Anti-anxiety Drugs Flashcards
Misc for Benzodiazepines
“Ceiling effect” due to augmenting action of GABA
Diazepam (Valium) Class
Benzodiazepine
Clonazepam (Klonopin) Class
Benzodiazepine
Lorazepam (Ativan) Class
Benzodiazepine
Alprazolam (Xanax) Class
Benzodiazepine
Midazolam (Versed) Class
Benzodiazepine
Triazolam (Halcion) Class
Benzodiazepine
Zolpidem (Ambien) Class
Non-benzodiazepine receptor agonist
Flumazenil (Romazicon) Class
Benzodiazepine antagonist
Phenobarbitol Class
Barbiturate
Diazepam (Valium) MOA
GABAa agonist; binds between a1 and y2 subunits; half-life of 43 hours (active metabolites up to 100 hours)
Clonazepam (Klonopin) MOA
GABAa agonist; binds between a1 and y2 subunits; half-life of 20-50 hours
Lorazepam (Ativan) MOA
GABAa agonist; binds between a1 and y2 subunits; half-life of 14 hours
Alprazolam (Xanax) MOA
GABAa agonist; binds between a1 and y2 subunits; half-life of 12 hours
Midazolam (Versed) MOA
GABAa agonist; binds between a1 and y2 subunits; half-life of 1.9 hours
Triazolam (Halcion) MOA
GABAa agonist; binds between a1 and y2 subunits; half-life of 2.9 hours
Zolpidem (Ambien) MOA
BDZ-1 selective agonist
Flumazenil (Romazicon) MOA
Competitive non-selective antagonist
Phenobarbitol MOA
GABAa agonist (binds a or b subunit)
Buspirone (Buspar) MOA
No GABAa interaction; may be partial agonist at 5HT1A
Diazepam (Valium) Therapeutics
Short-term depression treatment; maintenance of bipolar; severe bipolar; anticonvulsant; muscle relaxant
Clonazepam (Klonopin) Therapeutics
Short-term depression treatment; maintenance of bipolar; severe bipolar
Lorazepam (Ativan) Therapeutics
Short-term depression treatment; maintenance of bipolar; severe bipolar; sedation; anticonvulsant; prevent withdrawal symptoms in alcoholics
Alprazolam (Xanax) Therapeutics
Short-term depression treatment; maintenance of bipolar; severe bipolar; sedation
Midazolam (Versed) Therapeutics
Anesthesia (calming effects, production of anterograde amnesia)
Triazolam (Halcion) Therapeutics
Short-term depression treatment; maintenance of bipolar; severe bipolar; induce sleep
Zolpidem (Ambien) Therapeutics
Sedation and hypnosis without muscle relaxation or anticonvulsant activity
Flumazenil (Romazicon) Therapeutics
Benzodiazapine overdose
Phenobarbitol Therapeutics
Antiepileptic, anticonvulsant
Buspirone (Buspar) Therapeutics
Anxiolytic without marked sedation
Diazepam (Valium) SE
Daytime sedation and drowsiness, anterograde amnesia, synergistic depression of CNS with other drugs, pyschologic and physiologic dependence (chronic use)
Clonazepam (Klonopin) SE
Daytime sedation and drowsiness, anterograde amnesia, synergistic depression of CNS with other drugs, pyschologic and physiologic dependence (chronic use)
Lorazepam (Ativan) SE
Daytime sedation and drowsiness, anterograde amnesia, synergistic depression of CNS with other drugs, pyschologic and physiologic dependence (chronic use)
Alprazolam (Xanax) SE
Daytime sedation and drowsiness, anterograde amnesia, synergistic depression of CNS with other drugs, pyschologic and physiologic dependence (chronic use)
Midazolam (Versed) SE
Daytime sedation and drowsiness, anterograde amnesia, synergistic depression of CNS with other drugs, pyschologic and physiologic dependence (chronic use)
Triazolam (Halcion) SE
Daytime sedation and drowsiness, anterograde amnesia, synergistic depression of CNS with other drugs, pyschologic and physiologic dependence (chronic use)
Zolpidem (Ambien) SE
Sleep-walking; next morning impairment
Flumazenil (Romazicon) SE
Withdrawal (may be life-threatening); seizures in mixed overdoses
Phenobarbitol SE
Daytime sedation and drowsiness, dose-dependent depression of CNS, pyschologic and physiologic dependence (chronic use)
Flumazenil (Romazicon)
Non uniform in reversal of respiratory depression
Phenobarbital
Abrupt withdrawal life-threatening