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anti-anxiety

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Question
Answer
Benzodiazepines are most commonly used ____________ medication   anti-anxiety  
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They are also grouped in ____________ medication   sedative-hypnotic  
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They are also classified as centrally mediated ____________ ____________   muscle relaxants  
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Mechanism of action: CNS depression specific to the areas in ____________, _________ and ______ system of the brain   hypothalamic, thalamic, limbic  
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Indications   anxiety relief, sedation, anticonvulsant, muscle relaxants, appetite stimulant, retrograde amnesia  
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Sedative effects through depression of   limbic system  
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Muscle relaxing effect via inhibiting of the ______ at the spinal level   internunical neurons  
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There are two major inhibitory amino acid neuro transmitters in the CNS=   glycine and gamma-amino-butyric acid (GABA)  
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_______ performs inhibitory function in the spinal cord, brain stem and retina.   glycine.  
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GABA is found in the __________ and _________   cerebrum and cerebellum  
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Benzodiazepines action is through _________ of specific (BZ) receptors   stimulation  
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There are as many as __________ variations of BZ receptors   6  
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How many categories of action can be identified   3  
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Agents which _________ _________ bindings and - induced ___________ current are known agonist.   increases GABA, chloride  
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Drugs that reduce ______ ______ binding and induce _______ _______ are known as inverse agonists.   both GABA, chloride influx  
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Drugs that reduce both GABA and induce Chloride influx are known as   inverse agonists  
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inverse agonists are responsible for   anxiety, convulsion and analeptic properties  
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The third group the genuine antagonist of both agonist and inverse agonist are drugs that bind but have no efficacy at the site, _________ is a drug of this type   flumazenil  
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How many types of GABA receptors are found at pre and post synaptic site   2  
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what are the GABA type of receptors found at pre and post synaptic site.   A & B  
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Important to remember is that Benzodiazepines potentates the action of __________ and increases the frequency of _________ channel opening.   GABA, Chloride (Cl)  
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Benzodiazepines derivatives are   Diazepam, Midazolam, Chloradiazepoxide, Lorazepam, Alprazolam, Clonazepam, Zolazepam, Chlodiazepam.  
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Which Benzodiazepines are used in Veterinary Medicine   Diazepam, Midazolam, Zolazepam, Chlodiazepam  
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What are the common names for BZ used in Veterinary Medicine   Valium, Versed, Zolazepam, Chlodiazepam  
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How many BZs are we learning about   8  
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How many BZs are used in Veterinary Medicine   4  
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What is the acronym for the BZs use in Vet Med.   DMZC  
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Name for Diazepam   Valium  
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Name for Midazolam   Versed  
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Name for Chloradiazepoxide   Librium  
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Name for Lorazepam   Ativan  
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Name for Alprazolam   Xanax  
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Name for Clonazepam   Klonopin  
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This drug is insoluble in water, solution contains solvent propylene glycol, ethanol and sodium benzoate in benzoic acid   Diazepam  
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IV injection of __________ can cause thrombophlebitis.   Diazepam  
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Can Diazepam be used orally?   Yes  
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Which of these can Diazepam pass through? the blood-brain barrier or placental barrier   Both  
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What percent of Diazepam is protein bound   almost 90%  
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Diazepam's half life is   6 to 21 hours  
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How is diazepam metabolized   in the liver by demethylation and hydroxylation  
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In the liver diazepam is demthylated and hydroxylated to how many forms   3  
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what are the active forms of diazepam demethylated and hydroxylated by the liver   N-demethyldiazepam, 3-hydroxydiazepam and oxazepam  
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Diazepam metabolites are conjugated to ________ by the liver.   glucuronide  
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Glucuronide is excreted by   Kidneys  
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Is the toxcity of Diazepam low or high   low  
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How do you treat an overdose of Diazepam   with flumazenil  
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Clinical Uses for Diazepam include   convulsion control, used in dog, cat, horse to prevent post-op convulsion caused by use of contrast media into spinal cord for radiography, premedication for sedation, etc  
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Diazepam has been used as muscle relaxation with what other drugs to perform minor surgical procedures   ketamin, xylazine, opiods, etc  
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This drug is water soluble and not painful given IV   Midazolam  
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Midazolam is metabolized by   the liver  
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what is the half life of Midazolam   shorter than Diazepam  
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Midazolam effects on repiratory and cardivascular are   minimal like others in the group  
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Midazolam are used widely with combinations of   opioids  
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Does Midazolam readily cross the blood-brain barrier   yes  
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which is more potent Midazolam or Diazepam   Midazolam  
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Midazolam clinical uses include   anticonvulsant, muscle relaxant, appetite stimulant  
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what is the acronym for Midazolam clinical uses   the AMA  
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Midazolam is combined with   ketamine and other anesthetics  
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Diazepam and Midazolam can cause what type of changes in dogs and cats   behavior  
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Midazolam can cause these animals restless, to pace, vocalize, and difficult to approach   cats  
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can midazolam cause an increase or decrease in food consumption   increase  
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what drug antagonizes the effects of all benzodiazepines   flumazenil  
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what is another name for flumazenil   romazicon  
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what action speed of flumazenil   rapid 2 to 4 minutes  
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Reversal by flumazenil is or is not accompanied by anxiety and cardiovascular effects   is not  
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how long does the antagonistic effects of flumazenil effects last   about 60 minutes  
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should you ever redose flumazenil   yes it may be required  
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Zolazepam is sold in combination with   tiletamine  
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in what ration is zolazepam and tiletamine sold in   1 : 1  
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what is the combination of zolazepam and tiletamine called?   telazol.  
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Telazole contains what   250mg of zolazepam and 250mg of tiletamine  
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tiletamine is a dissociative agent similar to   ketamine  
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Telazole is widely used in   ruminants  
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