Term
why are benzos used in treating anxiety? |
|
Definition
get people "over the hump" until SSRI kicks in |
|
|
Term
what are the most common benzos used with SSRIs to treat anxiety? |
|
Definition
|
|
Term
|
Definition
5-HT1A receptor agonist, D2R agonist |
|
|
Term
gen considerations for choosing a benzo as an adjunct for anxiety |
|
Definition
rapidity of onset, duration, hl, metabolism |
|
|
Term
what benzos are used as anticonvulsants? |
|
Definition
|
|
Term
what benzos are used as anesthesia adjuncts? |
|
Definition
|
|
Term
gen char of benzos used as anesthesia adjuncts? |
|
Definition
highly lipophilic, rapid onset |
|
|
Term
benzo used as a muscle relaxant? |
|
Definition
|
|
Term
benzos approved for use a sleep drugs |
|
Definition
estaz, temaz, quaz, fluraz, triaz |
|
|
Term
why should triaz be avoided if possible? |
|
Definition
|
|
Term
benzos less likely to have decreased met with age? |
|
Definition
|
|
Term
more severe sed-hyp withdrawl as it relates to dose |
|
Definition
|
|
Term
more severe sed-hyp withdrawl as it relates to duration of use |
|
Definition
|
|
Term
more severe sed-hyp withdrawl as it relates to potency |
|
Definition
|
|
Term
more severe sed-hyp withdrawl as it relates to half-life |
|
Definition
|
|
Term
more severe sed-hyp withdrawl as it relates to time of onset |
|
Definition
|
|
Term
action of zolpidem (Ambien) |
|
Definition
|
|
Term
|
Definition
|
|
Term
time to peak plasma conc for zolpidem? |
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
n+v+d, HA, dizzy, hi dose: amnesia, rebound insomnia |
|
|
Term
time to peak action for zaleplon |
|
Definition
|
|
Term
|
Definition
|
|
Term
met of zaleplon inhibited by? |
|
Definition
cimetidine (Tagamet) H-2 blocker |
|
|
Term
which has worse hangover, zolpidem, zaleplon? |
|
Definition
|
|
Term
|
Definition
|
|
Term
does eszopiclone alter stages of sleep? |
|
Definition
|
|
Term
peak plamsa conc of eszopiclone? |
|
Definition
|
|
Term
|
Definition
|
|
Term
eszopiclone eliminated more slowly in the elderly? |
|
Definition
|
|
Term
potentiating interacting drugs with eszopiclone (3) |
|
Definition
itraconazole, clarithro, ritonovir (CYP3A4I) |
|
|
Term
antagonizing interacting drug with eszopiclone? |
|
Definition
rifampicin (CYP3A4 activator) |
|
|
Term
|
Definition
a2 antagonist, 5-HT 2A 2C 3 blocker, increases 5-HT at 5-HT1AR |
|
|
Term
|
Definition
|
|
Term
action of amitriptyline at H1/H2 R |
|
Definition
|
|
Term
action of amitriptyline at Musc, A1 R |
|
Definition
|
|
Term
|
Definition
orthostatic hypotension, cardiotox, confusion |
|
|
Term
H-1R antagonists used for treatment of insomnia |
|
Definition
cyclobenzaprine, hydroxyzine, diphenhydramine |
|
|
Term
|
Definition
5-HT2AR antag, 5-HT reuptake inhibitor |
|
|
Term
does Nefazadone interfere w/ sex? |
|
Definition
|
|
Term
brain regions involved in anxiety? |
|
Definition
amyg, mesiotemporal structures, thalamus, orbital/medial prefrontal cortex, insula, hypothalamus, brainstem nuclei |
|
|
Term
|
Definition
|
|
Term
neuropeptides involved in anxiety |
|
Definition
|
|
Term
rationale for use of benzos in anxiety (4) |
|
Definition
high TI, low liver induction, slow elimination, flumazenil |
|
|
Term
important beneficial characteristics of lorazepam for treatment of anxiety |
|
Definition
|
|
Term
|
Definition
preexisting CNS depress, hyptotension, narrow angle glaucoma, ren/hep impaired, MG, PD |
|
|
Term
does buspirone produce an active metabolite? |
|
Definition
|
|
Term
contraindications of buspirone |
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
preexist seizure, MI, heart diseas, hep/ren |
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
panic, depression, social anx, OCD |
|
|
Term
|
Definition
seizure hx, mania, ren/card |
|
|
Term
|
Definition
|
|
Term
|
Definition
hep/card, seizure hx, suicidial hx |
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
venlafaxine, paroxetine, busp, loraz, clonaz |
|
|
Term
|
Definition
sertraline, loraz, alpraz, clonaz |
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
adverse effects of B-blockers used to treat sit anx |
|
Definition
lethargy, vivid dreams, hallucinations |
|
|
Term
|
Definition
hypertherm, muscle rigidity, clonus, changes in cognition, changes in vitals |
|
|