JP a 93yo female taking the following medications: Sitagliptin 100mg PO Take 1 Q
ID: 305510 • Letter: J
Question
JP a 93yo female taking the following medications:
Sitagliptin 100mg PO Take 1 QD
Triamterene-hydrochlorothiazide 37.5-25mg PO 1 QD
Vitamin D3 1000 unit capsule Take 1000 units PO daily
Levothyroxine 125 mcg tab Take 1 PO every AM on empty stomach
Aspirin 81mg EC PO Take 1 QD
Benazepril 10mg-20mg daily
Docusate sodium 100 mg Tale 1 PO 2x daily PRN
Doxercalciferol 0.5 mcg Take 1 mcg PO QD
Duloxetine 30mg Take 1 PO QD
Fluphenazine decanoate 25 m/mL inj inject every 14 days
Gabapentin 100mg PO x 3
Glimepiride 4mg every AM before btreakfast
Insulin aspart 100 units/mL inj inject once
Insulin detemir 100 units/mL inject nightly 40 units into skin
Insulin glargine 100 units/mL inject nightly
Melatonin 3 mg take PO nightly
Multivitamin take 2 daily
Nifedipine 30 mg Take 1 tab QD
Polyethylene glycol 17gm take by mouth QD
Simvastatin 20 mg Take 10mg QDS
Is the Gabapentin and melatonin going to cause any additive elderly morning sedation?
Explanation / Answer
1 if melatonin is used during it can cause some adverse effects .it could affect our body clock as it recieves conflicting daytime light signals and dark signals from melatonin and therefore it cannot function properly when its time to go for sleep later.
Gabapentin can produce central nervous system -related adverse effects such as dizziness and somnolence.
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