Patient/Family Teaching

• Advise patient to take medication exactly as directed.

• Teach sleep hygiene techniques (dark room, quiet, bedtime ritual, limit daytime napping, avoidance of nictotine and caffeine)

• Maximum hypnotic properties are apparent 2–3 nights after initiating therapy and may last 1–2 nights after therapy is discontinued

• Medication may cause daytime drowsiness. Caution patient to avoid driving and other activities requiring alertness until response to medication is known

• Caution patient to avoid taking alcohol or other CNS depressants concurrently with this medication

• Refer for psychotherapy if ineffective coping is basis for sleep pattern disturbance

• OB: Instruct patient to contact health care professional immediately if pregnancy is planned or suspected

• Geri: Caution patient or family to institute fall prevention strategies at home

• Instruct patient to contact health care professional immediately if pregnancy is planned or suspected

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