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Anxiolytics and Sedatives

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Diazepam

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Mechanism of action: Enhances the effect of neurotransmitter GABA. Common uses: Anxiety relief, muscle relaxation, anticonvulsant.

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Lorazepam

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Mechanism of action: Binds to GABA receptor complex and potentiates GABA effects. Common uses: Anxiety, pre-anesthetic, status epilepticus.

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Alprazolam

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Mechanism of action: Modulates GABA receptor complex function. Common uses: Generalized anxiety disorder, panic disorder.

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Zolpidem

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Mechanism of action: Agonist at benzodiazepine site of GABA-A receptors. Common uses: Short-term treatment of insomnia.

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Buspirone

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Mechanism of action: Partial agonist at serotonin 5-HT1A receptors. Common uses: Generalized anxiety disorder.

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Clonazepam

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Mechanism of action: Increases GABAergic activity. Common uses: Panic disorder, seizure disorders.

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Temazepam

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Mechanism of action: Potentiates GABA-A action. Common uses: Short-term management of insomnia.

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Midazolam

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Mechanism of action: Enhances GABA activity at the GABAA receptor. Common uses: Preoperative sedation, procedural sedation.

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Triazolam

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Mechanism of action: Enhances GABA-mediated synaptic inhibition. Common uses: Insomnia.

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Flumazenil

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Mechanism of action: Competitive antagonist at GABAA receptors. Common uses: Benzodiazepine overdose antidote.

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Phenobarbital

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Mechanism of action: Prolongs opening of GABAA chloride channels. Common uses: Sedative, anticonvulsant for epilepsy.

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Pentobarbital

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Mechanism of action: Modulates GABAA receptor; increases duration of chloride channel opening. Common uses: Sedative, pre-anesthetic.

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Secobarbital

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Mechanism of action: Potentiates GABA by increasing the duration of chloride channel opening. Common uses: Insomnia, preoperative medication.

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Hydroxyzine

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Mechanism of action: Antagonizes H1 histamine receptors. Common uses: Anxiolytic, sedative, and antiemetic.

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Oxazepam

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Mechanism of action: Enhances GABAA receptors. Common uses: Anxiety, alcohol withdrawal syndrome.

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Chlordiazepoxide

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Mechanism of action: Potentiates the effect of GABA at the GABA-A receptor. Common uses: Anxiety disorders, alcohol withdrawal.

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Meprobamate

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Mechanism of action: Unknown, may involve GABAergic mechanisms. Common uses: Short-term relief of anxiety.

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Quazepam

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Mechanism of action: Enhances GABA action through binding to the benzodiazepine site on the GABA-A receptor. Common uses: Insomnia.

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Zopiclone

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Mechanism of action: Acts on GABA-BZ receptor complex. Common uses: Short-term treatment of insomnia.

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Melatonin

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Mechanism of action: Agonist at melatonin receptors in the suprachiasmatic nucleus. Common uses: Sleep disorders, jet lag.

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Eszopiclone

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Mechanism of action: Acts on GABA-A receptor complex. Common uses: Insomnia with difficulty falling asleep or maintaining sleep.

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Ramelteon

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Mechanism of action: Selective agonist of melatonin MT1 and MT2 receptors. Common uses: Treatment of insomnia characterized by difficulty with sleep onset.

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Suvorexant

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Mechanism of action: Dual orexin receptor antagonist. Common uses: Insomnia, including difficulties with sleep onset and/or sleep maintenance.

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Gabapentin

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Mechanism of action: Binds to the alpha-2-delta subunit of voltage-gated calcium channels in CNS. Common uses: Neuropathic pain, partial seizures, postherpetic neuralgia.

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Propranolol

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Mechanism of action: Non-selective beta-adrenergic receptor blocker. Common uses: Performance anxiety, hypertension, tremor.

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