You may be at risk IF
|
|
|
- Aron May
- 7 years ago
- Views:
Transcription
1 You may be at risk IF You are taking one of the following sedative-hypnotic medications: Alprazolam (Xanax ) Chlorazepate Chlordiazepoxide Chlordiazepoxideamitriptyline Clidinium- Chlordiazepoxide Clobazam Clonazepam (Rivotril, Klonopin ) Diazepam (Valium ) Estazolam Flurazepam Loprazolam Lorazepam (Ativan ) Lormetazepam Nitrazepam Oxazepam (Serax ) Quazepam Temazepam (Restoril ) Triazolam (Halcion ) Eszopiclone (Lunesta ) Zaleplon (Sonata ) Zolpidem (Ambien, Intermezzo, Edluar, Sublinox, Zolpimist ) Zopiclone (Imovane, Rhovane ) All rights reserved. Copyright 2014 by Cara Tannenbaum and Institut universitaire de gériatrie de Montréal.
2 TEST YOUR KNOWLEDGE about the medication you are taking 2 You May Be at Risk
3 TEST YOUR KNOWLEDGE ABOUT A SEDATIVE-HYPNOTIC DRUG 1 The medication you are taking is a mild tranquilizer that is safe when taken for long periods of time. TRUE 2 The dose that I am taking causes no side effects. TRUE 3 Without this medication I will be unable to sleep or will experience unwanted anxiety. TRUE 4 This medication is the best available option to treat my symptoms. TRUE You May Be at Risk 3
4 ANSWERS 4 You May Be at Risk
5 ANSWERS It is no longer recommended to take a sedative-hypnotic drug to treat insomnia or anxiety. People who take it are putting themselves at a: 5-fold higher risk of memory and concentration problems 4-fold increased risk of daytime fatigue 2-fold increased risk of falls and fractures (hip, wrist) 2-fold increased risk of having a motor vehicle accident while driving Problems with urine loss 50% increased risk of Alzheimer s disease Even if you think that you have no side effects, and even if you take only a small dose, a sedative-hypnotic drug worsens your brain performance and slows your reflexes. TRUE Your body has probably developed a physical addiction to this medication. If you stop it abruptly, you may have trouble sleeping and feel greater anxiety. Millions of people have succeeded in slowly cutting this drug out of their lives and finding alternatives to help their problem. Although it is effective over the short term, studies show that sedative-hypnotic drugs are not the best long-term treatment for your anxiety or insomnia. Sedative-hypnotic medication covers up the symptoms without actually solving the problem. Please keep on reading to learn more about developing healthier sleep patterns and diminishing stress. You May Be at Risk 5
6 DID YOU KNOW? Your medication is in a family of drugs that bind to the receptors in the brain that cause sedation. Sedative-hypnotic drugs can be highly addictive and can cause many side effects. Except in special circumstances, these medications should never be taken. These drugs remain longer and longer in your body as you age. This means that they can stay for up to several days and could be making you tired, weak, impair your balance, and reduce your other senses. Sedative-hypnotic drugs can also be associated with hip fractures, memory problems, and involuntary urine loss. Their sedative properties can cause you to be drowsy during the day which can lead to car accidents and sleep walking. Even if you are not experiencing these symptoms, be sure to speak to your doctor or pharmacist so that you do not develop them in the future. Alternate therapies are available to relieve your anxiety or improve your sleep with fewer side effects on your quality of life. Please Consult your Doctor or Pharmacist Before Stopping Any Medication. 6 You May Be at Risk
7 SO ASK YOURSELF...yes or no?... have you been taking this sedative-hypnotic drug for a while?... are you tired and often groggy during the day?... do you ever feel hungover in the morning, even though you have not been drinking?... do you ever have problems with your memory or your balance? AS YOU AGE Age-related changes take place in your body and modify the way you process medications. Your chances of taking more than one medication increase as you age, as well as the possibility of a history of illness. Drugs stay in your body longer and diminished liver function and poor blood flow to your kidneys may increase side effects. Unfortunately this is important information that is often not passed on to patients who are taking this drug. Please consult your physician or pharmacist to discuss this further. Alternative therapies could relieve your anxiety or improve your sleep with less side effects on your quality of life. You May Be at Risk 7
8 ALTERNATIVES If you are taking this sedative-hypnotic drug to help you sleep: There are lifestyle changes that can help. Do not read or watch TV in bed. Do so in a chair or on your couch. Try to get up in the morning and go to bed at night at the same time every day. Before going to bed, practice deep breathing or relaxation exercises. Get exercise during the day, but not during the last three hours before you go to bed. Avoid consuming nicotine, caffeine and alcohol as they are stimulants and might keep you awake. If you are taking this sedative-hypnotic drug to help reduce your anxiety: There are other solutions to deal with your stress and anxiety. Talking to a therapist is a good way to help you work out stressful situations and talk about what makes you anxious. Support groups help to relieve your stress and make you feel you are not alone. Try relaxation techniques like stretching, yoga, massage, meditation or tai chi that can help relieve you of everyday stress and help you work through your anxiety. Talk to your doctor about other anti-anxiety medications that have less serious side effects. 8 You May Be at Risk
9 MRS. ROBINSON S STORY She has been taking Lorazepam, a sedative-hypnotic drug just like yours. I am 65 years old and took Lorazepam for 10 years. A few months ago, I fell in the middle of the night on my way to the bathroom and had to go to the hospital. I was lucky and, except for some bruises, I did not hurt myself. I read that Lorazepam puts me at risk for falls. I did not know if I could live without Lorazepam as I always have trouble falling asleep and sometimes wake up in the middle of the night. I spoke to my doctor who told me that my body needs less sleep at my age 6 hours of sleep per night is enough. That s when I decided to try to taper off Lorazepam. I spoke to my pharmacist who suggested I follow the step-by-step tapering program (on the next page). I also applied some new sleeping habits I had discussed with my doctor. First I stopped exercising before bed; then I stopped reading in bed, and finally, I got out of bed every morning at the same time whether or not I had a good nights sleep. I succeeded in getting off Lorazepam. I now realize that for the past 10 years I had not been living to my full potential. Stopping Lorazepam has lifted a veil, like I had been semi-sleeping my life. I have more energy and I don t have so many ups and downs anymore. I am more alert: I don t always sleep well at night, but I don t feel as groggy in the morning. It was my decision! I am so proud of what I have accomplished. If I can do it, so can you! You May Be at Risk 9
10 STEP-BY-STEP TAPERING-OFF PROGRAM We recommend that you follow this schedule under the supervision of your doctor or pharmacist to taper off your sedative-hypnotic medication. WEEKS TAPERING SCHEDULE MO TU WE TH FR SA SU 1 and 2 3 and 4 5 and 6 7 and 8 9 and and and and and 18 EXPLANATIONS Full dose Half dose Quarter of a dose No dose 10 You May Be at Risk
Supplementary Online Content
Supplementary Online Content Tannenbaum C, Martin P, Tamblyn R, Benedetti A, Ahmed S. Reduction of inappropriate benzodiazepine prescriptions among older adults through direct patient education: the EMPOWER
Benzodiazepines. Understanding psychiatric medications. Information for consumers, families and friends. Titles in the
Titles in the Understanding psychiatric medications series include: Antidepressants Antipsychotics Benzodiazepines Mood Stabilizers Understanding psychiatric medications Benzodiazepines For more information
BENZODIAZEPINES. Benzodiazepines may be habit-forming (causing mental or physical dependence), especially when taken for a long time or in high doses.
Some commonly used brand names are: BENZODIAZEPINES Ativan (lorazepam), Dalmane (flurazepam), Diastat or Valium (diazepam),, Doral (quazepam), Halcion (triazolam), Klonopin (clonazepam), Librium (chlordiazepoxide),
Insomnia affects 1 in 3 adults every year in the U.S. and Canada.
Insomnia What is insomnia? Having insomnia means you often have trouble falling or staying asleep or going back to sleep if you awaken. Insomnia can be either a short-term or a long-term problem. Insomnia
Information About Benzodiazepines
Information About Benzodiazepines What are benzodiazepines? Benzodiazepines are psycho tropic drugs - drugs that affect the mind and are mood altering. They are commonly known as minor tranquillisers and
Benzodiazepine & Z drugs withdrawal protocol
Benzodiazepine & Z drugs withdrawal protocol Rationale The NSF for Older People has highlighted the issues of dependence, sedation and fall in the elderly when taking these types of medications. It has
Epilepsy and stress / anxiety
Epilepsy and stress / anxiety Stress is a term used to describe emotional strain and tension. When we experience stress we also can become anxious. Although stress and anxiety do not cause epilepsy, for
MOH CLINICAL PRACTICE GUIDELINES 2/2008 Prescribing of Benzodiazepines
MOH CLINICL PRCTICE GUIELINES 2/2008 Prescribing of Benzodiazepines College of Family Physicians, Singapore cademy of Medicine, Singapore Executive summary of recommendations etails of recommendations
Benzodiazepines. And Sleeping Pills. Psychological Medicine
Benzodiazepines And Sleeping Pills Psychological Medicine Introduction Benzodiazepines are a type of medication prescribed by doctors for its therapeutic actions in various conditions such as stress and
SLEEP DIFFICULTIES AND PARKINSON S DISEASE Julie H. Carter, R.N., M.S., A.N.P.
SLEEP DIFFICULTIES AND PARKINSON S DISEASE Julie H. Carter, R.N., M.S., A.N.P. Problems with sleep are common in Parkinson s disease. They can sometimes interfere with quality of life. It is helpful to
Opiates Heroin/Prescription Steve Hanson Opiates Dates to 4,000 BC Mimics endorphin activity Natural - Opium, morphine, codeine Semi-synthetic- Heroin, Dilaudid Synthetics - Darvon, Demerol, Fentanyl Modern
SLEEP AND PARKINSON S DISEASE
A Practical Guide on SLEEP AND PARKINSON S DISEASE MICHAELJFOX.ORG Introduction Many people with Parkinson s disease (PD) have trouble falling asleep or staying asleep at night. Some sleep problems are
MEDICATION ABUSE IN OLDER ADULTS
MEDICATION ABUSE IN OLDER ADULTS Clifford Milo Singer, MD Adjunct Professor, University of Maine, Orono ME Chief, Division of Geriatric Mental Health and Neuropsychiatry The Acadia Hospital and Eastern
Sometimes insomnia is a perception. Some people need less sleep. Many need only seven hours and feel fine; but feel they have insomnia because they
Insomnia Purpose: The purpose of this course is to provide an overview of insomnia including its definition, assessment and treatment options. Objectives 1. Differentiate between chronic and acute insomnia
URINE DRUG TEST INFORMATION SHEET BENZODIAZEPINES
URINE DRUG TEST INFORMATION SHEET BENZODIAZEPINES Classification: Central nervous system depressants (CNS depressants) Background: Benzodiazepines are a large group of drugs that act as central nervous
Sleep Difficulties. Insomnia. By Thomas Freedom, MD and Johan Samanta, MD
Sleep Difficulties By Thomas Freedom, MD and Johan Samanta, MD For most people, night is a time of rest and renewal; however, for many people with Parkinson s disease nighttime is a struggle to get the
Prescription Drugs: Abuse and Addiction
EAP Drug Free Workplace Newsletter March 2014 Prescription Drugs: Abuse and Addiction What are some of the commonly abused prescription drugs? Although many prescription drugs can be abused or misused,
Benzodiazepines: A Model for Central Nervous System (CNS) Depressants
Benzodiazepines: A Model for Central Nervous System (CNS) Depressants Objectives Summarize the basic mechanism by which benzodiazepines work in the brain. Describe two strategies for reducing and/or eliminating
Primary Care Guide To The Prescription Of Benzodiazepines For Adults With Mental Retardation and Developmental Disabilities (MR/DD)
Primary Care Guide To The Prescription Of Benzodiazepines For Adults With Mental Retardation and Developmental Disabilities (MR/DD) 1. Overview of Safe, Effective Prescription of Benzodiazepines The consensus
VAADA Conference 2015 Benzodiazepines: Are they making your client s life hell?
VAADA Conference 2015 Benzodiazepines: Are they making your client s life hell? Stephanie Thwaites, Benzodiazepine Counsellor/ Mental Health Social Worker Reconnexion A Service of EACH Reconnexion is a
Electroconvulsive Therapy - ECT
Electroconvulsive Therapy - ECT Introduction Electroconvulsive therapy, or ECT, is a safe and effective treatment that may reduce symptoms related to depression or mental illness. During ECT, certain parts
What Parents Need to Know
What Parents Need to Know About Prescription Drug Abuse Office of District Attorney Jonathan W. Blodgett A Message From the District Attorney Prescription drug abuse is a growing problem. According to
BENZODIAZEPINE CONSIDERATIONS IN WORKERS COMPENSATION: IMPLICATIONS FOR WORK DISABILITY AND CLAIM COSTS By: Michael Erdil MD, FACOEM
3 rd Quarter 2015 BENZODIAZEPINE CONSIDERATIONS IN WORKERS COMPENSATION: IMPLICATIONS FOR WORK DISABILITY AND CLAIM COSTS By: Michael Erdil MD, FACOEM Introduction Benzodiazepines, sometimes called "benzos",
Sample Patient Agreement Forms
Sample Patient Agreement Forms Introduction This resource includes two sample patient agreement forms that can be used with patients who are beginning long-term treatment with opioid analgesics or other
SLEEP QUESTIONNAIRE. Name: Today s Date: Age (years): Your Sex (M or F): Height: Weight: Collar/Neck Size (inches) Medications you are taking:
SLEEP QUESTIONNAIRE Name: Today s Date: Age (years): Your Sex (M or F): Height: Weight: Collar/Neck Size (inches) Medications you are taking: Medical conditions: High blood pressure Heart Disease Diabetes
Planning care for critically ill patients in the Intensive Care Unit
Planning care for critically ill patients in the Intensive Care Unit Patient name Time Date Your name Notes Planning care for critically ill patients in the Intensive Care Unit Critical illness threatens
Evaluating Newer Sleeping Pills Used to Treat: Insomnia. Comparing Effectiveness, Safety, and Price
Evaluating Newer Sleeping Pills Used to Treat: Insomnia Comparing Effectiveness, Safety, and Price Contents Our Recommendations........................................... 3 Welcome....................................................
Evidence Summary & References... 11 Guideline Development Process and Team... 12
Benzodiazepine and Z-Drug Safety Guideline Background... 2 Prescribing... 3 Management of Patients on Chronic Benzodiazepines or Z-Drugs... 5 Tapering and Discontinuation... 6 Treatment of Withdrawal Symptoms...
Opioids, Benzos, and Tapering, Oh My! Disclosures
Opioids, Benzos, and Tapering, Oh My! Melissa B. Weimer, DO, MCR March 10, 2016 Disclosures Dr. Weimer is a paid consultant for INFORMed and a speaker for IMPACT education. Dr. Weimer is the medical director
How to sleep better at night - sleep hygiene. Information for anyone having trouble sleeping
How to sleep better at night - sleep hygiene Information for anyone having trouble sleeping www.leicspart.nhs.uk mail: feedback@leicspart.nhs.uk Aim for a good night s sleep A good night s sleep should
SLEEP DISTURBANCE AND PSYCHIATRIC DISORDERS
E-Resource December, 2013 SLEEP DISTURBANCE AND PSYCHIATRIC DISORDERS Between 10-18% of adults in the general population and up to 50% of adults in the primary care setting have difficulty sleeping. Sleep
Sleep Disorders Center 505-820-5363 455 St. Michael s Dr. 505-989-6409 fax Santa Fe, New Mexico 87505 QUESTIONNAIRE NAME: DOB: REFERRING PHYSICIAN:
Sleep Disorders Center 505-820-5363 455 St. Michael s Dr. 505-989-6409 fax Santa Fe, New Mexico 87505 QUESTIONNAIRE NAME: DOB: REFERRING PHYSICIAN: PRIMARY CARE PHYSICIAN: Do you now have or have you had:
Disclosure Statement. Nursing Facility Regulations and Psychotropic Medication Use. Learning Objectives (Cont) Learning Objectives
Nursing Facility Regulations and Psychotropic Medication Use Jeffrey C. Reist PharmD, BCPS College of Pharmacy The University of Iowa December 2010 Disclosure Statement I, Jeffrey Reist, PharmD, BCPS do
Sleeping Pills: An Introduction
Sleeping Pills: An Introduction 1 1 Sleeping Pills: An Introduction What Are Sleeping Pills? Most sleeping pills are sedative hypnotics. That s a specific class of drugs used to induce and/or maintain
Melatonin prolongedrelease. (Circadin) for insomnia
Melatonin prolongedrelease tablets (Circadin) for insomnia This Medicine Update is for people who are taking, or thinking about taking, prolongedrelease melatonin. Summary Melatonin prolonged-release tablets
PERSONAL COACHING AGREEMENT
PERSONAL COACHING AGREEMENT Full Name:_ Nickname (if any): Mailing Address: Work Phone: Cell Phone: Home Phone: Fax: E-Mail Address:_ Website(s):_ Date of Birth: Marital Status: Significant Other's Name:
Older Drivers Guide to Driving Safely
Fit to Drive Traffic Safety for Older Drivers Are you fit to drive? The aging process may increase your risk of being in a traffic crash, and it affects the severity of injuries you experience. Drivers
Navy Drug Screening Laboratory Jacksonville Screening News
Navy Drug Screening Laboratory Jacksonville Screening News October 2012 Volume 4, Number 1 This Issue CO s Desk In Focus Discrepancy of the Month Drug Facts Ask the Expert CO s Desk Second to marijuana,
Stress can become a problem when you are not sure how to handle it. Worry sets in, and you feel stressed.
Stress Reduction Patient Education Improving Health Through Education What is Stress? Stress is a normal emotional and physical reaction to the demands of life. Stress comes from both the good and bad
SLEEP RIGHT SLEEP TIGHT
SLEEP RIGHT SLEEP TIGHT Natural sleep before medicines Sleep diary What is a sleep diary? A sleep diary is a daily log that can be used to record your sleep-wake pattern. It helps you monitor when you
Non-Surgical Treatments for Spasticity in Cerebral Palsy and Similar Conditions by Susan Agrawal
www.complexchild.com Non-Surgical Treatments for Spasticity in Cerebral Palsy and Similar Conditions by Susan Agrawal Children with cerebral palsy and other conditions that affect muscle tone often present
Insomnia means having trouble sleeping.
Insomnia There are many steps you can take to improve your chances of getting a good night s sleep. Insomnia means having trouble sleeping. It can mean having a hard time falling asleep, waking up during
Why are you being seen at Frontier Diagnostic Sleep Center?
8425 South 84th Street Suite B Omaha, NE 68127 Phone: 402.339.7378 Fax: 402.339.9455 SLEEP QUESTIONNAIRE NAME: ADDRESS: Last First MI Street Address DATE City State Zip PHONE: ( ) BIRTHDATE: HEIGHT: WEIGHT:
Because it s important to know as much as you can.
About DEPRESSION Because it s important to know as much as you can. This booklet is designed to help you understand depression and the things you can do every day to help manage it. Taking your medicine
Quick Read Series. Information for people with seizure disorders
Quick Read Series Information for people with seizure disorders 2003 Epilepsy Foundation of America, Inc. This pamphlet is designed to provide general information about epilepsy to the public. It does
Building a. With Your Doctor
Building a With Your Doctor As a mental health consumer, there are many things you can do to improve your care and get more out of life. Learning more about your illness, current treatment options and
PAIN MANAGEMENT AT UM/SYLVESTER
PAIN MANAGEMENT AT UM/SYLVESTER W HAT IS THE PURPOSE OF THIS BROCHURE? We created this brochure for patients receiving care from the University of Miami Sylvester Comprehensive Cancer Center and their
Upper Arm. Shoulder Blades R L B R L B WHICH SIDE IS MORE PAINFUL? (CERVICAL PAIN SIDE) RIGHT LEFT EQUAL NOT APPLICABLE (N/A) CERVICAL.
1 NECK PAIN Patient Name In order to properly assess your condition, we must understand how much your NECK/ARM problems has affected your ability to manage everyday activities. For each item below, please
Getting Older ]Wiser: safer drinking. as you age. Massachusetts Department of Public Health Office of Healthy Aging
![Getting Older ]Wiser: safer drinking. as you age. Massachusetts Department of Public Health Office of Healthy Aging](/thumbs/25/6007827.jpg "Getting Older ]Wiser: safer drinking. as you age. Massachusetts Department of Public Health Office of Healthy Aging")
Massachusetts Department of Public Health Office of Healthy Aging Getting Older ]Wiser: safer drinking as you age Do you drink alcohol even just one drink now and then? Are you over 50? Do you ever take
Antidepressant Medicines
Antidepressant Medicines UHN Information for patients and families Read this booklet to learn: what antidepressant medicines are how they work possible side effects important points to remember The name
What you Need to Know about Sleep Apnea and Surgery
What you Need to Know about Sleep Apnea and Surgery UHN For patients with sleep apnea who are going to have surgery Read this brochure to learn: What sleep apnea is Risks of having sleep apnea when going
STRESS INDICATORS QUESTIONNAIRE
The Counseling Team International 1881 Business Center Drive, Suite 11 San Bernardino, CA 92408 (909) 884-0133 www.thecounselingteam.com STRESS INDICATORS QUESTIONNAIRE This questionnaire will show how
Manage cancer related fatigue:
Manage cancer related fatigue: For People Affected by Cancer In this pamphlet: What can I do to manage fatigue? What is cancer related fatigue? What causes cancer related fatigue? How can my health care
North Pacific Epilepsy Research 2311 NW Northrup Street Suite #202 Portland, Oregon 97210 Tel: 503-291-5300 Fax: 503-291-5303
North Pacific Epilepsy Research 2311 NW Northrup Street Suite #202 Portland, Oregon 97210 Tel: 503-291-5300 Fax: 503-291-5303 Post-Traumatic Stress Disorder (PTSD) Post-traumatic stress disorder (PTSD)
New Leaf Treatment Center (NLTC) Lafayette, CA Outpatient Sedative-Hypnotic Detoxification: Introduction:
New Leaf Treatment Center (NLTC) Lafayette, CA Outpatient Sedative-Hypnotic Detoxification: Symptom-guided Detoxification Using Replacement and Adjunctive Medications Alex Stalcup, M.D., Linda Hickman,
Memorial Hospital Sleep Center. Rock Springs, Wyoming 82901. Sleep lab Phone: 307-352- 8229 (Mon - Wed 5:00 pm 7:00 am)
Memorial Hospital Sleep Center Rock Springs, Wyoming 82901 Sleep lab Phone: 307-352- 8229 (Mon - Wed 5:00 pm 7:00 am) Office Phone: 307-352- 8390 (Mon Fri 8:00 am 4:00 pm ) Patient Name: Sex Age Date Occupation:
Mindfulness-based stress reduction (MBSR)
Mindfulness-based stress reduction (MBSR) You are being given this information sheet because your treating team has suggested that mindfulness-based stress reduction (MBSR) may be helpful in your treatment.
IMPORTANCE OF SLEEP. Essential to your physical health and emotional wellbeing. Helps improve concentration and memory formation
IMPORTANCE OF SLEEP Essential to your physical health and emotional wellbeing Helps improve concentration and memory formation Allows your body to repair any cell damage that occurred during the day Refreshes
The Doctor-Patient Relationship
The Doctor-Patient Relationship It s important to feel at ease with your doctor. How well you are able to talk with your doctor is a key part of getting the care that s best for you. It s also important
Patient Questionnaire for Men
Patient Questionnaire for Men Please fill out the following questionnaire to the best of your ability prior to your first appointment. Your physical therapist will review your responses during your initial
Young Person s Guide to CFS/ME
Young Person s Guide to CFS/ME The Royal College of Paediatrics and Child Health This leaflet has been developed as part of the Evidence based guideline for management of CFS/ME (Chronic Fatigue Syndrome
Residual effects of sleep medication on driving ability
Sleep Medicine Reviews (2004) 8, 309 325 www.elsevier.com/locate/smrv CLINICAL REVIEW Residual effects of sleep medication on driving ability Joris C. Verster*, Dieuwke S. Veldhuijzen, Edmund R. Volkerts
Benzodiazepines. CRIT program - May 2013. Alex Walley, MD, MSc Assistant Professor of Medicine
Benzodiazepines CRIT program - May 2013 Alex Walley, MD, MSc Assistant Professor of Medicine Learning objectives At the end of this session, you should: 1. Understand why people use benzodiazepines 2.
PSYCHOPHARMACOLOGY AND WORKING WITH PSYCHIATRY PROVIDERS. Juanaelena Garcia, MD Psychiatry Director Institute for Family Health
PSYCHOPHARMACOLOGY AND WORKING WITH PSYCHIATRY PROVIDERS Juanaelena Garcia, MD Psychiatry Director Institute for Family Health Learning Objectives Learn basics about the various types of medications that
Delirium. The signs of delirium are managed by treating the underlying cause of the medical condition causing the delirium.
Delirium Introduction Delirium is a complex symptom where a person becomes confused and shows significant changes in behavior and mental state. Signs of delirium include problems with attention and awareness,
SEDATIVE - HYPNOTICS. Gregory L. Kirk, MD Rocky Mountain Psychiatry Consultants, LLC 2036 E 17th Avenue Denver, CO 80220. Tuesday, June 19, 12
SEDATIVE - HYPNOTICS Gregory L. Kirk, MD Rocky Mountain Psychiatry Consultants, LLC 2036 E 17th Avenue Denver, CO 80220 DRUG CLASSES OVERVIEW Benzodiazepines will be the main focus of the discussion. Benzodiazepines
RESTLESS LEGS SYNDROME FOUNDATION
RESTLESS LEGS SYNDROME Causes, diagnosis and treatment for the patient living with Restless Legs Syndrome (RLS) RESTLESS LEGS SYNDROME FOUNDATION DO I HAVE RESTLESS LEGS SYNDROME? Chances are, if you are
Prescribing and Tapering Benzodiazepines
E-Resource October, 2014 Prescribing and Tapering Benzodiazepines The use of benzodiazepines has grown over time and evidence has shown that long term use of these drugs has very little benefit with many
STEP 1: IDENTIFY A BEHAVIOR TO CHANGE
Establishing Healthy Behaviors Worksheet The Establishing Healthy Behaviors Worksheet is designed to carry you through a series of steps that will guide and assist you in establishing healthy lifestyle
Sleep History Questionnaire
Sleep History Questionnaire Name Address Daytime Phone Height Evening Phone Weight Weight 5yrs ago Describe your sleep problem: 1. What time do you go to bed? 2. What time do you wake up? 3. What time
Baltimore Substance Abuse Systems, Inc.
Baltimore Substance Abuse Systems, Inc. CLINICAL GUIDELINES FOR THE USE OF BENZODIAZEPINES AMONG PATIENTS RECEIVING MEDICATION- ASSISTED TREATMENT FOR OPIOID DEPENDENCE May 2013 Baltimore Substance Abuse
Young Adult Prescription Drug Use and Co-Occurring Mental Health Disorders Presenter: Jonathan Beazley, LADC LMFT Moderator: Cindy Rodgers
Young Adult Prescription Drug Use and Co-Occurring Mental Health Disorders Presenter: Jonathan Beazley, LADC LMFT Moderator: Cindy Rodgers Audio will begin at 2:00 PM ET. You can listen through your computer
Dr Sarah Blunden s Adolescent Sleep Facts Sheet
Dr Sarah Blunden s Adolescent Sleep Facts Sheet I am Sleep Researcher and a Psychologist. As a Sleep Researcher, I investigate the effects of poor sleep on young children and adolescents. I also diagnose
LUMBAR. Hips R L B R L B LUMBAR. Hips R L B R L B LUMBAR. Hips R L B R L B
1 Patient Name In order to properly assess your condition, we must understand how much your BACK/LEG (SCIATIC) PAIN has affected your ability to manage everyday activities. For each item below, please
Your guide to stopping smoking for good
Your guide to stopping smoking for good Reading this is your first step to stopping smoking for good Help2Quit gives you advice and support to help stop smoking for good. Nicotine replacement therapy and
High Blood Pressure. What Is Blood Pressure?
National Institute on Aging AgePage High Blood Pressure You can have high blood pressure, or hypertension, and still feel just fine. That s because high blood pressure does not cause signs of illness that
Nursing Interventions for Sleep Disorders Following TBI
Nursing Interventions for Sleep Disorders Following TBI Kadesha Clark, RN BSN When you sleep, your body rests and restores its energy levels. A good night's sleep is often the best way to help you cope
Anxiety, Panic and Other Disorders
Methodist Assistance Program Anxiety, Panic and Other Disorders Anxiety, panic and other disorders such as agoraphobia, social phobia, compulsive disorder and posttraumatic stress disorder are all very
(Atrial Fibrillation) What You and Your Family Should Know
Afib (Atrial Fibrillation) What You and Your Family Should Know BRING THIS BOOKLET TO YOUR NEXT DOCTOR S VISIT. Getting Started This guide will: 1. Provide you with information to help you and your family
Overall Learning Objectives
Overall Learning Objectives Understand the difference between use, misuse and abuse of substances/drugs; Differentiate between commonly abused legal and illegal substances/drugs; Become aware of common
VALIUM PRODUCT MONOGRAPH. diazepam. 5 mg Tablets. Anxiolytic-sedative. Date of Revision: February 7, 2014
PRODUCT MONOGRAPH VALIUM diazepam 5 mg Tablets Anxiolytic-sedative Hoffmann-La Roche Ltd. 7070 Mississauga Road Mississauga, Ontario L5N 5M8 Date of Revision: February 7, 2014 www.rochecanada.com Submission
Drug affected driving new advertising campaign (Aug 13)
Drug affected driving new advertising campaign (Aug 13) Everybody has confirmed that drug driving is a problem what are you doing about this? The NZ Transport Agency has developed a long-term behavioural
What are some of the signs that alcohol is a problem?
Problems with Alcohol How can I tell if alcohol is a problem for me? Alcohol is a problem if it affects any part of your life, including your health, your work and your life at home. You may have a problem
Insomnia. Student Counselling Service 20 Laurie Grove T 020 7919 7472 mcs01cs@gold.ac.uk
Insomnia Student Counselling Service 20 Laurie Grove T 020 7919 7472 mcs01cs@gold.ac.uk Goldsmiths, University of London New Cross London SE14 6NW T 020 7919 7774 F 020 7919 7773 www.goldsmiths.ac.uk Insomnia
What Causes Cancer-related Fatigue?
What Causes Cancer-related Fatigue? The causes of cancer-related fatigue are not fully understood. It may be the cancer and/or the cancer treatment. Cancer and cancer treatment can change normal protein
GUIDELINES FOR THE USE OF BENZODIAZEPINES IN OFFICE PRACTICE IN THE STATE OF MAINE
GUIDELINES FOR THE USE OF BENZODIAZEPINES IN OFFICE PRACTICE IN THE STATE OF MAINE Introduction: This is an evidence based guideline for the use of benzodiazepines and related drugs in clinical office
Sedative-Hypnotic Drugs.
Sedative-Hypnotic Drugs. Anxiety Term used to describe both symptoms and disorders Occurs normally as signal of impending danger or threat Very common, occurs in many disorders in addition to the anxiety
Medication Guide KLONOPIN (KLON-oh-pin) (clonazepam) Tablets
Medication Guide KLONOPIN (KLON-oh-pin) (clonazepam) Tablets Read this Medication Guide before you start taking KLONOPIN and each time you get a refill. There may be new information. This information does
How To Avoid Drowsy Driving
How To Avoid Drowsy Driving AAA Foundation for Traffic Safety Sleepiness and Driving Don t Mix Feeling sleepy is especially dangerous when you are driving. Sleepiness slows your reaction time, decreases
Recovering from a Mild Traumatic Brain Injury (MTBI)
Recovering from a Mild Traumatic Brain Injury (MTBI) What happened? You have a Mild Traumatic Brain Injury (MTBI), which is a very common injury. Some common ways people acquire this type of injury are
Drug addiction. These factors increase the likelihood of your having an addiction to a legal or an illegal drug:
Drug addiction You may be hooked emotionally and psychologically. You may have a physical dependence, too. If you're addicted to a drug whether it's legal or illegal you have intense cravings for it. You
CorCap Cardiac Support Device Patient Information Booklet
What is Heart Failure? CorCap Cardiac Support Device Patient Information Booklet Heart failure is a condition in which the heart is unable to pump enough blood to meet the needs of the body. To compensate
Fatigue Beyond Tiredness
Fatigue Beyond Tiredness The development and printing of this booklet was sponsored by Roche Products Ltd and Chugai Pharma UK Ltd. Editorial control remains with NRAS. Have you ever: Got all dressed up
Post Acute Withdrawal Syndrome
Post Acute Withdrawal Syndrome SupportNet Recovery Learning Series - Believe that Recovery is Possible John Craven MD I get stressed out - and flustered - by things that didn t bother me before. S upport
Coping With Stress and Anxiety
Coping With Stress and Anxiety Stress and anxiety are the fight-and-flight instincts that are your body s way of responding to emergencies. An intruder crawling through your bedroom window in the dark
Cancer Pain. What is Pain?
Cancer Pain What is Pain? The International Association for the Study of Pain says that pain is "an unpleasant sensory and emotional experience associated with actual or potential tissue damage." Pain
Consequences of Excessive Daytime Sleepiness
Transcript Details This is a transcript of an educational program accessible on the ReachMD network. Details about the program and additional media formats for the program are accessible by visiting: https://reachmd.com/programs/clinicians-roundtable/consequences-of-excessive-daytimesleepiness/1904/
UNDERSTANDING STRESS AND YOUR BODY
UNDERSTANDING STRESS AND YOUR BODY Life s demands create stress and although some stress may be good, too much can cause health problems. Most people equate stress with high blood pressure, a heart attack
Sleep and Brain Injury
Patient Education Sleep and Brain Injury This handout describes how brain injury may affect sleep. A list of resources is included. Why is sleep important? During sleep, your brain and body recharge. Proper
Urinary Incontinence. Patient Information Sheet
Urinary Incontinence Patient Information Sheet What is urinary incontinence (UI)? UI happens when you are not able to control when you urinate and you wet yourself. How common is urinary incontinence?