35: Anxiolytics and Insomnia Drugs

Question 1

hypnosis

Answer 1

drowsiness and a depressed state of consciousness resembling natural sleep, with decreased motor activity and impaired sensory responsiveness, pt can be easily aroused

Question 2

anesthesia

Answer 2

state of consciousness where pt cannot easily be aroused

Question 3

major brain area that plays a role in anxiety

Answer 3

amygdala

Question 4

major inhibitory neurotransmitter

Answer 4

GABA

Question 5

Rohypnol (Flunitrazepam)

Answer 5

date rape drug, not prescribed in US

Question 6

antagonist at benzodiazepine-binding sites at GABA A receptor that acts as an antidote to benzos

Answer 6

FLumazenil

Question 7

BB warning for Flumazenil

Answer 7

seizures, esp in pts who have been on long-term sedation or were txed with TCAs

Question 8

taper rate when tapering a pt off of benzos

Answer 8

25-50% every 1-2 weeks, for 6-10 weeks

Question 9

two options for tapering benzos

Answer 9

1. directly taper the benzo the pt is on

2. switch to a long-acting replacement to complete the taper