Definition
Medications that are classified as sedative hypnotic medications are used clinically to cause sedation by the relief of anxiety or to promote sleep. The major classes of sedative hypnotic medications include barbiturates, benzodiazepines, and other drugs that do not fit into either of the other categories.
Current Knowledge
Mechanism of Action
The benzodiazepines are generally classified into three groups: short acting, intermediate acting, and long acting. The duration of action plays a major role in determining its clinical use. The molecular site of action for the drug is at the GABAA (gamma-aminobutyric acid) receptor in the central nervous system (CNS). An increase in the effect of GABA results in general suppression of the CNS when it binds with a benzodiazepine.
Regarding use, medications such as diazepam, clonazepam, and lorazepam have been useful in the treatment of generalized seizures. Some of the benzodiazepines cause anesthesia without loss of consciousness and...
References and Readings
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Jaffe, J., Bloor, R., Crome, I., Carr, M., Alam, F., Simmons, A., et al. (2004). A postmarketing study of relative abuse liability of hypnotic sedative drugs. Addiction, 99(2), 165–173.
Oray, N., Hocaoglu, N., Oray, D., Demir, O., Atilla, R., & Tuncok, Y. (2008). Sedative-hypnotic medication exposures and poisonings in Izmir, Turkey. Basic & Clinical Pharmacology & Toxicology, 103(4), 380–385.
Schuckit, M., Smith, T., Kramer, J., Danko, G., & Volpe, F. (2002). The prevalence and clinical course of sedative-hypnotic abuse and dependence in a large cohort. American Journal of Drug and Alcohol Abuse, 28(1), 73.
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Murphy, M.P. (2017). Sedative Hypnotic Drugs. In: Kreutzer, J., DeLuca, J., Caplan, B. (eds) Encyclopedia of Clinical Neuropsychology. Springer, Cham. https://doi.org/10.1007/978-3-319-56782-2_1777-2
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DOI: https://doi.org/10.1007/978-3-319-56782-2_1777-2
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