Inc. catecholamine,
Dec. serotonin (sadness)
Anxiety
Bridge Drugs for Anxiety
BZD
1st line for Panic disorder
SSRIs
Generalized anxiety disorder
SSRIs (Fluoxetine)
SNRIs (Duloxetine)
Buspirone (for unresponsive)
Obsessive-compulsive disorder (OCD)
SSRIs
Social anxiety disorder &
Post-traumatic stress disorder
1st line tx: CBT
1st line Drug: SSRIs
MOA: ↑ the FREQUENCY of Cl- channel opening
BZD
MOA: ↑ the DURATION of Cl- channel opening
- more toxic
Barbiturates
1st-line drugs for insomnia
Sleeping onset: Zaleplon (or Ramelteon)
Staying asleep: Zolpidem (or Eszopiclone)
Phenobarbital is an
Enzyme InDucer
Active metabolite of chloral hydrate
Trichloroethanol
Anterograde amnesia ‘‘date rape’’
Benzodiazepines (e.g., Flunitrazepam and
Midazolam)