Anxiolytics
Anxiolytics ( 5 Questions)
A nurse is reviewing the medication history of a client who is prescribed zolpidem (Ambien) for insomnia. The nurse should identify that which of the following medications can interact with zolpidem and increase its sedative effects?
Choice A is wrong because omeprazole (Prilosec) is a proton pump inhibitor that does not affect the metabolism or clearance of zolpidem.
Choice B is wrong because warfarin (Coumadin) is an anticoagulant that does not interact with zolpidem. However, warfarin levels may be affected by other medications or dietary factors that influence clotting.
Ketoconazole (Nizoral) can interact with zolpidem (Ambien) and increase its sedative effects. Ketoconazole is an antifungal medication that inhibits the metabolism of zolpidem, leading to higher plasma levels and increased risk of adverse effects such as drowsiness, dizziness, and impaired coordination.
Choice D is wrong because metformin (Glucophage) is an antidiabetic medication that does not interact with zolpidem. Metformin may cause gastrointestinal side effects such as nausea, diarrhea, and abdominal pain, but these are not related to zolpidem use.
Ketoconazole (Nizoral) can interact with zolpidem (Ambien) and increase its sedative effects. Ketoconazole is an antifungal medication that inhibits the metabolism of zolpidem, leading to higher plasma levels and increased risk of adverse effects such as drowsiness, dizziness, and impaired coordination.
Choice A is wrong because omeprazole (Prilosec) is a proton pump inhibitor that does not affect the metabolism or clearance of zolpidem.
Choice B is wrong because warfarin (Coumadin) is an anticoagulant that does not interact with zolpidem. However, warfarin levels may be affected by other medications or dietary factors that influence clotting.
Choice D is wrong because metformin (Glucophage) is an antidiabetic medication that does not interact with zolpidem. Metformin may cause gastrointestinal side effects such as nausea, diarrhea, and abdominal pain, but these are not related to zolpidem use.