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Chapter 42. Sedative-Hypnotics

Seiji Nishino, M.D., Ph.D.; Kazuo Mishima, M.D., Ph.D.; Emmanuel Mignot, M.D., Ph.D.; William C. Dement, M.D., Ph.D.
DOI: 10.1176/appi.books.9781585623860.421159

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In this chapter, we examine some of the pharmacological properties of benzodiazepines, barbiturates, and other sedative-hypnotic compounds. Sedative drugs moderate excitement, decrease activity, and induce calmness, whereas hypnotic drugs produce drowsiness and facilitate the onset and maintenance of a state that resembles normal sleep in its electroencephalographic characteristics. Although these agents are central nervous system (CNS) depressants, they usually produce therapeutic effects at doses that are far lower than those that cause coma and generalized depression of the CNS.

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Sample questions:
1.
Which of the following benzodiazepines has a particularly short half-life and the shortest half-life among the agents shown?
2.
Benzodiazepines affect sleep architecture in which of the following ways?
3.
Which of the following nonbenzodiazepines has the longest half-life and may be especially useful for patients who have early morning awakening?
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