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Test So-called “z drugs”: commonly used hypnotics and clinical risk
Agenda
QUESTION 1: WHAT ARE Z-DRUGS?
Non-benzodiazepine antidepressants
Non-benzodiazepine hypnotics used to treat insomnia
Medications for the treatment of anxiety
Medicamentos antipsicóticos
SECOND QUESTION: WHAT IS A COMMON CHARACTERISTIC OF INSOMNIA IN PATIENTS WITH DEPRESSION?
Disappears at the beginning of treatment
It is one of the most common and persistent symptoms
Only occurs during anxiety episodes
Does not affect the duration of the depressive episode
QUESTION 3: WHAT IS THE RISK ASSOCIATED WITH PROLONGED USE OF Z DRUGS?
Improvement in insomnia without side effects
Tolerance, dependence, and withdrawal syndrome
Complete elimination of depressive symptoms
Permanent reduction in anxiety
QUESTION 4: WHAT ADVERSE EFFECTS HAVE BEEN REPORTED AS A RESULT OF THE USE OF Z-DRUGS?
Increased appetite and weight gain
Daytime sleepiness and falls in older adults
Decrease in depressive episodes
Increased concentration and memory
QUESTION 5: WHY IS SELF-MEDICATION WITH Z-DRUGS A CAUSE FOR CONCERN?
Perceived as harmless and used without medical supervision
No effect on insomnia
For use exclusively in patients with psychotic disorders
Easily accessible and used only in emergencies
QUESTION 6: WHAT EFFECT CAN PROLONGED AND INAPPROPRIATE USE OF Z DRUGS HAVE ON PATIENTS?
Immediate and lasting relief from depression
Worsening of depressive symptoms and chronic insomnia
General improvement in psychological well-being without adverse effects
Total reduction in dependence on medication
QUESTION 7: HOW LONG IS IT RECOMMENDED TO USE Z-DRUGS TO TREAT INSOMNIA?
Throughout the treatment of depression
No more than 4 weeks
For more than 6 months
Only in emergencies
QUESTION 8: WHAT SHOULD A THERAPEUTIC PLAN USING Z-DRUGS INCLUDE?
Medication only without other interventions
Psychotherapy, adjustment of antidepressant treatment, and sleep hygiene strategies
Chronic use of Z drugs
Exclusion of any type of physical activity
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