InsomnIa 1. List Specific Goals Of Therapy For S.H. 2. What Drug Therapy Would You Prescribe? Why? 3. What Are The Parameters For Monitoring The Success Of The Therapy? 4. Discuss Specific Patient Education Based On The Prescribed Therapy 5. List One Or Two Adverse Reactions For The Selected Agent That Would Cause You To Change Therapy. 6. What Would Be The Choice For Second-line Therapy? 7. What OTC And/or Alternative Medicines Might Be Appropriate For This Patient? 8. What Dietary And Lifestyle Changes Might You Recommend? 9. Describe One Or Two Drug–drug Or Drug–food Interactions For The Selected Agent.

Diagnosis: InsomnIa

S.H. The goals of therapy for S.H. can include improving the ability to fall sleep and to stay asleep.
S.H. can be treated with a non-benzodiazepine hypnotic, such as zolpidem (Ambien) or eszopiclone (Lunesta). Non-benzodiazepine, non-benzodiazepine (Lunesta or Ambien) hypnotics are available. The medications work well to improve sleep and maintain it, but they are less likely to cause dependence or withdrawal symptoms than benzodiazepines. The choice of medication would depend on S.H.’s individual needs, medical history, and medication preferences.
Parameters for monitoring the success of therapy may include tracking changes in S.H.’s sleep patterns and quality, monitoring any side effects or adverse reactions, and evaluating the effectiveness of the medication in managing her perimenopausal symptoms.
The patient education may consist of instructions about how to use the drug as instructed, side effects that should be watched for, importance to refrain from alcohol and other sedatives or strategies to improve sleep hygiene.
Some of the adverse effects that may cause you to change your therapy include: allergic reactions, impaired or drowsy behavior during the day, or behavioral changes.
Second-line treatment options include benzodiazepines with sedative properties, antidepressants, and melatonin receptor agonists. The choice of second-line therapy would depend on S.H.’s individual needs, medical history, and medication preferences.
Alternative and/or OTC medicines may also be suitable for S.H. Melatonin, valerian, chamomile and other relaxation methods such as meditation or deep breathing are all possible.
Some lifestyle and diet changes may include eliminating caffeine or alcohol from the evening before going to sleep, setting up a routine for a peaceful bedtime and doing regular exercises.
The selected drug may have one or two interactions between drugs or food. These interactions could include interactions with the other medications S.H. Blood thinners, antidepressants and grapefruit can all interact with the selected agent.

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