

Which of the following statements regarding the use of diphenhydramine for insomnia is correct?

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

Which of the following statements regarding the use of doxylamine is correct?

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

What is the primary concern with the use of doxylamine for the treatment of insomnia according to the text?

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

What is the key difference between the use of doxylamine and ethanol (alcohol) for the treatment of insomnia according to the information provided?

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

Which of the following is a true statement about the use of ethanol (alcohol) for the treatment of insomnia according to the information provided?

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

Which of the following is a common side effect associated with the use of anticholinergic medications like diphenhydramine?

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

What is the primary mechanism of action of diphenhydramine in the treatment of insomnia?

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

What is a potential risk associated with the chronic use of ethanol (alcohol) for the treatment of insomnia?

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

What is the primary concern with the use of ethanol (alcohol) for the treatment of insomnia?

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

Which key difference between the use of doxylamine and ethanol for the treatment of insomnia is mentioned in the text?

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

According to the information provided, which of the following statements about the use of doxylamine for insomnia is correct?

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

Which of the following is a true statement about the potential use of ethanol (alcohol) for the treatment of insomnia, based on the information provided in the text?

<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. (D)</p> Signup and view all the answers

What is the mechanism of action of doxylamine that makes it useful for the treatment of insomnia?

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

According to the information provided, which of the following statements about the use of diphenhydramine (Benadryl) for the treatment of insomnia is correct?

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

What is the primary concern with the use of ethanol (alcohol) for the treatment of insomnia?

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

What is the key difference between the use of doxylamine and ethanol for the treatment of insomnia?

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

Which of the following drugs can cause withdrawal insomnia according to the text?

<p>Ethanol (C)</p> Signup and view all the answers

What is the mechanism of action of Diphenhydramine in the treatment of insomnia?

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

Which of the following is a common side effect associated with the use of anticholinergic medications like diphenhydramine?

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

How long should the use of Diphenhydramine be limited to in the treatment of insomnia?

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

What is the primary concern with the use of doxylamine for the treatment of insomnia?

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

What is the primary concern with the use of ethanol (alcohol) for the treatment of insomnia?

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

Which of the following statements regarding the use of doxylamine is correct?

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

Which of the following statements regarding the use of ethanol (alcohol) for the treatment of insomnia is correct?

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

What is the mechanism of action of doxylamine in the treatment of insomnia?

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

Which of the following statements regarding the use of ethanol (alcohol) for the treatment of insomnia is incorrect?

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

Which of the following is a potential side effect of doxylamine use for the treatment of insomnia?

<p>Hypotension (B)</p> Signup and view all the answers

What is a potential pharmacologic effect of ethanol in the treatment of insomnia?

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

Which of the following statements is true regarding the use of doxylamine and ethanol for treating insomnia?

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

What is a common side effect associated with the use of ethanol (alcohol) for treating insomnia?

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

Which physiological effect is NOT typically associated with the use of doxylamine for insomnia?

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

What distinguishes the pharmacologic effects of doxylamine from ethanol in insomnia treatment?

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

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