A 35-year-old man complained to his physician of attacks of intense terror during sleep,
such as feeling crushed, and often wakes up with scream, but cannot remember any
specific dream. He also felt anxious and restless from time to time during the day. Which
of the following drugs would show good short-term decrease of patient’s symptoms?
A. Lithium B. Temazepam C. Haloperidol D. Imipramine E. Phenobarbital
the patients symptoms indicate that he is suffering from insomnia characterized by difficulty in
maintaining sleep during the night because of nightmares. a benzodiazepine hypnotic is
preferable in this patient because of the need for anxiolytic properties in addition to hypnotic
efficacy. moreover benzodiazepines tend to decreased the slow waves sleep were nightmares
are more frequent. therefore a medium-acting benzodiazepine like temazepam, which can
maintain sleep throughout the night, should be appropriate for this patient.
a, c, d, e) these drugs are devoid of hypnotic properties