Anxiolytics Medchem Flashcards

1
Q

what metabolizes buspirone?
what are the 2 metabolites?

A

3A4
1-PP and 6’-hydroxybuspirone

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2
Q

what is buspirones t1/2?

A

2-4 hours

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3
Q

what drug class is buspirone?

A

5HT1A agonist

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4
Q

what are the requirements of the structuring of benzos?

A
  1. a seven membered ring
  2. EWG at position 7
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5
Q

what does adding an EWG at position 2’ of benzos do?

A

increases potency

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6
Q

what is the name of the first benzo?

A

chlordiazepoxide

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7
Q

diazepam undergoes hydroxylation to become? active or inactive?

A

3-hydroxydiazepam (temazepam)
active

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8
Q

diazepam undergoes n-demethylation to become? active or inactive?

A

N-desmethyldiazepam (nordazepam)
active

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9
Q

both metabolites of diazepam are further metabolized into? active or inactive?

A

oxazepam
active

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10
Q

what metabolism inactivates oxazepam?

A

glucuronidation

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11
Q

what is unique about clorazepate?

A

its a prodrug

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12
Q

clorazepate undergoes decarboxylation into? active or inactive?

A

nordazepam
active

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13
Q

why is lorazepam more potent than oxazepam?

A

has a 2’ EWG making it more potent

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14
Q

what metabolism does lorazepam undergo?
active or inactive

A

glucuronidation
inactive

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15
Q

alprazolam undergoes cyp3A4 metabolism into what to metabolites?

A

4-hydroxyalprazolam
alpha-hydroxyalprazolam

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16
Q

clonazepam is reduced into? active or inactive?

A

7-aminoclonazepam
inactive

17
Q

midazolam undergoes what route of metabolism?

18
Q

what route of metabolism does triazolam undergo?

19
Q

what drug is used to reverse the effects of BZDs?

A

flumazenil

20
Q

all barbiturates are inducers of what metabolism?

21
Q

which barbiturate is used to induce anesthesia?

A

methohexital

22
Q

what route of metabolism does zolpidem undergo?

23
Q

what is the minor route of metabolism of zaleplon?

24
Q

what is the major route of metabolism of zaleplon?

A

aldehyde oxidase

25
what route of metabolism does eszopiclone undergo?
3A4
26
what drug class is ramelteon?
melatonin receptor agonist
27
what routes of metabolism does ramelteon undergo?
1A2 and 2C19
28
ramelteon should not be used with fluvoxamine because?
fluvoxamine inhibits 1A2 and 2C19
29
what routes of metabolism does tasimelteon undergo?
1A2 and 3A4
30
what drug class is tasimelteon?
melatonin receptor agonist
31
what are the three orexin receptor antagonists?
suvorexant lemborexant daridorexant
32
all three orexin receptor antagonists are metabolized by?
3A4