Misc. Drugs

Question 1

flumazenil

Answer 1

romazicon

Question 2

indication for romazicon

Answer 2

benzo overdose

Question 3

MOA of romazicon

Answer 3

block/reverse CNS effects of benzos but NOT other sedatives like ETOH or barbituates

Question 4

side effect of romazicon

Answer 4

n/v, dizziness, agitation and emotional lability

Question 5

issue with romazicon

Answer 5

may initiate seizures

Question 6

half life of romazicon

Answer 6

VERY short so sedation will often return

Question 7

buspirone

Answer 7

buspar

Question 8

MOA of buspar

Answer 8

serotonin 1A agonist

Question 9

indication for buspar

Answer 9

GAD, augment tx for depression and OCD

Question 10

benefit of buspar over benzos

Answer 10

lacks sedation and dependence

Question 11

is there a withdrawal from buspar?

Answer 11

NOPE

Question 12

what happens if a patient has taken benzos before and now is on buspar?

Answer 12

reduced effectiveness

Question 13

time to symptom relief with buspar?

Answer 13

2-4 weeks

Question 14

how many times is buspar dosed a day?

Answer 14

3 - short half life

Question 15

hydroxyzine

Answer 15

atarax

Question 16

MOA of atarax

Answer 16

antihistamine and anixolytic

Question 17

indication for atarax

Answer 17

anxiety in the short term and sometimes to augment sedative effects of antipsychotics in acute agitation

Question 18

is ther dependence associated with atarax?

Answer 18

NOPE

Question 19

limit of atarax?

Answer 19

anticholinergic side effefcts

Question 20

ramelteon

Answer 20

rozeram

Question 21

MOA of rozeram

Answer 21

melatonin agonist

Question 22

indication for rozeram

Answer 22

onset insomnia

Question 23

who cannot get rozeram

Answer 23

liver insufficient patients

Question 24

diphenhydramine

Answer 24

benadryl

Question 25

indication of benadryl

Answer 25

little evidence that it improves insomnia

Question 26

side effects of benadryl

Answer 26

anticholinergic and sedation the next day (long half life)

Question 27

modanfinil

Answer 27

provigil

Question 28

MOA of provigil

Answer 28

unknown, but probably increases domaminergic signaling

Question 29

indications for provigil

Answer 29

narcolepsy and those who need to maintain wakefulness

Question 30

comparison of provigil to amphetamines

Answer 30

equal effect on wakefullness, but provigil has less risk of excessive activation