Anti-Anxiety Agents Flashcards

1
Q

what is GAD

A

generalized anxiety disorder

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2
Q

describe GAD

A

excessive uncontrollable worry about everyday issues w/ physical manifestations

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3
Q

describe the pathology of anxiety disorders

A

GABA through the GABA-A receptor is mainly inhibitory in the brain. The receptor is a ligand gated chloride channel. Cl- ions moving intracellularly, results in hyperpolarization and inhibition of the neuron.

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4
Q

from what has been seen about the pathology of anxiety disorders, abnormalities in the GABA-A receptor may therefore lead to

A

hyperactivity or anxiety issues

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5
Q

what is the general name for current anxiolytics?

A

benxodiazepines

BZDs

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6
Q

give examples of benzodiazepines

A

alprazolam – xanax
diazepam – valium

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7
Q

what are some characteristics of benzodiazepines?

A
  • high TI
  • overdose is rare when taken alone
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8
Q

what are the indications of BZDs?

A
  • anxiety
  • insomnia
  • epilepsy
  • preanesthetic
  • induction and maintenance of anesthesia
  • alcohol withdrawal
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9
Q

benzodiazepines are ___________ that act on what type of receptors?

A
  • allosteric modulators
  • GABA-A receptors
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10
Q

benzodiazepines enhance _________ binding to the receptor therefore increasing the….

A
  • GABA
  • frequency of opening Cl- ions
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11
Q

barbiturates are aka

A

phenobarbitual

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12
Q

barbiturates act independently of

A

GABA binding

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13
Q

barbiturates promote..

what does this increase?

A

benzodiazepine binding to GABA-A receptor

increases: the duration of chloride channel opening

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14
Q

non-benzodiazepine anxiolytics are…

give an example.

A

GABA-A receptor agonists

  • Ambien
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15
Q

what suppresses the sympathetic NS?

A

beta-blockers

beta-adrenergic receptor antagonists

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16
Q

what are the adverse effects of benzodiazepines?

A
  • CNS depressants
  • when combined w/ other depressants -> respiratory depression
  • psychological dependence
  • drug-drug interactions