Activity Date: 04/21/2021
Registration is not configured for this course.This course is designed for pharmacists, nurse practitioners or other health care professionals involved in the comprehensive medication management of psychiatric and/or neurological patients.
Chat with the speaker and attendees while watching the previously live session.
Insomnia and obstructive sleep apnea are often comorbid conditions that are seen in clinical practice. Both disorders are associated with several adverse health consequences, and when combined may increase cumulative morbidity and be associated with a greater illness severity. Hypnotic medications used to treat insomnia may exacerbate sleep apnea and benzodiazepines are associated with increasing the risk of acute respiratory failure in this patient population. However, other medications like trazodone and eszopiclone have been used to increase the arousal threshold and reduce obstructive sleep apnea severity. Currently, there are no guidelines on the treatment of insomnia with comorbid sleep apnea and the evidence is minimal. The gold standard treatment of insomnia is cognitive behavioral therapy for insomnia but it is often not available or the patients are resistant to trying this treatment modality. This leads to many practitioners using pharmacotherapy for the management of insomnia. The first-line treatments for obstructive sleep apnea are weight reduction for overweight/obese patients and continuous positive airway pressure (CPAP). Some patients may notice an improvement in sleep with CPAP therapy but others continue to experience symptoms of insomnia or sleep is potentially worsened due to discomfort with the CPAP device. Many practitioners are unsure how to most effectively and safely treat sleep complaints in this situation. The co-incidence of insomnia with obstructive sleep apnea can be challenging to manage. Psychiatric pharmacists could be ideally positioned to identify appropriate pharmacotherapy or recommend alternative treatment modalities and reduce the pharmacologic burden and risks in this patient population. This session is designed to provide the evidence around the treatment of insomnia in patients with comorbid sleep apnea.
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Upon successful completion, ACPE credit is reported within 24 hours to CPE Monitor although transcripts can be retrieved by participants online in their ACPE Transcript.
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Elayne D. Ansara, PharmD, BCPS, BCPP
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The College of Psychiatric and Neurologic Pharmacists is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education.
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2021 Program Committee and Recertification Editorial Board
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Shari N. Allen, PharmD, BCPP Assistant Professor PCOM-SOP Suwanee, GA No Relevant Financial Relationships to Disclose |
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Sarah L. Benner, PharmD, BCPS, BCPP Clinical Pharmacy Coordinator and Psychiatric Clinical Pharmacist Peninsula Regional Medical Center Salisbury, MD No Relevant Financial Relationships to Disclose |
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Mary C. Borovicka, PharmD, BCPP Clinical Pharmacist-Dept of Psychiatry MetroHealth Medical Center Cleveland, OH External Consultant Activities, Advisory Panels, Speakers Bureaus, etc.: Ohio Pharmacists Association - LAI and naltrexone training inj |
 Jolene R. Bostwick, PharmD, BCPP, BCPS
Program Administrative Chair
Assistant Dean for Co-Curriculum and Professional Development & Clinical ProfessorUniversity of Michigan College of Pharmacy Ann Arbor, MI No Relevant Financial Relationships to Disclose |
Bridget Bradley, PharmD, BCPP |
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Lauren M. Brown, PharmD, BCPP Clinical Pharmacy Specialist, Psychiatry South Texas Veterans Health Care System San Antonio, TX No Relevant Financial Relationships to Disclose |
Austin R. Campbell, PharmD, BCPP |
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Chelsea N. Carr, PharmD, BCPP Advanced Practice Pharmacist - Psychiatry University of Maryland - Spring Grove Hospital Center Catonsville, MD No Relevant Financial Relationships to Disclose |
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Andria F. Church, PharmD, BCPP, BCPS Assistant Professor Palm Beach Atlantic University West Palm Beach, FL No Relevant Financial Relationships to Disclose |
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Jordan Cooler, PharmD, BCPP Clinical Assistant Professor University of South Carolina College of Pharmacy Columbia, SC No Relevant Financial Relationships to Disclose |
 Beth DeJongh, PharmD, BCPP, BCPS
Recertification Editorial Board Chair
PharmacistConcordia University Wisconsin Mequon, WI No Relevant Financial Relationships to Disclose |
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Amber R. Douglass, PharmD, BCPS, BCPP Clinical Pharmacy Specialist - Mental Health VA Tennessee Valley Healthcare System Murfreesboro, TN No Relevant Financial Relationships to Disclose |
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Traci M. Dutton, PharmD, BCPP, BCPS Clinical Pharmacy Specialist - Mental Health VA Tennessee Valley Healthcare System Murfreesboro, TN No Relevant Financial Relationships to Disclose |
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 Kristen N. Gardner, PharmD, BCPP
Program Committee Chair
Clinical Pharmacy Specialist - Behavioral HealthKaiser Permanente Colorado Denver, CO External Consultant Activities, Advisory Panels, Speakers Bureaus, etc.: Biostrategies - one time consultant re:LAIAs |
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Michelle L. Geier, PharmD, BCPP Psychiatric Clinical Pharmacist Supervisor San Francisco Department of Public Health San Francisco, CA No Relevant Financial Relationships to Disclose |
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Rebecca Graham, PharmD, BCPP Clinical Pharmacy Specialist - Mental Health Corporal Michael J. Crescenz VA Medical Center in Philadelphia Philadelphia, PA No Relevant Financial Relationships to Disclose |
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Robert J. Haight, PharmD, BCPP Clinical Pharmacist | Forensic Services Saint Peter Regional Treatment Center (SPRTC), Minnesota Department of Human Services Saint Peter, MN No Relevant Financial Relationships to Disclose |
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Suzanne C. Harris, PharmD, BCPP Clinical Assistant Professor/UNC Hospitals Region Experiential Director/Clinical Pharmacist Practitioner UNC Eshelman School of Pharmacy Chapel Hill, NC Educational Grants, Research Grants or Contracts: North Carolina AHEC Campus Innovations Grants |
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Courtney A. Iuppa, PharmD, BCPP Clinical Pharmacy Manager & Residency Program Director Center for Behavioral Medicine Kansas City, MO No Relevant Financial Relationships to Disclose |
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Archana R. Jhawar, PharmD, BCPP Clinical Pharmacist Jesse Brown VAMC/ UIC College of Pharmacy Chicago, IL No Relevant Financial Relationships to Disclose |
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Kayla D. Johnson, PharmD, BCPS, BCPP Vanderbilt Psychiatric Hospital Spring Hill, TN No Relevant Financial Relationships to Disclose |
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Erin D. Knox, PharmD, BCPP Pharmacy Education Specialist UC Irvine Health Orange, CA No Relevant Financial Relationships to Disclose |
Marketa Marvanova, PharmD, PhD, BCGP, BCPP, FASCP |
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Monica Mathys, PharmD, BCPP, BCGP Associate Professor Texas Tech University School of Pharmacy Dallas, TX No Relevant Financial Relationships to Disclose |
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Melissa Mitchell, PharmD, BCGP, BCPP, BCPS Senior Clinical Pharmacist RUHS MC Moreno Valley , CA External Consultant Activities, Advisory Panels, Speakers Bureaus, etc.: Neurocrine Speakers Bureau - Ingrezza, Janssen Speakers Bureau - Spravato |
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Thea R. Moore, PharmD, BCPP Associate Professor University of South Florida Tampa, FL Educational Grants, Research Grants or Contracts: Agency for Health Care Administration |
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Jessica L. Mulhollan, PharmD, BCPP Clinical Pharmacy Specialist, Mental Health Louis Stokes Cleveland VA Medical Center Canton, OH No Relevant Financial Relationships to Disclose |
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Sandra Mullen, PharmD, BCPP Clinical Pharmacy Specialist - Psychiatry VCU Health Systems Richmond, VA Non-Financial Interests: Lambda Kappa Sigma Grand Council (Executive Board) |
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Kristen Neumeister, PharmD, BCPP Clinical Pharmacist- Mental Health John Peter Smith Hospital Fort Worth, TX No Relevant Financial Relationships to Disclose |
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Melissa C. Palmer, PharmD, BCPP, BCPS Clinical Assistant Professor University of Missouri-Kansas City School of Pharmacy Kansas City, MO No Relevant Financial Relationships to Disclose |
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Jake R. Peters, PharmD, BCPP, BCPS Assistant Professor of Pharmacy Practice/Clinical Pharmacy Specialist - Psychiatry Butler University College of Pharmacy/Indiana University Health Indianapolis, IN No Relevant Financial Relationships to Disclose |
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Lindsey Peters, PharmD, BCPS Assistant Professor of Pharmacy Practice Ohio Northern University Ada, OH No Relevant Financial Relationships to Disclose |
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Sarah J. Popish, PharmD, BCPP Academic Educator Department of Veterans Affairs Vallejo, CA No Relevant Financial Relationships to Disclose |
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Kristina Reinstatler, PharmD, BCPP, MBA Clinical Pharmacy Specialist UC Health University of Cincinnati Medical Center Cincinnati, OH No Relevant Financial Relationships to Disclose |
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Megan M. Sarashinsky, PharmD, BCPP Clinical Pharmacy Specialist CJW Medical Center Richmond, VA No Relevant Financial Relationships to Disclose |
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Michael D. Shuman, PharmD, BCPP Staff Pharmacist Central State Hospital Louisville, KY No Relevant Financial Relationships to Disclose |
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Sheryl Thedford, PharmD, PhD, BCPS, BCPP Clinical Psychiatric Pharmacist University of Maryland, Spring Grove Hospital Center Catonsville, MD No Relevant Financial Relationships to Disclose |
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Taylor A. Thomas, PharmD, BCPP Clinical Pharmacy Specialist- Mental Health VA Northern Indiana Health Care System Fort Wayne, IN No Relevant Financial Relationships to Disclose |
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Andrea Winterswyk, PharmD, BCPS, BCPP Clinical Pharmacy Specialist, Mental Health Boise Veterans Affairs Medical Center Boise, ID No Relevant Financial Relationships to Disclose |
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Kara R. Wong, PharmD, BCPP Clinical Pharmacy Specialist, Mental Health; PGY2 Psychiatric Pharmacy Residency Program Director Minneapolis VA Health Care System Minneapolis, MN No Relevant Financial Relationships to Disclose |
All relevant relationships have been mitigated.
Off-Label Use: This educational activity may contain discussion of published and/or investigational uses of agents that are not indicated by the FDA (see faculty information). The opinions expressed in the educational activity do not necessarily represent the views of AAPP and any educational partners. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings.
Disclaimer: Participants have an implied responsibility to use the newly acquired information to enhance patient outcomes and their own professional development. Any procedures, medications, or other courses of diagnosis or treatment discussed or suggested in this activity should not be used by clinicians without evaluation of their patient’s conditions and possible contraindications on dangers in use, review of any applicable manufacturer’s product information, and comparison with recommendations of other authorities. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings.
It is the policy of AAPP to ensure independence, balance, objectivity, scientific rigor, and integrity in continuing education activities. Those involved in the development of this continuing education activity have made all reasonable efforts to ensure that information contained herein is accurate in accordance with the latest available scientific knowledge at the time of accreditation of this continuing education activity. Information regarding drugs (e.g., their administration, dosages, contraindications, adverse reactions, interactions, special warnings, and precautions) and drug delivery systems is subject to change, however, and the reader is advised to check the manufacturer’s package insert for information concerning recommended dosage and potential problems or cautions prior to dispensing or administering the drug or using the drug delivery systems.
Fair balance is achieved through ongoing and thorough review of all materials produced by faculty, and all educational and advertising materials produced by supporting organizations, prior to educational offerings. Approval of credit for this continuing education activity does not imply endorsement by AAPP for any product or manufacturer identified.
Megan J. Ehret, PharmD, MS, BCPP