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17 Cards in this Set

  • Front
  • Back
What anxiety disorders may be treated w/ low doses of anxiolytics?
Panic disorder
generalized anxiety disorder
Amabarbital, phenobarbital, & thiopental are examples of what drug class?
barbiturates
Diazepam, midazolam, lorazepam are examples of what drug class?
benzodiazepines
What is the MOA of diazepam?
BZD:
bind distinct allosteric site --> potentiates GABA binding the A receptor
What is the MOA of thiopental?
barbituate:
bind distinct allosteric site --> potentiates GABA binding the A receptor
At HIGH dose: GABA independent agonist
BZD's are safer than barbiturates, but what are some potential overdose problems?
How can you treat BZD toxicity?
1. Can cause respiratory depression
BZD + ETOH can cause respiratory FAILURE
2. flumazenil: antagonist of BZD binding site of GABA-A receptor
What BZD is used for anxiety disorder and as a skeletal muscle relaxant?
Diazepam
(long-acting BZD)
What BZD is used for insomnia (trouble STAYING asleep)?
Flurazepam (long-acting BZD)
What BZD is used as a pre/peri-operative sedative?
midazolam (short/intermediate-acting)
What BZD is used for insomnia (trouble FALLING asleep)?
Triazolam (short/intermediate-acting)
What 2 BZD's are used to treat panic attacks and general anxiety disorder?
Alprazolam
lorazepam
(short/intermediate-acting)
For BZD's, tolerance develops to what effects?
sedative and hypnotic effects
NOT to anxiolytic effects

BZD's confer cross-tolerance to barbiturates and ETOH
Which barbiturate is most useful for inducing anesthesia?
thiopental (ultra-short acting)
Which drug class is described by the following (BZD'S or B's):
active metabolites
no CYP induction
other drugs alter IT'S clearance (v. altering other drugs clearance)
BZD's
barbiturates are the opposite

both are metabolized hepatically
What drug is a 5HT-1A/5HT-2 partial agonist that is an anxiolytic (only) and does not interact w/ alcohol or cause dependence?
Buspirone
What drug may be used to treat performance anxiety when autonomic symptoms are severe enough to interfere w/ tasks?
Propanolol
What drug is an MT-1/2 receptor agonist?
ramelteon
used for insomnia (help falling asleep)