Week 4 - Pharmacology; Sedative Hypnotics Flashcards

1
Q

What are sedative hypnotics?

A
  • CNS depressants
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2
Q

When are sedative hypnotics given?

A

depends on cause

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3
Q

Why are sedative hypnotics used? (5)

A
  • to control behavioural alterations
  • sleeplessness
  • anxiety
  • agitation
  • depression
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4
Q

What is the dose dependent effect with sedative hypnotics? (2)

A
  • at low doses, calm the CNS without inducing sleep
  • at high doses, calm the CNS while causing sleep (no ceiling effect)
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5
Q

What are 2 examples of sedative hypnotics?

A
  • benzodiazepines
  • barbiturates (dangerous and no longer/rarely used)
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6
Q

What is GABA?

A

neurotransmitter with inhibitory effect on CNS

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6
Q

Diagram of how benzodiazepines work. In other words, pharmacological action on GABA

A
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7
Q

What happens when benzos and barbiturates bind to GABA?

A

opens chloride channels, inhibiting neurons from firing

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8
Q

What are benzodiazepines? (2)

A
  • anxiolytic, anti-anxiety drugs
  • potentiates GABA (good)
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9
Q

What are the types of benzos? (3, 4 points)

A
  • diazepam (valium)
  • Lorazepam (Ativan)
  • midazolam (versed)

Benzo like effects:
- zopiclone (immovane)

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10
Q

What are barbiturates? (3)

A
  • anti-convulsants
  • anaesthesia
  • enhances and/or mimics the effect of GABA (bad)
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11
Q

What are the different types of barbiturates? (3)

A
  • phenobarbital (po)
  • pentobarbital (IV, IM)
  • thiopental (IV)
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