Sleeping Pills and Their Mechanisms of Action
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Questions and Answers

What is the primary mechanism of action of many sleeping pills?

  • Stimulating the release of orexin
  • Modulating serotonin and histamine levels
  • Blocking the activity of wake-promoting neurotransmitters
  • Enhancing the activity of gamma-aminobutyric acid (GABA) (correct)
  • What is the effect of benzodiazepines on GABAergic transmission?

  • They enhance the activity of GABA by binding to specific GABA-A receptor sites (correct)
  • They block the activity of orexin receptors
  • They modulate the activity of serotonin and histamine
  • They decrease the inhibitory effects of GABA
  • What is the purpose of using benzodiazepines for insomnia?

  • To modulate serotonin and histamine levels
  • To treat chronic insomnia
  • To manage short-term insomnia due to their rapid onset of action and efficacy in inducing sleep (correct)
  • To stimulate the release of orexin
  • Which neurotransmitter is primarily responsible for promoting wakefulness?

    <p>Orexin</p> Signup and view all the answers

    What is the effect of sleeping pills on neurotransmitter systems?

    <p>They can alter neurotransmitter levels or receptor activity to promote sleep</p> Signup and view all the answers

    What is a characteristic of non-benzodiazepine hypnotics, such as zolpidem, compared to benzodiazepines?

    <p>They have a more selective action on GABA-A receptors</p> Signup and view all the answers

    Which type of medication is particularly useful for promoting sleep onset in individuals with circadian rhythm disorders?

    <p>Melatonin receptor agonists</p> Signup and view all the answers

    What is a potential drawback of using antihistamines as sleeping pills?

    <p>They can cause residual daytime sedation and cognitive impairment</p> Signup and view all the answers

    What is a potential consequence of prolonged use of sleeping pills, particularly benzodiazepines and certain non-benzodiazepine hypnotics?

    <p>Tolerance and dependence</p> Signup and view all the answers

    What is a recommended approach to sleep management, according to guidelines for the use of sleeping pills?

    <p>Using non-pharmacological approaches, such as CBT-I, as a first-line treatment</p> Signup and view all the answers

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