10. Inhibitory drugs of CNS: Hypnosedatives (sedative-hypnotics) Flashcards

1
Q

List the Hypnosedatives

A
  • α2-agonists
  • Benzodiazepines
  • Propandiol-derivatives
  • Barbiturates
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2
Q

Hypnosedatives: Effect

A
  • Sedative
  • Anxiolytic
  • Muscle relaxation
  • Anticonvulsive
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3
Q

α2-agonist →

A
  • Activation of postsynaptic receptors
  • Activation of presynaptic α2 receptors
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4
Q

Activation of postsynaptic receptors →

A
  • Vasoconstriction
  • Transient hypertension
  • Activation of baroreceptors
  • Bradycardia
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5
Q

Activation of presynaptic α2-receptors causes which effects in the body?

A
  • ↓ Motor activity
  • ↓ Intraocular pressure
  • ↓ Salivation
  • Hypotension
  • Analgesia & sedation
  • Vagal bradycardia
  • GI SM relaxation
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6
Q

α2-agonist: Effect of ↑ dose

A
  • Deepens sedation
  • Deepens analgesia
  • ↑ muscle relaxation
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7
Q

Delivery method of α2-agonists

A

IM, IV

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8
Q

α2-agonists produce moderate analgesia when combined with…

A

Ketamine or butorphanol for general anaesthesia

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9
Q

α2-agonists can induce…

A

Emesis

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10
Q

Give examples of α2-agonists

A
  • Xylazine
  • Detomidine
  • Romifidine
  • Medetomidine
  • Dexmedetomidine
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11
Q

Xylazine

A
  • Low α1 & α2 specificity
  • Cardiovascular side effects
  • Vomiting in cat & dog
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12
Q

Detomidine

A

Equine - IM/IV

  • No loss of consciousness
  • Bradycardia
  • Respiratory depression
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13
Q

Romifidine is used in…

A

Equine

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14
Q

Medetomidine & Dexmedetomidine

A

Used in small animals

  • High α1 & α2 specificity
  • Low incidence of vomiting
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15
Q

Give examples of α2 antagonists

A
  • Atipamezole
  • Yohimbine
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16
Q

Action of benzodiazepines

A

Receptoral action - Facilitate/amplify the inhibitory activity of GABA

  • Opens Cl- channels
17
Q

Benzodiazepines: Effects

A
  • Sedation & anxiolytic effect
  • Anticonvulsive effect
  • Muscle relaxation
  • Hypnotic (at higher doses)
18
Q

Benzodiazepines: Antidote

A
  • Flumazenil
  • Sarmazenil