Drug Interactions of Suvorexant, Fluconazole, and Gaba-Ergics
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Questions and Answers

What is the recommended initial dose of suvorexant for a patient not taking a moderate CYP3A4 inhibitor?

  • 12.5 mg
  • 10 mg (correct)
  • 20 mg
  • 5 mg
  • What is the maximum daily dose of suvorexant for a patient taking a moderate CYP3A4 inhibitor?

  • 12.5 mg
  • 20 mg
  • 10 mg (correct)
  • 5 mg
  • What is the recommended dose of zolpidem for older adults or women?

  • 12.5 mg
  • 20 mg
  • 5 mg (correct)
  • 10 mg
  • Which of the following is not a CYP3A4 inhibitor mentioned in the text?

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

    What is the recommended dose of ramelteon?

    <p>8 mg</p> Signup and view all the answers

    What is the maximum dose of zolpidem sublingual tablet for men?

    <p>3.5 mg</p> Signup and view all the answers

    Which statement is true about nonbenzodiazepine hypnotics?

    <p>Zaleplon is highly protein bound compared to zolpidem.</p> Signup and view all the answers

    What is the mechanism of action of suvorexant (Belsomra)?

    <p>It blocks the binding of orexin to the orexin A and orexin B receptors.</p> Signup and view all the answers

    Which drug has the shortest half-life among the nonbenzodiazepine hypnotics mentioned?

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

    What is another name for orexin, which regulates wakefulness, arousal, and appetite?

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

    Which receptor does ramelteon (Rozerem) primarily act on?

    <p>Melatonin MT1 receptor</p> Signup and view all the answers

    What is the potential cause of narcolepsy according to the text?

    <p>Orexin receptor mutation</p> Signup and view all the answers

    What is the peak onset time of suvorexant when taken on an empty stomach?

    <p>2 hours (range 30 minutes to 6 hours)</p> Signup and view all the answers

    Which of the following statements about the metabolism and excretion of nonbenzodiazepine hypnotics is incorrect?

    <p>Zolpidem, zaleplon, and eszopiclone are excreted by the lungs.</p> Signup and view all the answers

    Which of the following is a contraindication for suvorexant?

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

    What is the maximum recommended duration for using nonbenzodiazepine hypnotics without careful evaluation?

    <p>3 weeks acutely, 3 months chronically</p> Signup and view all the answers

    Which of the following is a common adverse effect of nonbenzodiazepine hypnotics?

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

    Which of the following statements about the drug interactions of nonbenzodiazepine hypnotics is correct?

    <p>Drugs that induce CYP3A4 will increase the blood levels of these hypnotics.</p> Signup and view all the answers

    Which of the following statements about the contraindications and precautions of nonbenzodiazepine hypnotics is correct?

    <p>They may lead to abnormal thinking and behavioral changes, including bizarre behavior and complex behaviors.</p> Signup and view all the answers

    Which of the following statements about the adverse effects of nonbenzodiazepine hypnotics is incorrect?

    <p>Women are more sensitive to the effects of zolpidem and should be prescribed higher doses than men.</p> Signup and view all the answers

    Which of the following statements about the scheduling and dependence potential of nonbenzodiazepine hypnotics is correct?

    <p>Suvorexant is Schedule IV due to potential for abuse, but does not cause physical dependence.</p> Signup and view all the answers

    Which of the following statements about the adverse effects of nonbenzodiazepine hypnotics is correct?

    <p>Sleep paralysis, the inability to move or speak, may occur for up to several hours during the sleep-wake transition with suvorexant.</p> Signup and view all the answers

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