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.

S.H., age 47, studies problem falling asleep and staying asleep. These issues have been ongoing for a few years, however she has by no means talked about them to her well being care supplier. She has usually “lived with it” and selftreated the issue with OTC Tylenol PM. At present, she can also be experiencing perimenopausal signs of evening sweats and temper swings. Present medical issues embrace hypertension managed with medicines. Previous medical historical past consists of childhood sicknesses of measles, chickenpox, and mumps. Household historical past is constructive for diabetes on the maternal facet and hypertension on the paternal facet. Her solely remedy is an angiotensinconverting enzyme inhibitor and diuretic mixture for hypertension management. She usually doesn’t like taking remedy and doesn’t take some other OTC merchandise. Prognosis: InsomnIa 1. Record particular targets of remedy for S.H. 2. What drug remedy would you prescribe? Why? 3. What are the parameters for monitoring the success of the remedy? 4. Talk about particular affected person schooling primarily based on the prescribed remedy 5. Record one or two antagonistic reactions for the chosen agent that may trigger you to alter remedy. 6. What can be the selection for second-line remedy? 7. What OTC and/or various medicines is likely to be applicable for this affected person? 8. What dietary and way of life adjustments would possibly you advocate? 9. Describe one or two drug–drug or drug–meals interactions for the chosen agent.

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