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Sedative-Hypnotics and Muscle Relaxants
Text 2
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Pharmacology
Professional
01/27/2012

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Cards

Term

Depolarizing neuromuscular blocking agent

(1)

Definition
succinylcholine
Term

Non-depolarizing neuromuscular blocking agent

(3)

Definition

d-tubocurarine

cistracurium

rocuronium

Term

Centrally acting spasmolytics

(6)

Definition

Baclofen

cyclobenzaprine

carisoprodol

metaxalone

methocarbamol

tizadine

Term
Direct acting muscle relaxant
Definition
Dantrolene
Term
MOA for most sedative hypnotics
Definition

GABAA&B receptors

 

different subunits for different responses

 

 

Term
2 major pharmacologic effects of ethanol in CNS
Definition

1. enhance action of GABA on GABAa receptors

2. inhibit ability of glutamate to open NMDA receptors

Term

effects of ethanol(non CNS)

(2)

Definition

heart- depression of contractility

 

smooth muscle- vasodilation in periphery

Term
Ethanol clinical uses
Definition

essential tremor

self treatment of anxiety/depression

Term
MOA for benzos
Definition
GABAa agonist
Term
Why some benzos last longer than others
Definition
they undergo hepatic metabolism and some have active metabolites with long half lives
Term
Short active benzos
Definition
alprazolam, triazolam
Term
intermediate acting benzos
Definition
clonazepam, lorazepam
Term
long acting benzos
Definition
diazepam, flurazepam
Term
True or False: Benzos have related chemical structures
Definition
True
Term
Why are barbituates not commonly used as sedative hypnotics anymore?
Definition
long half lives lead to accumulation/toxicity
Term
MOA for non-benzo hypnotics
Definition
bind go GABAa (different site then benzos)
Term
kinetics of non-benzo hypnotics
Definition

rapidly absorbed

few metabolites

short half lives

Term
Flumazenil
Definition
antagonist for benzos and non-benzo hypnotics
Term
Clinical uses for sedative-hypnotics
Definition

sedation

hypnosis

anesthesia

anticonvulsant effects

muscle relaxation

effects on respiratory and cardiac function

 

(dose dependent)

Term

Physiological effects of Sedative-hypotics

 

Sedation

Definition

-reduce anxiety

-depressor effects on cognitive function

-anterograde amnesia

Term

Physiological effects of Sedative-hypotics

 

Hypnosis

Definition

- induce sleep at higher doses

 

Term

Physiological effects of Sedative-hypotics

 

Anesthesia

Definition

high enough doses can be used for general anesthsia

BZ used in combo with other agents

Barbituates have favorable characteristics

Term

which sedative hypnotics are used as

 

anti convulsants

Definition

phenobarbital

clonazepam

diazepam

lorazepam

Term

which sedative hypnotics are used as

 

muscle relaxants

Definition

clonazepam

diazepam

Term

Ramelteon (Rozerem)

MOA, uses

Definition

melatonin agonist

 

reduces sleep latency

Term

Buspirone (Buspar)

MOA, uses

Definition

serotonin and dopamine receptor

 

reduces anxiety (not acute) without sedation or euphoria

Term
Other drug classes used as sedative-hypnotics
Definition

antihistamines

antidepressants

antipsychotic (quetiapine)

Term

Neuromuscular blocking agents

2 types

Definition
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