Sedatives, Anti-Anxiety, Hypnotics Flashcards
sedative
drug decerasing activity, moderate excitement, calm pt
hypnotic
produces drowsiness, facilitate onset/maintenance of sleep
higher dose causing sleep as compared to lower dose calming
anxiolytic
anti anxiety
cause calm and quietness
primary agents of sedative, hypnotic, and anti anxety
benzodiazepines
Z drugs
melatonin receptor agonists
orexin receptor antagonist
atypical: buspirone
benxodiazepines suffixes
-azolam
-azepam
benzodiazepines list
sleep:
temazepam
triazolam
estazolam
quazepam
anti anxiety:
diazepam
lorazepam
alpazolam
benzo MOA
potentiate GABA, increasing Cl- channel opening to hyperpolarize and inhibit AP
inhibitory effect on cortex and limbic system
effects of benzos
anxiolysis, anterograde amnesia, sedation, anticonsulsive, antiemesis, muscle relaxation
side effects of benzos
excess sedation
motor impairment
confusion
discontinuation syndrome - rebound insomnia
potentiates CNS depression from alcohol
tolerance
dependence
benzo drug interactions
alc, antihistamines, antipsychotics, opioids, TCAs
cough syrup w alc
antidote for benzo toxicity
flumazenil
Z drugs MOA
bind GABA receptors in brain
more selective than benzos
list Z drugs
zolpidem
zaleplon
eszopiclone
Z drug side effects
GI upset
headache
dizziness
melatonin receptor agonists MOA
short term insomnia treatment
melatonin released by pineal gland