I am getting ready to start the scoring part of my training. I have heard tales of scoring techs that can see the effects of drugs in the psg. I WANT TO BE THAT TECH! I see hundreds of different pts on many different medications, yet I know very little about them. I need to learn my drugs! I am proposing a drug education for a drug education program. It will work like this. You give me your medications, and I will research them. We both get an education. That easy!
I am hoping to find/accomplish a few specific things for each medication:
1. How it effects your sleep latency and staging.
2. How it effects apnea and other sleep disorders.
3. How or if it will show up on a PSG.
4. Build a library that myself or any member can reference at any time.
I do have a few rules/disclaimers:
1. I am an unregistered sleep tech. I am in no way a doctor or should any of this information be used as a basis to start or stop medication without discussing it with a doctor.
Acebutolol- Increases REM
Alcohol- Suppressed REM, Increased N2, Increased N3, Increased Apneas, Fragmented Sleep
Alprazolam- Suppressed N3, Suppressed REM, Decreased N1, Increase N2, Decrease Leg Movements, Increased Apneas, Fragmented Sleep
Alprenolol- EEG Arousals, fragmented Sleep
Amantadine- Insomnia, Hallucinations
Ambien- Increased Sleep latency, Drowsiness, Increased Deep Sleep, Increased Apneas
Amitriptyline-Suppressed REM, Suppressed N3, Drowsiness, Somnambulism, Sedation
Amphetamine- Delayed Sleep Onset, Suppressed REM, Delayed REM Onset, Stimulating Effects.
Asamanex- Suppressed REM, Suppressed N3, Increased N2, Sleep Disturbances, EEG Arousals
http://www.ncbi.nlm.nih.gov/pubmed/3614616
Aspirin- Suppressed N3, Increased N2
Atenolol- Suppressed REM,
Azathioprin- Sleep Disturbances, EEG Arousals
http://www.ncbi.nlm.nih.gov/pubmed/12174106
http://www.semel.ucla.edu/sleepresearch/04%20hcrt%20immuno%20boehme...
Brompheniramine- Suppressed REM
Bupropiron- Insomnia
Buspiron- Insomnia
Caffeine- suppressed N3, Stimulating Effects
Carbamazepine- Suppressed REM
Celebrix- Increased Apneas
http://patientsville.com/symptoms/sleep-apnoea-syndrome.htm
Chlorpromazine- Increased REM
Cimetidine- Increased N3
Clomipramine- Supressed REM
Clonazepam- Suppressed REM, Increased N3, Decrease N2, Decreased Leg Movements
Clonidine- Suppressed REM, Increased N3, Increase N2, Insomnia, Vivid Dreams, Nightmares, Sedation, Fragmented Sleep
Clorgyline- Suppressed REM
Cocaine- Delayed Sleep Onset, Stimulating Effects, Insomnia
Cyclazocine- Suppressed REM, Increased N1, Increased EEG Arousals
Cyproheptadine- Suppressed REM, Increased N3
Desipramine- Suppressed REM
Diazapam- Increased Apneas, Decreased Sleep Latency
Diethylpropian- Insomnia
Domperidone- Drowsiness
Doxepin- Suppressed REM, Drowsiness, Sedation
Enprofylline- Insomnia, Sleep Disturbances, EEG Arousals
Ephedrine- Stimulating Effects, Insomnia, Delayed Sleep Onset
Estratest- So far all I can find on this one is that it improves sleep in adult women by reducing the sleep disturbances relating to menopause.
Ethosuximide- Suppressed N3, Suppressed REM, Increased N1, Increased Leg Movements, Insomnia
Fencamfamine- Suppressed REM
Fenluramine- Suppressed REM, Increased N3, Sedation, Sleep Disturbances, EEG Arousals
Fenofibrate- Insomnia, Drowsiness
Fluoxetine- Prozac- Suppressed N3, Suppressed REM, Delayed REM Onset, Increased Sleep Onset, REM Onset (SOREM) if left out of medical history a tech could confuse the effects of this drug with narcolepsy.
Flurazepam- Decreased Sleep Latency, increased Apneas
Flutamide- Insomnia, Nightmares, Drowsiness, Somnolence, Fatigue
Guanafacine- Suppressed REM
Heroin- Suppressed REM, Increased N1, Decreased Leg Movements, Increased Apneas,
Hydralazine- Sleep Disturbances, EEG Arousals
Hyoscine- Suppressed REM, Delayed REM Onset, increased Leg Movements, Decreased Eye Movements, Sedation
Hyzaar- Insomnia, Nocturia, Somnolence
http://stanford.wellsphere.com/wellpage/Hyzaar-sleep
Indalpine- Suppressed REM
Indoramin- Drowsiness, Sedation, Increased Sleep Onset
Isosorbide ER-Common: Tiredness, sleep disturbances (6%) and gastrointestinal disturbances (6%) have been reported during clinical trials with isosorbide mononitrate modified release tablets
http://stanford.wellsphere.com/wellpage/isosorbide-sleep
Ketanserin- Suppressed REM
Leodopa- Suppressed N3, Suppressed REM, Delayed REM Onset, Increased Sleep Spindles, Increased Leg Movements, insomnia, Vivid Dreams, Nightmares, Sleep Disturbances, EEG Arousals, Hallucinations, Somniloquy
Levoxyl- Insomnia
http://drugs.emedtv.com/levoxyl/levoxyl-and-insomnia.html
Lithium- Suppressed REM, Increased N3, Delayed REM Onset, Insomnia, Somnambulism
Lovastatin- Insomnia
Lunesta- Insomnia
http://patientsville.com/symptoms/sleep-apnoea-syndrome.htm
Lysergic Acid- Increased REM, Increased Leg Movements, Increased Arousals
Maprotiline- Suppressed REM
Mazindol- Insomnia
Methadone- Suppressed REM, Increased N1, Decreased Leg Movements, Increased Apneas
Methoxyphenamine- Delayed Sleep Onset, Stimulating Effects, Insomnia
Methyldopa- Suppressed N3, Suppressed REM, Insomnia, Nightmares, Drowsiness, Sedation, Sleep Disturbances, EEG Arousals
Methylphenidate- Suppressed REM, Stimulating Effects, Delayed Sleep Onset, Insomnia
Methysergide- Decreased Leg Movements
Plavix-
http://www.insidermedicine.com/archives/VIDEO_Aspirin_and_Plavix_Co...
Vytorin- Maintenance Issues, Insomnia
http://www.google.com/search?hl=en&rls=com.microsoft:en-US&...