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pharm
sedative-hypnotics
24
Medical
Graduate
02/17/2009

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Cards

Term
common side effect of hypnotic agents
Definition
sedation
Term
occurs when sedative-hypnotics are used chronically or at high doses
Definition
tolerance
Term
most common type of drug interaction of sedative hypnotics with other depressent meds
Definition
additive CNS depression
Term
major effect of BZs on sleep at high doses
Definition
decrease in REM
Term
neurologic SE of BZs
Definition
anterograde amnesia
Term
BZs are used cautiously in pregnancy because...
Definition
they can cross the placenta
Term
main route of metabolism for BZs
Definition
hepatic metabolism
Term
BZs that undergo extrahepatic metabolism, useful in oldies
Definition
(LOT) lorazepam, oxazepam, temazepam
Term
MOA for BZs vs barbiturates
Definition
BZs extend frequency of GABA-mediated Cl- channel opening, barbiturates extend duration of channel opening
Term
BZ antagonist, reverses CNS effects in overdose
Definition
flumazenil
Term
BZ with useful relaxant effects in skeletal muscle spasticity of central origin
Definition
diazepam
Term
BZ with efficacy in absence seizures, anxiety states (i.e. agoraphobia)
Definition
clonazepam (cALONEazepam; alone --> absence seizures)
Term
most effective to treat panic disorders
Definition
alprazolam, clonazepam
Term
BZ used for anesthesia
Definition
midazolam
Term
DOC for status epilepticus
Definition
diazepam
Term
longer-acting BZs used in treatment of withdrawal from alcohol/drugs
Definition
chlordiazepoxide, diazepam
Term
agents with active metabolites, long half lives, high incidence of adverse effects
Definition
diazepam, flurapezam, chlordiazepoxide, clorazepate
Term
barbiturates increase this condition
Definition
acute intermittent porphyria
Term
barbiturates decrease effectiveness of other drugs via this property
Definition
liver enzyme induction
Term
barbiturates used for induction of anesthesia
Definition
thiopental
Term
site of action for zaleplon and zolpidem
Definition
BZ1 (benzodiazepine receptor)
Term
good hypnotic activity with less CNS SE than BZs
Definition
zolpidem, zaleplon
Term
partial agonist for 5-HT1A receptor
Definition
buspirone
Term
DOC for generalized anxiety disorder
Definition
buspirone (not good for acute anxiety)
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