Classification of Anxiolytics
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Questions and Answers

What is the primary advantage of benzodiazepines over other anxiolytics?

  • They are more accessible
  • They have a higher lethal dose
  • They are safer and more effective (correct)
  • They are less effective
  • What type of receptor does Buspirone act on?

  • 5HT1A receptor (correct)
  • 5HT2A receptor
  • GABA receptor
  • BZ2 receptor
  • What is the characteristic of the lethal dose of benzodiazepines compared to their therapeutic dose?

  • It is over 1000 times greater (correct)
  • It is 10 times greater
  • It is equal to the therapeutic dose
  • It is 100 times greater
  • What is the classification of Zolpidem?

    <p>Selective BZ1 agonist</p> Signup and view all the answers

    What is the characteristic that makes benzodiazepines the most widely used anxiolytics?

    <p>They are the most effective and safest</p> Signup and view all the answers

    What is the effect of binding of benzodiazepines to their specific site on GABAA receptor?

    <p>Increased opening of the associated Cl-channel</p> Signup and view all the answers

    What is the difference in the mechanism of action between benzodiazepines and barbiturates?

    <p>Benzodiazepines bind to GABAA receptor, while barbiturates bind to another site on GABAA receptor</p> Signup and view all the answers

    What is the result of increased opening of the associated Cl-channel?

    <p>Hyperpolarization of the neuron</p> Signup and view all the answers

    What is the effect of benzodiazepines on GABA binding?

    <p>Increased affinity of GABA to its binding site</p> Signup and view all the answers

    What is the outcome of increased hyperpolarization of the neuron?

    <p>Decreased neuronal excitability</p> Signup and view all the answers

    Study Notes

    Classification of Anxiolytics

    • Anxiolytics can be classified into three categories: barbiturates, benzodiazepines, and novel drugs.

    Barbiturates

    • Barbiturates are a class of anxiolytics.

    Benzodiazepines

    • Benzodiazepines are the most widely used anxiolytics due to their effectiveness and safety profile.
    • The lethal dose of benzodiazepines is over 1000 times greater than the therapeutic dose, making them a relatively safe option.

    Novel Drugs

    • Novel drugs include buspirone, which is a 5HT1A receptor agonist.
    • Zolpidem is a selective BZ1 agonist and is also classified as a novel drug.

    Mechanism of Action of Benzodiazepines (BZs) and Barbiturates

    • Binding of BZs to their specific site on the GABAA receptor increases the affinity of GABA to its binding site.
    • This results in the opening of the associated Cl- channel.
    • Opening of the Cl- channel leads to more hyperpolarization.
    • Hyperpolarization further inhibits neuronal excitability.

    Difference in Mechanism of Action between BZs and Barbiturates

    • Barbiturates have the same mechanism of action as BZs.
    • However, barbiturates bind to a different site on the GABAA receptor.

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    Description

    This quiz covers the classification of anxiolytics, including barbiturates, benzodiazepines, and novel drugs such as buspirone and zolpidem.

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