Anti-anxiety agents, also known as minor tranquilizers or anxiolytics, are used to treat anxiety and anxiety disorders. They are classified into barbiturates, non-barbiturates/non-benzodiazepines, and benzodiazepines. Benzodiazepines are currently the drug of choice and are further classified by duration of action into very short, short, and long acting. They work by binding to GABA receptors in the brain to increase inhibitory neurotransmitter GABA and reduce anxiety. Common side effects include nausea, sedation, dizziness, and potential for dependence.
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Anti Anxiety Agents
Anti-anxiety agents, also known as minor tranquilizers or anxiolytics, are used to treat anxiety and anxiety disorders. They are classified into barbiturates, non-barbiturates/non-benzodiazepines, and benzodiazepines. Benzodiazepines are currently the drug of choice and are further classified by duration of action into very short, short, and long acting. They work by binding to GABA receptors in the brain to increase inhibitory neurotransmitter GABA and reduce anxiety. Common side effects include nausea, sedation, dizziness, and potential for dependence.
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ANTI ANXIETY AGENTS
SATHISH Rajamani M. Sc (N)
INTRODUCTION Also known as Minor Tranquilizers / Anxiolytics. Anti anxiety drugs are used in the treatment of anxiety and anxiety related disorders Most of these drugs are belongs to Benzodiazepine groups CLASSIFICATION 1) Benzodiazipines 2) Non – Barbiturates / Non – Benzodiazipines 3) Barbiturates Barbiturates Examples: A.Phenobarbital B.Pentpbarbital C.Secobarbital D.Thiopentone Non – Barbiturate / Non - Benzodiazepine Examples: a)Meprobromate b)Glutethimide c)Diphenyhydramine Benzodiazepine Presently benzodiazepines are the drug of choice for the treatment of Anxiety Disorders and for Insomnia. Benzodiazepines are further classified into other subtypes i. Very Short Acting ii. Short Acting iii. Long Acting I. Very Short Acting Examples: Triazolam and Midazolam II. Short Acting Examples: Oxazepam and Lorazepam, Alprazolam III. Long Acting Examples: Chlordiazepoxide (Librium) Diazepam (Valium) Clorazepam and Nitrazepam DURATION OF ACTION • Long Acting > 8 hrs • Intermediate 5 – 8 hrs Acting • Short Acting 1 – 5 hrs • Ultra Short < 1 hrs Acting DOSAGES Alprazolam 0.5 – 6 mg / day Oxazepam 15 – 120 mg / day Lorazepam 2 – 6 mg / day Diazepam 2 – 10 mg / day Clonazepam 0.5 – 2.0 mg / day Chlordiazepoxide 15 – 100 mg / day Nitrazepam 5 – 20 mg / day INDICATIONS TO BENZODIAZEPINES Anxiety disorders Insomnia Depression Panic disorder and social phobia OCD PTSD Bipolar I Disorder Alcohol Withdrawal Syndrome and Substance Induced Psychotic Agitation Mechanism of Action Benzodiazepines binds to specific sites on the GABA receptors and increases GABA level. GABA is an inhibitory neurotransmitter which has calming effect on the central nervous system thus reducing anxiety. SIDE EFFECTS Nausea, Vomiting, Weakness, Vertigo Blurring of vision, Body aches Diarrhoea, impotence, Sedation, Ataxia Dry mouth, Retrograde amnesia Dependence and withdrawal syndrome