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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
Asked by Olivia, Last updated: Feb 17, 2020

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John Smith

John Smith

Answered Sep 09, 2016

Temazepam-answer: b 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
 

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