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SEDATIVE/HYPNOTICS ANXIOLYTICS Martha I. D ávila-García, Ph.D. Howard University Department of Pharmacology
[object Object],[object Object],Sedated Nervous Breakdown Performance Anxiety GOAL
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
SEDATIVE/HYPNOTICS ANXIOLYTICS ,[object Object],[object Object],[object Object]
Manifestations of anxiety : ,[object Object],[object Object],[object Object]
Pathological Anxiety ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Causes of Anxiety ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Causes of Anxiety ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Causes of Anxiety ,[object Object],[object Object],[object Object],[object Object]
Anxiolytics ,[object Object],[object Object]
Anxiolytics ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Anxiolytics ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Sedative/Hypnotics ,[object Object]
Sedative/Hypnosis ,[object Object],[object Object],[object Object],[object Object],[object Object]
Properties of Sedative/Hypnotics in Sleep ,[object Object],[object Object],[object Object],[object Object],[object Object]
Other Properties of Sedative/Hypnotics  ,[object Object],[object Object]
Sedative/Hypnotics ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Sedative/Hypnotics ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Sedative/Hypnotics ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Sedative/Hypnotics ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Sedative/Hypnotics ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
SEDATIVE/HYPNOTICS ANXYOLITICS GABAergic SYSTEM
Sedative/Hypnotics ,[object Object],[object Object]
Benzodiazepines ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Barbiturates ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Respiratory Depression Coma/ Anesthesia Ataxia Sedation Anxiolytic Anticonvulsant DOSE RESPONSE BARBS BDZs ETOH
Respiratory Depression Coma/ Anesthesia Ataxia Sedation Anxiolytic Anticonvulsant DOSE RESPONSE BARBS BDZs
GABAergic SYNAPSE GABA glutamate glucose Cl - GAD
GABA-A Receptor ,[object Object],[object Object],[object Object],[object Object],GABA AGONISTS BDZs    BARBs  
Mechanisms of Action ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Patch-Clamp Recording of Single Channel GABA Evoked Currents From Katzung et al., 1996
Benzodiazepines ,[object Object],[object Object],[object Object],[object Object],[object Object]
Pharmacokinetics of Benzodiazepines ,[object Object],[object Object],[object Object]
CNS Effects (Rate of Onset) Lipid solubility
Pharmacokinetics of Benzodiazepines ,[object Object],[object Object],[object Object]
Pharmacokinetics of Benzodiazepines ,[object Object],[object Object],[object Object]
Biotransformation of Benzodiazepines From Katzung, 1998
Biotransformation of Benzodiazepines ,[object Object],[object Object],[object Object]
Properties of Benzodiazepines ,[object Object],[object Object],[object Object]
Side Effects of Benzodiazepines ,[object Object],[object Object],[object Object]
Sedative/Hypnotics ,[object Object]
Toxicity/Overdose with Benzodiazepines ,[object Object],[object Object],[object Object]
Drug-Drug Interactions with BDZs ,[object Object],[object Object],[object Object],[object Object],[object Object]
Pharmacokinetics of Barbiturates ,[object Object],[object Object],[object Object],[object Object]
Pharmacokinetics of Barbiturates ,[object Object],[object Object]
Properties of Barbiturates ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Toxicity/Overdose ,[object Object],[object Object]
Toxicity/Overdose ,[object Object],[object Object],[object Object],[object Object],[object Object]
Sedative/Hypnotics ,[object Object],NREM III and IV REM 1 2 3 NIGTHS OF DRUG DOSING   SLEEP PER NIGHT (%) CONTROL WITHDRAWAL
Miscellaneous Drugs   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
BUSPIRONE ,[object Object],[object Object],[object Object],[object Object],[object Object]
BUSPIRONE ,[object Object],[object Object],[object Object]
BUSPIRONE ,[object Object],[object Object],[object Object]
Pharmacokinetics of BUSPIRONE ,[object Object],[object Object],[object Object],[object Object],[object Object]
Zolpidem ,[object Object],[object Object],[object Object],[object Object]
Properties of Zolpidem ,[object Object],[object Object],[object Object],[object Object]
GABA ? NE DA 5-HT ACh (-) (-) (-) (-) (-) ANXIOLYTIC ? SEDATION ? ANTICONVULSANT/ MUSCLE RELAXANT ?
Properties of Other drugs . ,[object Object],[object Object],[object Object]
Properties of Other Drugs ,[object Object],[object Object],[object Object],[object Object],[object Object]
Properties of Other Drugs ,[object Object],[object Object],[object Object],[object Object]
OTHER USES ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Other Properties of Sedative/Hypnotics  ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
References: ,[object Object],[object Object],[object Object],[object Object]

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