FEEDBACK

Sleep Remedy

Exercise details
Username:
132300

Name:
EMAD MOHAMMAD BASHAR MUSTAFA MUSTAFA

Unit:
Pharmacy Practice Training Summer2022 JUST Year: 2021

Tutorial:
Nutrition, vitamins, and herbal supplements

Exercise:
Sleep Remedy

Date completed:
08/24/2022 12:40:47
 Summary & Outcome

Hi, I'd like an OTC recommendation to treat my

jet lag.

Summary: Tom Reid presented with the above query

Your recommendation:

Melaton 5 mg …

Ideal recommendations:

Melaton 5 mg …

Doses of 0.5 to 5 mg of melatonin can be taken in the

evening on the day of arrival and at bedtime for up to 5 days
after.
Note from your tutor: Jet lag is a temporary condition associated with air travel
across 3 more time zones that can result in poor sleep or
delayed sleep onset (after traveling east), early awakening
(after traveling west), poor mental alertness in the new time
zone, fatigue, irritability, and impaired concentration.
Symptoms of jet lag can be alleviated through various
nonpharmacologic means prior to travel, including eating a
balanced diet and allowing for plenty of rest prior to travel,
and adjusting the timing of sleep to a few hours earlier or
later (depending on the direction of air travel) several days
prior to a trip. During travel, travelers should be counseled to
avoid excessive meals, alcohol, and caffeine intake, keep
hydrated and sleep during long flights.

Regarding the use of OTC remedies for alleviating and

preventing symptoms of jet lag, melatonin is a hormone of the
pineal gland that works to regulate sleep and circadian
rhythms. When taken in proximity to the hour of sleep,
melatonin may induce drowsiness and make it easier to fall
asleep; however, its use for the prevention of jet lag remains
controversial. A recent meta-analysis did find the use of
melatonin may reduce symptoms of jet lag in individuals
traveling across 5 or more time zones.

Patient notes

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Counselling notes

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You did not enter any Nonpharmacologic counseling:
counselling notes
Symptoms of jet lag can be alleviated through
various nonpharmacologic means prior to
travel, including

eating a balanced diet and

allowing for plenty of rest prior to travel
and adjusting the timing of sleep to a few
hours earlier or later (depending on the
direction of air travel) several days prior
to a trip.
During travel, travelers should be
counseled to avoid excessive meals,
alcohol, and caffeine intake, keep
hydrated and sleep during long flights.

Melatonin counseling:

Doses of 0.5 to 5 mg of melatonin can be taken

in the evening on the day of arrival and at
bedtime for up to 5 days after. Rare side effects
include nausea, vomiting, tachycardia, and a
morning “hangover” effect. Although
theoretical, the sedative effects of this herb may
increase the sedative properties of
antihistamines, which this patient is also
taking. So they must be reminded of that.

melatonin has been shown to lower blood

pressure 4- 10 mg Hg even at 1 mg dosage;
therefore, using melatonin in conjunction with
beta_blokerer and other antihypertensive may
result in a potentiation of hypotensive action.

melatonin has sedative properties that may

potentiate the effect of sedative medication.

Patient Fact Finding

Generic feedback: Your Fact Finding for this exercise was ok. You nearly gathered
all of the essential information to complete the exercise but
missed a few questions.

Note from your tutor: Ask patient about allergies and symptoms in order to determine
if they are a candidate for OTC therapy.
You inquired about about
these topics: Allergies Required

Other medications Required

Symptoms Required

You should have inquired

about about these topics: Previous use of medication(s)