What does anterograde amnesia mean and which drugs can cause this effect?
anterograde amnesia means the inability to remember events occurring during the drug’s duration of action
drugs that cause this : triazolam and temazepam
Name the effects of the sedative-hypnotic drugs on the normal sleep pattern and explain their significance to the patient.
they decrease the time to fall asleep
increases total sleep duration
benzodiazepines increases the duration of phase 2 NREM
Decreases the duration of phase 4 NREM
Zolpidem decreases REM sleep, has minimum effect on SWS
it helps the patient sleep where patients normally have less than 6 hours of sleep.
Which of the sedative-hypnotic drugs are used as a supplementary therapy in anaesthesia? Can you explain why?
phenobarbitone
phenytoin
diazepam
lorazepam
midazolam
they are highly lipophilicity, rapid onset of action and have CNS effects
Which of the sedative-hypnotic drugs are used as anticonvulsants?
phenobarbitone, clonazepam, clobazam
diazepam lorazepam
What is the mechanism of the muscle-relaxing effects of some of the carbamates and the BDs?
inhibits postsynaptic reflexes
Discuss the effects of the sedative-hypnotic drugs on the respiratory and cardiovascular systems.
medullar depression: therapeutic doses significant respiratory depression in pulmonary disease and cardiovascular depression in cardiovascular disease
increased dose, death due to depression of medullary respiratory center
respiratory and CVS effects are more marked with IV administration