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An initial dose is usually taken approximately one hour before the dental appointment. [1] Treatment may include additional dosing on the night proceeding the procedure, to mitigate anxiety-related insomnia. [1] The procedure is generally recognized as safe, with the effective dosages being below levels sufficient to impair breathing. [2]
There are different degrees of central nervous system depression, each corresponding to a level of relaxation which ranges from minimal, moderate, deep sedation and finally general anesthesia. In general, minimal sedation refers to a patient who has reduced anxiety but readily responds to verbal or physical stimulation (tapping on the shoulder).
Triazolam (Halcion) is the most well-known treatment for insomnia. It is a highly effective drug, which can be used in conjunction with an antihistamine. It is similar to diazepam and is a popular choice for many different dentists. Triazolam is typically used for shorter appointments.
Sedation is the side effect people taking lorazepam most frequently report. In a group of around 3,500 people treated for anxiety, the most common side effects complained of from lorazepam were sedation (15.9%), dizziness (6.9%), weakness (4.2%), and unsteadiness (3.4%). Side effects such as sedation and unsteadiness increased with age. [61]
This is a list of psychiatric medications used by psychiatrists and other physicians to treat mental illness or distress.. The list is ordered alphabetically according to the condition or conditions, then by the generic name of each medication.
The dose of loprazolam for insomnia is usually 1 mg but can be increased to 2 mg if necessary. In the elderly a lower dose is recommended due to more pronounced effects and a significant impairment of standing up to 11 hours after dosing of 1 mg of loprazolam. The half-life is much more prolonged in the elderly than in younger patients.
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