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Benzodiazepines - 1st Generation |
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Benzodiazepines - 2nd Generation |
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Benzodiazepines - 2nd Generation |
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only _____substitutions on aromatic ring are active |
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O or N
(S decreases potency) |
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Substituents at 2' that are meta or para ______activity of BDZ |
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Chlordiazepoxide-----Diazepam
Oxazepam----Clorazepate
Lorazepam----Clonazepam
Temazepam----Quazepam |
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Chlordiazepoxide (Librium®) |
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Clorazepate (Tranxene®)
PRODRUG!!! |
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Flunitrazepam (Rohypnol®)
10x as potent as Valium |
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Flurazepam (Dalmane®)
PRODRUG!! |
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Flumazenil (Romazicon®)
BZR Competitive antagonist
ANTIDOTE |
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Buspirone
Full agonist at presynaptic 5HT1A receptors
Functional Antagonist at postsynaptic 5HT1A receptors
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ZOLPIDEM (Ambien, Intermezzo)
GABAA receptor BZ-1 site
(Induces Physiological Sleep)
Imidazopyridine |
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Zaleplon (Sonata)
Interacts with BZ-1 site
Pyrazolopyrimidine |
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• Eszopiclone (Lunesta®)
GABAa agonist binds both BZ-1 and BZ-2 sites with no selectivity
Pyrrolopyrazine |
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Ramelteon (Rozerem)
Melatonin receptor agonist |
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Tasimelteon (Hetlioz®)
MOA:MT1 and MT2 ) receptor agonist in the suprachiasmatic nucleus
non-24-hour sleep-wake disorder in totally blind people
Can elevate liver enzymes (ALT |
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Suvorexant (Belsomra®)
Orexin receptor antagonist to treat difficulties with sleep onset and/or maintenance |
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Melatonin Receptors are GPCRs and ____ |
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are coupled to adenylyl cyclase inhibition thus inhibiting cAMP synthesis |
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1st Gen BDZ Metabolized how? |
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N-dealkylation at N-1
Alicyclic oxidation at C-3
Both ACTIVE |
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2nd Gen BDZ Metabolized how? |
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Alicyclic Oxidation at C-3 = Active
-CH3 oxidation on triazole or imidazole ring = inactive |
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short acting barbs intermediate long acting |
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pentobarbital, secobarbital
amobarb
barb and phenobarbital |
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