Anxiety and Insomnia Flashcards
Zolpidem
Selective for alpha1 of GABAa receptors
Sedation
Non-benzo
3-6 hours
Melatonin
Sleep
M1 and M2 receptors, GPCRs
Suvorexant
Orexin receptor antagonist
Next day sedation, abuse potential
Short term use only
Do orexin receptors promote sleep or wake?
Wake
Temazepam
Short acting benzodiazepine, rapid onset
Alprazolam
Short acting benzodiazepine, rapid onset
Nitrazepam
Long acting benzodiazepine, 16-40 hours, not rapid onset
Diazepam
Long acting benzodiazepine, 20-90 hours
Which 5HT receptors are involved in anxiety?
1A, 1C, 2A, 4
Buspirone
5HT-1A receptor partial agonist
Somato-dendritic -ve feedback of 5HT release
Nefazodone
SARI, good for sleep and anxiety, reduced sexual dysfunction.
RIMA
Moclobemide
MAOI
Tranylcypromine
SARI
Nefazodone