Anxiolytics Flashcards
What is the mechanism of action of all the benzodiazepines
GABAa agonist–binds btwn a1 and y2 subunits
Benzodiazepine with a half-life of 43 hrs and has active metabolites up to 100 hrs.
Diazepam
What is diazepam used for
Short term depression
Maintenance of bipolar, severe bipolar
Anticonvulsant
Muscle relaxant
Benzo with a half life of 10 hrs and has active metabolite up to 100 hrs
Chlordiazepoxide
What is chlordiazepoxide used for
Short term depression
Maintenance of bipolar and severe bipolar
Benzo with half life of 14 hrs
Lorazepam
What is Lorazepam used for
Short term depression
Maintenance of bipolar and severe bipolar
Sedation
Anticonvulsant
Prevent withdrawal symptoms in alcoholics
Benzo with half life of 74 hrs and active metabolites up to 100 hrs
Flurazepam
What is Flurazepam used for
Short-term depression
Maintenance of bipolar and severe bipolar
Benzo with half life of 12 hrs
Alprazolam
What is alprazolam used for
Short term depression
maintenance of bipolar and severe bipolar
Sedation
Benzo with half life of 1.9 hrs
Midazolam
What is midazolam used for
Anesthesia–calming effects, production of anterograde amnesia
Benzo with half life of 2.9 hrs
Triazolam
What is triazolam used for
Short-term depression
Maintenance of bipolar and severe bipolar
Induce sleep
What are the side effects of all the benzos?
Daytime sedation and drowsiness
Anterograde amnesia
Synergistic depression of CNS with other drugs
Psychologic and physiologic dependence with chronic use
BDZ-1 selective agonist benzo
Zolpidem
What is zolpidem used for
Sedation and hypnosis without muscle relaxation or anticonvulsant activity
What are the side effects of zolpidem
Sleep walking
Next morning impairment
Competitive Non-selective Benzodiazepine antagonist used for benzo overdose
Flumazenil
Barbiturate that is a GABAa agonist binding to a or b subunit, is highly lipid soluble, fast on and fast off
Thiopental
What is thiopental used for
Induce anesthesia
Barbiturate that is a GABAa agonist binding to a or b subunit and is used as an anti epileptic/anticonvulsant
Phenobarbitol
An anxiolytic drug that has little sedation effect and works through partial agonist at 5HT1A
Buspirone