7) Anxiolytics Flashcards
What is the class for Diazepam (Valium)
Benzodiazepine
What is the mechanism for Diazepam (Valium)
GABAa agonist; binds between a1 and y2 subunits; half-life of 43 hours (active metabolites up to 100 hours)
What are the therapeutics for Diazepam (Valium)
Short-term depression treatment; maintenance of bipolar; severe bipolar; anticonvulsant; muscle relaxant
What are the other side effects for Diazepam (Valium)
Daytime sedation and drowsiness, anterograde amnesia, synergistic depression of CNS with other drugs, pyschologic and physiologic dependence (chronic use)
What are the miscellaneous for Diazepam (Valium)
Ceiling effect due to augmenting action of GABA
What is the class for Chlordiazepoxide (Librium)
Benzodiazepine
What is the mechanism for Chlordiazepoxide (Librium)
GABAa agonist; binds between a1 and y2 subunits; half-life of 10 hours (active metabolites up to 100 hours)
What are the therapeutics for Chlordiazepoxide (Librium)
Short-term depression treatment; maintenance of bipolar; severe bipolar
What are the other side effects for Chlordiazepoxide (Librium)
Daytime sedation and drowsiness, anterograde amnesia, synergistic depression of CNS with other drugs, pyschologic and physiologic dependence (chronic use)
What are the miscellaneous for Chlordiazepoxide (Librium)
Ceiling effect due to augmenting action of GABA
What is the class for Lorazepam (Ativan)
Benzodiazepine
What is the mechanism for Lorazepam (Ativan)
GABAa agonist; binds between a1 and y2 subunits; half-life of 14 hours
What are the therapeutics for Lorazepam (Ativan)
Short-term depression treatment; maintenance of bipolar; severe bipolar; sedation; anticonvulsant; prevent withdrawal symptoms in alcoholics
What are the other side effects for Lorazepam (Ativan)
Daytime sedation and drowsiness, anterograde amnesia, synergistic depression of CNS with other drugs, pyschologic and physiologic dependence (chronic use)
What are the miscellaneous for Lorazepam (Ativan)
Ceiling effect due to augmenting action of GABA; directly conjugated into inactive metabolite
What is the class for Flurazepam (Dalmane)
Benzodiazepine
What is the mechanism for Flurazepam (Dalmane)
GABAa agonist; binds between a1 and y2 subunits; half-life of 74 hours (active metabolites up to 100 hours)
What are the therapeutics for Flurazepam (Dalmane)
Short-term depression treatment; maintenance of bipolar; severe bipolar
What are the other side effects for Flurazepam (Dalmane)
Daytime sedation and drowsiness, anterograde amnesia, synergistic depression of CNS with other drugs, pyschologic and physiologic dependence (chronic use)
What are the miscellaneous for Flurazepam (Dalmane)
Ceiling effect due to augmenting action of GABA
What is the class for Alprazolam (Xanax)
Benzodiazepine
What is the mechanism for Alprazolam (Xanax)
GABAa agonist; binds between a1 and y2 subunits; half-life of 12 hours