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Crazy-High Sleep Meds

Discussion in 'Pharmacy' started by JerryPharmD, May 14, 2007.

  1. JerryPharmD

    JerryPharmD Salt Miner Pharmacist 5+ Year Member

    300
    0
    May 6, 2006
    AZ
    Had a patient today (30-something male) on 90 mg temazepam QHS and 600mg trazodone QHS

    Yowza:eek:
     
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  3. Jbuprepharm

    Jbuprepharm The Poopsmith 10+ Year Member

    571
    2
    Apr 8, 2006
    Alaska
    good lord

    did you guys check with the doctor just in case?

    thats nuts
     
  4. JerryPharmD

    JerryPharmD Salt Miner Pharmacist 5+ Year Member

    300
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    May 6, 2006
    AZ
    guy's been on it at least a year..crazier than the day is long
     
  5. ZpackSux

    ZpackSux Retired Banned

    3,407
    6
    Feb 25, 2005
    Dallas, TX
    it would take a mucho dose of ativan, versed, or propofol to knock that guy out...
     
  6. TBS5280

    TBS5280 2+ Year Member

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    Feb 8, 2007
  7. WVUPharm2007

    WVUPharm2007 imagine sisyphus happy Pharmacist 10+ Year Member

    My wife slept until 3:30PM on 1mg clonazepam. (I actually just checked to make sure she wasn't dead and accidently woke her up...she probably would have slept longer...)
     
  8. kkelloww

    kkelloww Senior Member 7+ Year Member

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    May 13, 2005
    It takes 3 mg of clonazepam just to get my wimpy butt on an airplane.
     
  9. Farmercyst

    Farmercyst On with the Poodles already Pharmacist Moderator Emeritus 10+ Year Member

    I know my father-in-law was on a serious dose of Requip for his RLS though they say most of the meds he takes are a lot less than what they dose for Parkinson's patients, just high for Restless leg syndrome patients. I don't know what his dose of Ambien was. The had to work him off Requip for an experimental study and then work his dose back up when he got kicked out. Totally sucks for him. He got 30 min sleep in 3 days when he was dosing down.
     
  10. Dustbunny

    Dustbunny 2+ Year Member

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    Apr 17, 2007
    Massachusetts
    Trazodone dosed much higher than 300mg will actually keep you awake rather than put you to sleep. No wonder he needs so much temaz.
     
  11. eeyore spice

    eeyore spice 10+ Year Member

    300
    1
    Apr 6, 2006
    the fifth quadrant
    Who the hell lets a patient stay on sleep meds that long? Especially at that dose!

    God help him if he attempts to stop cold turkey...that could be ugly...
     
  12. sdn1977

    sdn1977 Senior Member 10+ Year Member

    3,548
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    Jul 28, 2005
    I disagree with all of you - without the complete drug profile, pt hx, previous & concommitant medications, comorbid conditions....its hard to evaluate this regimen.

    I have a pt who is on doses of somnotics, antipyschotics, atypicals which are far beyond recommended doses - but those are what is required.

    Its difficult to take a pt out of context of his/her hx & previous exposure.

    However, given the kinetics of temazepam & trazodone & how they work...I'd say perhaps an adjustment might be necessary.
     
  13. eeyore spice

    eeyore spice 10+ Year Member

    300
    1
    Apr 6, 2006
    the fifth quadrant
    True....is this guy 600 lbs? Does he have two livers?

    For the average patient, I'd call that ridiculous, though.

    But I agree that if it works, it works. I actually got into a brief argument with my primary care quack doc over my meds: "90 mg? That's too much." "No, it isn't." "Yes it is." "Um, no it isn't..." :rolleyes: Am I on the floor in convulsions? No? Then stfu plz.
     

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