click below
click below
Normal Size Small Size show me how
Sleep Drugs
Drugs used for sleep disorders
Question | Answer |
---|---|
Triazolam | Benzodiazepine / Positive allosteric modulator at GABA receptor acting to enhance frequency of channel opening in response to GABA resulting in enhanced membrane hyperpolarization / Used for anxiety disorders, insomnia, epilepsy, sedation, muscle relax |
Zaleplon | Non-benzodiazepines / Allosteric agonist at GABA-a receptor acting to enhance frequency of channel opening in response to GABA / Mainly used for insomnia |
Zolpidem | Non-benzodiazepines / Allosteric agonist at GABA-a receptor acting to enhance frequency of channel opening in response to GABA / Mainly used for insomnia / Special alert regarding complex sleep behaviors, lower dosage for women because they metabo slow |
Eszopiclone | Non-benzodiazepines / Allosteric agonist at GABA-a receptor acting to enhance frequency of channel opening in response to GABA / Mainly used for insomnia |
Doxepin | Low dose is selective histamine antagonist, higher dose is a tricyclic antidepressant and anticholin ergic effect. / At low doses for insomnia / BBW: potential for increased suicidal ideations. Do not use in patients who have taken MAOs. |
Diphenhydramine | Benedryl / Antihistamine with some antimuscarinic effects / NOT RECOMMENDED for long term use. |
Suvorexant | Orexin receptor antagonist. (Orexin receptors in hypothalamus) / Used for insomnia / Not CNS depressant, does not seem to produce rebound insomnia. |
Trazodone | SSRI / Off-label use for insomnia / Most widely prescribed sleep aid in US. |
Ramelteon | Agonist at melatonin receptors and thus modulates circadian rhythms involved in sleep wake cycle / No direct effect on GABA receptors / Not really any issues |