Hypnotics
Hypnotic, or soporific drugs, commonly known as sleeping pills, are a class of psychoactive drugs whose primary function is to induce sleep and for the treatment of insomnia, or for surgical anesthesia. This group is related to sedatives.
Cluster Number:
Wiki Number: PW199-B
Diagnosis: Hypnotics
US Patients: Hypnotics induce sleep, treat insomnia, or as surgical anesthesia. They actually disturb sleep, but 95% are described for insomnia in
World Patients: some countries. Most physicians try to change the environment first with better sleep hygiene, reduction of caffeine, or CBT.
Sex Ratio: When prescribed, they should be used for the shortest time necessary. Prescriptions for sleep disorders, as of 2010, 13.7% were
Age Onset: nonbenzodiazapines and 10.8% were benzodiazepines. The neuro-hormone melatonin also has an hypnotic function.
Brain Area: Benzodiazepines should not be used beyond 2-4 weeks, given intermittently at the lowest doses possible, because they disturb
Symptoms: slow wave sleep and after more use will rebound insomnia. Older adult should only use benzodiazepines if other drugs fail.
Progression: The Wikipedia article gives brief descriptions and critiques of other hypnotics. They should not be used at all with older people or
Causes: those with dementia and have other side effects.
Medications:
Therapies:
Youtube Video: Sedatives, Hypnotics, & Anxiolytics
I could not find a book on Hypnotics on Amazon. Jim Lohr – Compiler
4 CURRENT ARTICLES
FROM PUBMED
The world-wide medical research
reports chosen for each diagnosis
Clicking each title opens the
PubMed article’s summary-abstract.
- Intrathecal Dexamethasone and Dexmedetomidine as Adjuncts to Bupivacaine in Elective Cesarean Section: A Case Seriesby Thomas Baribeault on May 17, 2024
The purpose of this study was to investigate whether the combination of intrathecal dexamethasone and dexmedetomidine in combination with bupivacaine in spinal anesthesia is effective for reducing nausea, vomiting, shivering, and pain. A retrospective review of records was used to examine the outcomes of patients undergoing cesarean delivery under spinal anesthesia with dexamethasone, dexmedetomidine, and bupivacaine. The records of 11 consecutive patients who underwent cesarean delivery under...
- Meditation mindfulness and hypnosis: We know they work, but just how do they work?by Lotfi Hacein-Bey on May 17, 2024
No abstract
- A prospective, open-label, randomized clinical trial to evaluate the efficacy and safety of remimazolam in patients undergoing EBUS-TBNA: REST trial designby Hee Yun Seol on May 17, 2024
BACKGROUND: Remimazolam is safe and effective for moderate sedation during flexible bronchoscopy, but its safety and efficacy during endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) remains undetermined. The REST trial (NCT06275594) will be a prospective randomized study of remimazolam in patients undergoing EBUS-TBNA with conscious sedation. The primary aim is to evaluate whether remimazolam is safe and effective for moderate sedation during EBUS-TBNA compared to...
- Gestational exposure to benzodiazepines or z-hypnotics and neurodevelopmental disorders in offspring: Systematic review and meta-analysisby Chittaranjan Andrade on May 16, 2024
CONCLUSION: Gestational exposure to benzodiazepines or z-hypnotics was not associated with an increased risk of ASD and with only a marginally increased risk of ADHD in offspring. Given the likelihood of confounding by indication and by unmeasured variables in the original studies, our findings should reassure women who need these medications for severe anxiety or insomnia during pregnancy.