6.12 anxiolytics Flashcards
(20 cards)
Ultra short acting benzo
Triazolam
Long acting benzo metabolite
Desmethyldiazepam
Treats benzo withdrawal
Clonazepam
Reverses benzo and Z drug overdose
Flumazenil
Benzo GABA-A antagonist
Flumazenil
Benzo CIs
Activities that require mental alertness
History of drug abuse
Pregnant or breastfeeding
Z drugs
Zolpidem
Zaleplon
Approved for generalized anxiety disorder
Buspirone
Long acting benzos
Chlordiazepoxide
Diazepam
Flurazepam
Short acting benzos
Alprazolam
Lorazepam
Oxazepam
Temazepam
Useful for elderly and those with liver dysfunction
Ultra short acting and short acting benzos
Increase frequency of channel opening caused by GABA binding
Benzodiazepine
Increase duration of channel opening
Barbiturates
What is clonazepam
Medium acting Benzo for Benzo withdrawal
Metabolic difference between long acting and short acting benzos
long acting uses phase I oxidation
short acting uses phase II glucuronidation (no desmethyldiazepam metabolite)
What drugs inhibit oxidative metabolism and therefore increases half life of BZDs
cimetidine disulfiram isoniazid estrogen OCPs
What decreases BZD levels via enzyme induction
Rifampin
tobacco
What decreases BZD absorption
food
antacids
SSRIs are first line treatment for
panic disorder
Social anxiety disorder
OCD
PTSD
First line for GAD
BZD
Buspirone (anxiolytic)