Nonbenzodiazepine Hypnotics Pharmacodynamics

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Questions and Answers

What is the primary mechanism of action of nonbenzodiazepine hypnotics?

  • They act at the orexin receptors in the hypothalamus
  • They do not act at the GABA receptor, but at a different receptor site (correct)
  • They act at the benzodiazepine site of the GABA receptor
  • They act as melatonin receptor agonists

Which of the following is not a nonbenzodiazepine hypnotic?

  • Zolpidem
  • Zaleplon
  • Zopiclone (correct)
  • Eszopiclone

What is the primary mechanism of action of ramelteon?

  • It acts as a melatonin receptor agonist (correct)
  • It acts as an orexin receptor antagonist
  • It acts at the GABA receptor
  • It acts at the benzodiazepine site of the GABA receptor

What is the primary mechanism of action of suvorexant?

<p>It blocks the binding of orexin to its receptors (B)</p> Signup and view all the answers

Which of the following nonbenzodiazepine hypnotics has the shortest half-life?

<p>Zaleplon (B)</p> Signup and view all the answers

Which nonbenzodiazepine hypnotic has the highest protein binding?

<p>Zolpidem (B)</p> Signup and view all the answers

What is the recommended initial dose of suvorexant for a patient not on a moderate CYP3A4 inhibitor?

<p>10 mg (B)</p> Signup and view all the answers

What is the recommended dose of suvorexant for a patient who is on a moderate CYP3A4 inhibitor?

<p>5 mg (D)</p> Signup and view all the answers

Which of the following is NOT a recommended dosing practice for the nonbenzodiazepine gaba-ergic drugs?

<p>Take the medication as needed throughout the day (B)</p> Signup and view all the answers

Which of the following statements about ramelteon is correct?

<p>Ramelteon is not a controlled substance and does not cause dependence (C)</p> Signup and view all the answers

What is the maximum recommended dose of zolpidem for older adults or women?

<p>5 mg (B)</p> Signup and view all the answers

Which of the following is an important patient education recommendation for the nonbenzodiazepine gaba-ergic drugs?

<p>Patients should use caution if driving or operating machinery until they know the drug's effect (D)</p> Signup and view all the answers

What is the peak onset time of suvorexant when taken on an empty stomach?

<p>2 hours (D)</p> Signup and view all the answers

Which enzyme is primarily responsible for the metabolism of suvorexant?

<p>CYP3A4 (D)</p> Signup and view all the answers

Which of the following is NOT a precaution or contraindication for nonbenzodiazepine hypnotics?

<p>They are approved for use in children. (D)</p> Signup and view all the answers

Which of the following is a potential adverse effect of suvorexant?

<p>All of the above (D)</p> Signup and view all the answers

Which of the following drugs should NOT be used concomitantly with suvorexant?

<p>Ketoconazole (D)</p> Signup and view all the answers

Which nonbenzodiazepine hypnotic is NOT a controlled substance?

<p>Ramelteon (C)</p> Signup and view all the answers

Which pathway is primarily responsible for the excretion of suvorexant?

<p>Feces (B)</p> Signup and view all the answers

Which of the following is a common side effect of nonbenzodiazepine hypnotics?

<p>All of the above (D)</p> Signup and view all the answers

Which statement about the nonbenzodiazepine hypnotics is TRUE?

<p>They are associated with withdrawal signs and symptoms when discontinued. (C)</p> Signup and view all the answers

Which of the following is a potential adverse effect of suvorexant reported in clinical trials?

<p>Worsening of suicidal ideation (C)</p> Signup and view all the answers

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