Thursday, December 2, 2010

Hypnotic of Use

 Many patients are troubled by insomnia, eager to pass the drugs improve sleep, but worry about hypnotic side effects. Yes, it is the drugs that can have side effects, but the appropriate use of short-term hypnotics, or safe. Currently the most commonly used hypnotics for the bus than the proper class and benzodiazepines (Tian Jia Zhuo Miao words to) class and proprietary Chinese medicines. So, how can the proper use of hypnotics do?
barbiturates in the barbiturate phenobarbital
drugs is slow efficient, effective time of 0.5 to 1 hour, which lasted for 6 to 8 hours, the usual dose for adults and 0.05 to 0.1 grams each. wake up after the spirit of the poor, dizziness is a common side effect will be a long time with addiction, serious liver and kidney function impaired with caution.
pentobarbital in the case of barbiturates in effect, effective time of 15 to 30 minutes, which lasted for 3 to 6 hours, the usual dose for adults and 0.05 to 0.1 grams each, before going to bed clothing. Since the main metabolism in the liver, so patients with poor kidney function can still be used. the rest of the side effects and similar to phenobarbital.
Secretary may, also known as Seconal, phenobarbital, phenobarbital class in the onset of the fastest, taking 15 minutes markedly. continued role of the time 2 to 3 hours. the most suitable insomnia difficulty falling asleep. 0.1 ~ 0.2 grams per adult, before bedtime. in the liver metabolism, liver dysfunction with caution .
benzodiazepine (Miao words to field Jiazhuo) class
diazepam commonly known as stability. insomnia, adult bedtime 5 ~ 10mg. side effects are more common are drowsiness, fatigue, ataxia, language does not Ching, blurred vision and diplopia, bradycardia and hypotension. long-term use can also be addictive. glaucoma and myasthenia gravis patients disabled.
nitrazepam and diazepam similar role and hypnotic effects of rapid, in 15 to 30 minutes after the service to sleep for 6 to 8 hours. characterized by a cause close to physiological sleep, so no obvious response to the aftermath. usual dose for adults and every 5 ~ 10mg, at bedtime. adverse reactions occasionally headaches, mental disorders and neutropenia. take should avoid drinking alcohol. myasthenia gravis and early pregnancy hanged.
*** stronger effects than diazepam, therefore, invalid diazepam taking patients taking *** will still be valid. oral absorption, and the role of fast, effective and up to two hours after taking the peak concentration. *** While suitable for all types of insomnia, but sleep problems, easy to wake up or wake up early for most insomnia applicable. usual dose for adults and 0.25 ~ 0.5mg. common adverse reactions migraine, loss of appetite, depression, itching, heart palpitations, and diarrhea. pregnant and lactating women, acute angle-closure glaucoma, myasthenia gravis patients disabled.

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