lecture 6 Flashcards

1
Q

what are benzos?

A

most frequently prescribed psychotropic medications for anxiety disorders including panic disorders

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

benzos are a:

A

CNS depressant with sedative, hypnotic, anxiolytic effects

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

most commonly prescribed benzos:

A

xanax, lonopin, librium, valium, Ativan, restoril, halcion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

benzos mechanism of action:

A

modulation of the GABA-A receptors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

where do benzos bind at?

A

the interface of the receptor and licks it into a configuration that increases its affinity for GABA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

benzos do not alter the production of GABA, but instead it:

A

potentiates its inhibitory actions by enhancing receptor binding which leads to reception in neuronal excitability and slows down the CNS resulting in a calming effect

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

benzos weaken the:

A

interneurons in the brains ventral segmental area

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

benzos also help prevent excessive:

A

dopamine levels by down regulating the firing rates of dopamine producing neurons

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

lessening of GABA restraint on dopaminergic neurons equals an”

A

increase in dopamine release

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

before benzos, which medication were prescribed?

A

barbiturates CNS depressant

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

why are barbiturates dangerous?

A

they suppress areas of the brain involved in heart rate and respiration

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

benzos were so popular in the 50s because:

A

of their improved safety profile when compared to barbiturates which caused respiratory depression

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

benzos were heavily marketed for:

A

regular daily stressors and pathologizing normal emotions and conditions specifically targeting women

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

withdrawal symptoms of benzos:

A

memory loss, seizures, disruption in menstrual cycle, increase in psychological symptoms, death in pre clinical studies

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

xanax works faster than:

A

valium and therefore used for panic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

benzos are shown to selectively impair:

A

the ability to encode new info with semantic and procedural memory

17
Q

Benzo use is associated with:

A

emergency room visits, suicidal ideation, use of other substances, and mental disorders

18
Q

benzo misuse without disorders is associated with

A

younger age, males, poor educational attainment, being uninsured and unemployed, being single, being poor, having suicidal ideation and other specific substance use problems

19
Q

disorder for addiction to benzos:

A

sedative, hypnotic and anxiolytic use disorder

20
Q

associated problems with benzos:

A

memory loss, tremors, severe depression, seizures

21
Q

primary drivers of over prescribing benzos:

A

pharma marketing, incorrect DEA scheduling of an addictive substance, money/satisfaction surveys

22
Q

which drug schedule are benzos in?

A

schedule 4 which is low potential for abuse and low risk of dependence