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CNS 5
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| Generic | Brand | Category | Indication | Side Effects | US Boxed Warning | Other Notes |
|---|---|---|---|---|---|---|
| buspirone (PO) | Buspar | Antianxiety agent | Anxiety | dizziness, drowsiness, nausea | do not use with MAOI | |
| alprazolam (PO) (CS-IV) | Xanax | Benzodiazepine | Anxiety | daytime sedation, performance impairment, tolerance, dependence, anterograde amnesia, withdrawal, dizziness, ataxia | risk of profound sedation, respiratory depression, coma, and death with opioids; risk of abuse, misuse, and addiction; risk of dependence and withdrawal reactions | |
| clonazepam (PO) (CS-IV) | Klonopin | Benzodiazepine | Anxiety, seizure disorders | daytime sedation, performance impairment, tolerance, dependence, anterograde amnesia, withdrawal, dizziness, ataxia | risk of profound sedation, respiratory depression, coma, and death with opioids; risk of abuse, misuse, and addiction; risk of dependence and withdrawal reactions | |
| diazepam (PO, IV) (CS-IV) | Valium | Benzodiazepine | Anxiety, seizure disorders, acute alcohol withdrawal | daytime sedation, performance impairment, tolerance, dependence, anterograde amnesia, withdrawal, dizziness, ataxia | risk of profound sedation, respiratory depression, coma, and death with opioids; risk of abuse, misuse, and addiction; risk of dependence and withdrawal reactions | |
| lorazepam (PO, IV), (CS-IV) | Ativan | Benzodiazepine | Anxiety, seizure disorders, acute alcohol withdrawal | daytime sedation, performance impairment, tolerance, dependence, anterograde amnesia, withdrawal, dizziness, ataxia | risk of profound sedation, respiratory depression, coma, and death with opioids; risk of abuse, misuse, and addiction; risk of dependence and withdrawal reactions | IV: parenteral formulation contains propylene glycol and may be associated with toxicity if used ≥ 48 hours |
| midazolam (IV, IM) (CS-IV) | Versed | Benzodiazepine | Anesthesia, sedation | hypotension, apnea, bradypnea | risk of profound sedation, respiratory depression, coma & death w/ opioids/when used 4 sedation in noncritical settings; risk of abuse, misuse, addiction, dependence, & withdrawal rxns; dose must be individualized; nvr give by rapid injection in neonates | |
| zolpidem (PO) (CS-IV) | PO: Ambien, Ambien CR SL: Edular | Hypnotic | Insomnia | decreased ability to function the next morning, somnolence, headache, dizziness, xerostomia, anterograde amnesia, parasomnias | serious injuries, including death, have occurred because of complex sleep behaviors (i.e. sleepwalking, sleep driving, and engaging in other activities while not fully awake); CI in patients with history of complex sleep behaviors | |
| melatonin (PO) (OTC) | --- | Sleep aid | Insomnia, jet lag | drowsiness, daytime somnolence | ||
| propofol (IV) | Diprivan | Sedative, general anesthetic | Sedation for mechanical ventilation, procedural anesthesia, status epilepticus | bradycardia, hypotension, hypertriglyceridemia, propofol-related infusion syndrome (rare) | formulated as a 10% lipid emulsion containing 1.1 kcal/mL | |
| dexmedetomidine (IV) | Precedex | Alpha2 agonist, sedative | Sedation for mechanical ventilation or procedures | bradycardia, hypotension | tolerance and tachyphylaxis may occur if used longer than 24 hours |