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Old 02-14-2013
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Psyche Treatment of Sleep Disorder

a 30 year old man is feeling tired all the time. he came with his spouse who says she dont see him sleeping on the bed. one day she saww him wandering and walking in the night. when awaked he was totally confused. he also gives history of nightmare. physical exam was totally normal. he was already given behavioral psychotherapy which didnt work. you want to prescribe him medication. which would you prefer?
a) TCA antidepressant
b) Benzodiazepine
c) SSRI
D) Antipsychotic
e) TCA + Benzos
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b) Benzodiazepine to suppress stage 3&4 stage sleep.

Among TCAs only Imipramine suppresses stage 3&4 sleep that's why it is used for nocturnal enuresis.
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Last edited by Novobiocin; 02-14-2013 at 07:19 PM.
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e)TCA + Benzos in view of nightmares since TCAs supresses REM sleep.
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Old 02-14-2013
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Default a)TCA antidepressant

a)TCA antidepressant
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a)TCA antidepressant
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Old 02-14-2013
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Sleep walking + Night mares = Stage 3-4 disorder

a)TCA antidepressant= As i know only Imipramine can use to treat enuresis (decrease stage 4)
b)Benzodiazepine= decrease stag 4 so can use to treat Sleep walking + Night mares
c)SSRI= have no role in treatment of Stage 3-4 disorder
D)Antipsychotic= have no role in treatment of Stage 3-4 disorder
e)TCA + Benzos= No needs for this combination as i think

Last edited by heartbeat; 02-14-2013 at 10:25 PM.
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Quote:
Originally Posted by aknz View Post
a)TCA antidepressant
Answer is b)Benzodiazepine. used to treat sleep walking,night terrors.
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Correct Answer e

TCA to decrease REM sleep for Nightmare
Benzos to decrease NREM stage 3 & 4 for Somnambulism..
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Quote:
Originally Posted by heartbeat View Post
b)Benzodiazepine= decrease stag 4 so can use to treat Sleep walking + Night mares
I am sorry for this mistake.
b)Benzodiazepine= decrease stag 4 so can use to treat Sleep walking + Night terrors
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Old 02-17-2013
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which type of benzo..???? how does it work in detail????????
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Old 02-17-2013
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@salem any type of benzos can be used.....
for rest novobiocin;me and heart beat has already described......
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