Affinity of Compounds for the Benzodiazepine Site (Neurotransmitter/Mutagenesis/Channel/Inhibitory) DOLAN B

Total Page:16

File Type:pdf, Size:1020Kb

Affinity of Compounds for the Benzodiazepine Site (Neurotransmitter/Mutagenesis/Channel/Inhibitory) DOLAN B Proc. Nati. Acad. Sci. USA Vol. 88, pp. 1421-1425, February 1991 Neurobiology y-Aminobutyric acid type A receptor point mutation increases the affinity of compounds for the benzodiazepine site (neurotransmitter/mutagenesis/channel/inhibitory) DOLAN B. PRITCHETT*tt AND PETER H. SEEBURGt *Departments of Pediatrics and Pharmacology, University of Pennsylvania, Philadelphia, PA 19104; and tLaboratory of Molecular Neuroendocrinology, Center for Molecular Biology, University of Heidelberg, 6900 Heidelberg, Federal Republic of Germany Communicated by Erminio Costa, November 13, 1990 ABSTRACT Recombinantly expressed y-aminobutyric benzodiazepine agonists. The a, subunit imparts high-affinity acid type A (GABAA) receptors consisting of a,, P2, and 72 binding for CL 218872 (15, 19), while a2, a3, and a5 subunits subunits contain a binding site for benzodiazepines that differs create sites with 10-fold lower affinities for this triazolopy- in its properties from that of ac3%2y2 receptors. Amino acid ridozine (8, 15). Several other compounds, including the substitutions between the GABAA receptor a subunits were benzodiazepines quazepam and 2-oxoquazepam (20), the analyzed for their effect on the binding of compounds to the f3-carbolines f8-CCM and 3-CCE (21), and the imidazolpy- benzodiazepine site. By converting ever smaller regions of the ridines zolpidem, alpidem, and AHR-14479 (22, 23) show a3 subunit sequence to that of the a, subunit, we show that a similar pharmacological profiles, with the notable exception single substitution (glycine for glutamic acidj increases the that the three last-named compounds fail to bind to ternary affinity for several compounds approximately 10-fold without receptors containing the a5 subunit (8). changing the affinity for nonselective compounds. Hence, the Since such ternary receptors closely mimic the ligand- identified amino acids may interact directly with the ligand and binding properties and differential localizations of central derme part of the benzodiazepine binding sites in these recep- benzodiazepine sites, one can utilize the well-defined recom- tors. binant receptors to characterize molecular determinants of these clinically important drug targets (6, 15-18). One ap- Benzodiazepines are the most widely prescribed anxiolytics, proach to the study ofreceptor binding and function has been sedatives, muscle relaxants, anticonvulsants, and hypnotics to create chimeric receptors with primary structures derived (1). The benzodiazepines were in clinical use for 15 years from separate receptor subtypes (24). Particular sequence before their site of action was discovered to be the y-ami- changes that alter the binding or signal transduction of the nobutyric acid type A (GABAA) receptor (2). Compounds of, resultant receptor may represent important structure ele- different chemical structure bind at the same site as benzo- ments that confer binding or signal transduction specificity. diazepines and with similar affinity, although they elicit We chose this approach to determine which amino acids different behavioral effects. These compounds include tria- are involved in the differential binding of CL 218872. By zolopyridazines, imidazopyridines, cyclopyrrolones, pyra- assaying the displacement of [3H]Ro 15-1788 (a nonselective zoloquinolinones, and /3-carbolines (3). GABA is the major benzodiazepine antagonist) binding and by mutating the inhibitory neurotransmitter in the brain, and its receptors are low-affinity form to the high-affinity form, we hoped to present on a majority of neurons, which perhaps explains the eliminate changes of a nonspecific nature. We found that a wide range of effects of benzodiazepines and other com- single amino acid change, from a glutamate to a glycine at pounds acting at that site. The GABAA receptor contains an position 225 in the a3 amino acid sequence, substantially intrinsic chloride channel whose gated activity most often increased the affinity of the a3 subunit-containing receptor hyperpolarizes the cell and inhibits excitation. Benzodiaz- for CL 218872. A slightly larger shift resulted from changing epines, in the presence of GABA, increase GABAA receptor an additional three adjacent residues. The altered binding was chloride channel activity and inhibitory tone throughout the observed for several other selective compounds tested. central nervous system (4). Molecular cloning has led to the characterization of nu- merous sequence-related subunits of the GABAA receptor, MATERIALS AND METHODS including six a subunits (5-9), three f8 subunits (10), two y Construction of Chimeric Receptors. Conserved Nco I subunits (11, 12), and a 8 subunit (13). Recombinant coex- restriction sites occur in homologous positions in the rat a, pression of these subunits has produced receptor channels and a3 subunit cDNAs. By cleavage at these sites, a fragment that differ in their pharmacological (6, 8, 14, 15) and biophys- was removed from the a1 cDNA and then used to replace the ical (16-18) properties, suggesting that the heterogeneity of homologous fragment in the rat a3 cDNA (chimera 3). Partial natural GABAA receptors exceeds previous estimates based digests with Nco I allowed the exchange of larger fragments on ligand binding studies in brain membranes. Although the encoding N- or C-terminal domains (chimeras 1 and 2) into true extent of this heterogeneity is unknown, it is important the appropriate positions. All these constructs were made in to note that ternary receptors reconstituted from a, /3, and y the pBluescript phagemid (Stratagene), which lacks Nco I subunits have binding sites for benzodiazepines and channel sites. The chimeric cDNAs were then subcloned into the activities that can be modulated by these compounds (11, 12). pCDM8 expression vector (25). If such ternary receptors contain a y2 subunit, the a subunit Oligonucleotide-Mediated Mutagenesis. Site-directed muta- variant primarily determines the affinity profile of the ben- genesis was performed as described (26) by using the oligo- zodiazepine site (6, 8, 15). Thus, the a6 subunit defines a nucleotides 5'-GCGTGAGCCATCCTCAGCTACTTC- receptor that binds Ro 15-4513 but not diazepam or other CAC-3' (Ml); 5'-TCCTGTACTAGACTGGACTATCCCT- The publication costs of this article were defrayed in part by page charge Abbreviations: GABA, y-aminobutyric acid; GABAA receptor, type payment. This article must therefore be hereby marked "advertisement" A GABA receptor. in accordance with 18 U.S.C. §1734 solely to indicate this fact. fTo whom reprint requests should be addressed. 1421 Downloaded by guest on September 30, 2021 1422 Neurobiology: Pritchett and Seeburg Proc. Natl. Acad. Sci. USA 88 (1991) GTGTCAACAACATGACCAAG-3' (M2); 5'-AGATTT- constructed by exchanging homologous DNA restriction GTTCTTCTCACGAGTCCAITCATAAATTACTTCAGC- fragments between these cDNAs (Fig. 1). Expression con- TCTGGTATAGGCATA-3' (M3); 5'-TGTACTAGACTG- structs carrying the chimeric sequences were used along with GATTATC-3' (M20); 5'-ACTAGACCGGACTATCTCT-3' expression constructs encoding the rat Y2 and the rat 132 (M21); 5'-GGATTATCCCTGTCCCAAC-3' (M22); 5'- subunits for transient transfection of subconfluent 293 cells. TATCTCTGTGTCAACAACATG-3' (M23), and, as a tem- Membranes from these cells were incubated with [3H]Ro plate, single-stranded phagemid DNA containing the rat a3 15-1788 at a concentration equivalent to its Kd (1 nM), and subunit cDNA sequence. Bacterial colonies transformed the displacement of that binding was examined by including with mutagenized DNA were screened by hybridization with results of the oligonucleotides used for mutagenesis. Plasmid DNA various concentrations ofthe displacing ligand. The isolated from hybridizing colonies was sequenced, and the experiments using CL 218872 to displace [3H]Ro 15-1788 correct DNA was used for construction ofeukaryotic expres- (Fig. 1) indicated that the extracellular portion of the a sion plasmids. subunit was responsible for the distinctive pharmacological DNA Transfection in Cultured Cells. Cloned cDNAs en- profile of the particular receptor subtype, although the si- coding the rat ax, 82, and Y2 subunits were subcloned into the multaneous expression of all a, 13, and 'y subunits was pCDM8 expression vector (Invitrogen, San Diego, CA) by necessary for binding of benzodiazepines. standard procedures. Various amounts of5' (100-500 bp) and The comparison of the amino acid sequences of the a,, a2, 3' (100-2000 bp) untranslated regions were included for and a3 subunits from species expressing high- and low- convenience in the subcloning and did not noticeably affect affinity CL 218872 binding sites (rat, bovine, and human) the results. DNAs were combined in equal amounts and reveals clusters of amino acid substitutions in the extracel- added in transfection buffer (27) to exponentially growing lular domain of the a subunit variants (ref. 5; P.H.S., human embryonic kidney 293 cells (ATCC CRL 1573) (14). unpublished data). Particular positions in which the a, sub- After an overnight incubation, medium was removed, and the unit sequences differ from both the a2 and a3 subunit se- cells were washed once with serum-free medium, and then quences were considered likely candidates for residues af- refed serum-containing medium. fecting binding affinities ofselective benzodiazepine receptor Membrane Preparation and Binding Experiments. Cells compounds. Three such clusters were targeted for mutagen- were harvested from plates 48 hr after transfection by re- esis. Oligonucleotides were constructed
Recommended publications
  • Withdrawing Benzodiazepines in Primary Care
    PC\/ICU/ ADTiriC • CNS Drugs 2009,-23(1): 19-34 KtVltW MKIIWLC 1172-7047/I»/O(X)1«119/S4W5/C1 © 2009 Adis Dato Intocmation BV. All rights reserved. Withdrawing Benzodiazepines in Primary Care Malcolm Luder} Andre Tylee^ and ]ohn Donoghue^ 1 Institute of Psychiatry, King's College London, London, England 2 John Moores University, Liverpool, Scotland Contents Abstract ' 19 1. Benzodiazepine Usage 22 2. Interventions 23 2.1 Simple interventions 23 2.2 Piiarmacoiogicai interventions 25 2.3 Psychoiogical Interventions 26 2.4 Meta-Anaiysis ot Various interventions 27 3. Outcomes 28 4. Practicai Issues 29 5. Otiier Medications 30 5.1 Antidepressants 30 5.2 Symptomatic Treatments 30 6. Conciusions 31 Abstract The use of benzodiazepine anxiolytics and hypnotics continues to excite controversy. Views differ from expert to expert and from country to country as to the extent of the problem, or even whether long-term benzodiazepine use actually constitutes a problem. The adverse effects of these drugs have been extensively documented and their effectiveness is being increasingly questioned. Discontinua- tion is usually beneficial as it is followed by improved psychomotor and cognitive functioning, particularly in the elderly. The potential for dependence and addic- tion have also become more apparent. The licensing of SSRIs for anxiety disorders has widened the prescdbers' therapeutic choices (although this group of medications also have their own adverse effects). Melatonin agonists show promise in some forms of insomnia. Accordingly, it is now even more imperative that long-term benzodiazepine users be reviewed with respect to possible discon- tinuation. Strategies for discontinuation start with primary-care practitioners, who are still the main prescdbers.
    [Show full text]
  • Strategisk Regnskabsanalyse Og Værdiansættelse Af H. Lundbeck A/S
    Copenhagen Business School Hovedopgave 2011 Institut for Regnskab HD-R (Regnskab og og Revision Økonomistyring) Strategisk regnskabsanalyse og værdiansættelse af H. Lundbeck A/S Vejleder: Udarbejdet af: Ole Sørensen Mikael Thaarup Robertsen Institut for Regnskab og Revision Cpr. nr. 300880-XXXX Copenhagen Business School Afleveret 16. maj 2011 EXECUTIVE SUMMARY H. Lundbeck A/S is an international pharmaceutical company focused on development and marketing of treatment for diseases within the central nerve system (CNS). Lundbeck has in the last few years had an outstanding financial performance, but in the same period the value of the company’s stock are at a historical low. On top of that the largest Nordic bank Nordea had a sell recommendation and a target price of 85 DKK as late as end of 2010. Has the sell recommendation and the low target price a justification due to the fact that Lundbeck’s blockbuster product Cipralex®/Lexapro® will lose patent protection in 2012 in the US and 2014 in the remaining of the world? The derived objective of the thesis has been to create a reliable valuation of Lundbeck taking into account the current business, including products and research pipeline, the historic financial performance and the financial outlook for the future. The objective of the strategic analysis has been to obtain the required knowledge about the business, the industry and the society that all influence the future growth scenario. The conclusion on this underlying strategic analysis was that the industry is under pressure from both public health service providers and generic competitors. At the same time the potential marked for CNS products is increasing due to demographic changes and increasing income levels in more recent developed countries.
    [Show full text]
  • The Role of A6 Subunit-Containing GABAA Receptors in Behavioral
    OLGA Yu VEKOVISCHEVA The Role of a6 Subunit-containing GABA Receptors in Behavioral Effects of A Alcohol and Drug Treatments ACADEMIC DISSERTATION To be presented, with the permission of the Faculty of Medicine of the University of Tampere, for public discussion in the auditorium of Tampere School of Public Health, Medisiinarinkatu 3, Tampere, on May 23rd, 2003, at 12 oclock Acta Universitatis Tamperensis 928 University of Tampere Tampere 2003 ACADEMIC DISSERTATION University of Tampere, Medical School University of Turku, Department of Pharmacology and Clinical Pharmacology Finland Supervised by Reviewed by Professor Esa R& Korpi Professor Sture Liljequist University of Helsinki Karolinska Institutet Docent Mikko Uusi-Oukari Docent Tomi Taira University of Turku University of Helsinki Professor Simo Oja University of Tampere Distribution University of Tampere Bookshop TAJU Tel +358 3 215 6055 PO Box 617 Fax +358 3 215 7685 33014 University of Tampere taju@utafi Finland http://granumutafi Cover design by Juha Siro Printed dissertation Electronic dissertation Acta Universitatis Tamperensis 928 Acta Electronica Universitatis Tamperensis 251 ISBN 951-44-5662-9 ISBN 951-44-5663-7 ISSN 1455-1616 ISSN 1456-954X http://actautafi Tampereen yliopistopaino Oy Juvenes Print Tampere 2003 3 CONTENTS CONTENTS 4 LIST OF ORIGINAL PUBLICATIONS 6 ABBREVIATIONS 7 ABSTRACT 8 1. INTRODUCTION 9 2. REVIEW OF THE LITERATURE 11 2.1. The inhibitory γ-aminobutyric acid system. General overview 11 2.2. GABAA receptors 12 2.2.1. Molecular biology of GABAA receptors 12 2.2.2. Diazepam as a classical benzodiazepine modulator of 14 GABAA receptors 2.2.3. Ethanol as a modulator of GABAA receptor function 15 2.3.
    [Show full text]
  • Study of CNS Depressant and Behavioral Effects of Cyclopyrrolone Compound Zopiclone in Different Animal Models
    id10341328 pdfMachine by Broadgun Software - a great PDF writer! - a great PDF creator! - http://www.pdfmachine.com http://www.broadgun.com ISSN : 0974 - 7532 Volume 4 Issue 4 Research & Reviews in Trade Science Inc. BBiiooSScciieenncceess Regular Paper RRBS, 4(4), 2010 [173-176] Study of CNS depressant and behavioral effects of cyclopyrrolone compound zopiclone in different animal models Uma A.Bhosale*1, Anand A.Bhosale2 1Dept. of Pharmacology SKNMC, Narhe (Ambegaon) Pune-41, (INDIA) 2Dept. of Pathology SKNMC, Narhe (Ambegaon) Pune-41, (INDIA) E-mail : [email protected] Received: 10th September, 2010 ; Accepted: 20th September, 2010 ABSTRACT KEYWORDS Objectives: To evaluate CNS depressant and behavioral effects of zopiclone Incline plane; in comparison with BZD (lorazepam) by using different animal models. Pentobarbitone Methods: Pharmacological assays used for evaluating CNS Depressant sleeping time; activity are righting reflex test, pentobarbitone sleeping time potentiation, Rota rod apparatus; Rota rod apparatus and Incline plane performance test in albino mice. Open Zopiclone. field apparatus (OFT) was used to study behavioral effects. Data analyzed ’s unpaired-‘t’ test and p<0.05 considered significant. by student Results: Zopiclone (7.5mg/kg p.o.) did not inhibit the Righting reflex however sig- nificant (p<0.001) potentiation of Pentobarbitone sleeping time and de- creased fall off time in Rota rod as well as inclined plane test (P<0.05, P<0.02 respectively) were observed. In OFT increased in exploration (P<0.001) suggestive of anxiolysis was observed. Conclusions: Zopiclone (7.5mg/kg p.o.) has weak CNS Depressant activity and more selective behavioral activity compared to BZDs.
    [Show full text]
  • Benzodiazepine Withdrawal - Does This Lead to an Increase in the Use of Antipsychotics?
    The Open Drug Safety Journal, 2012, 3, 1-6 1 Open Access Benzodiazepine Withdrawal - Does This Lead to an Increase in the Use of Antipsychotics? Viggo Rask Kragh Jørgensen* Lægehuset Thyborøn, Ærøvej 1b, 7680 Thyborøn, Denmark Abstract: Introduction: In 2004, two Danish GPs in the town of Thyborøn introduced a more restrictive approach to the prescription of benzodiazepines (BD) and cyclopyrrolones (CP). A prescription could only be renewed following personal consultation, and medication could only be prescribed for one month at a time. Every month, the practitioner and the pa- tient had to consider whether current levels of consumption were appropriate or whether a reduction was to be imple- mented. This approach reduced the consumption of anxiolytics and hypnotics by 87% and 92%, respectively, over a 3- year period. There is a general paucity of knowledge as to whether an intervention such as the one described above actu- ally reduces drug consumption, or merely transfers consumption to other drugs, where especially antipsychotics (AP) are in the spotlight. Materials and Methods: The current article describes the consumption of AP before and after the intervention. Consump- tion was followed via the Danish Medicines Agency's website Ordiprax, where one can determine the amount of prescrip- tion medications sold in pharmacies by individual medical practices. Results: In both practices, a non-significant increase in the overall consumption of AP was observed during the course of the intervention against BD and CP. Although the consumption of some AP subgroups experienced a significant increase, no specific pattern could be observed. Conclusion: The intervention against BD and CP did not result in a significant increase in total prescription volumes of AP.
    [Show full text]
  • Back Matter (PDF)
    MOLECULAR PHARMACOLOGY 26:605-609 AUTHOR INDEX FOR VOLUME 26 A berg, Aaron, Watanabe, Kyoichi A., Fox, Jack J., and Philips, Frederick S. Metabolic Competition Studies of 2’-Fluoro-S-iodo-l- Albengres, Edith. See Urien, Riant, Brioude, and Tillement, 322 f3-D-arabinofuranosylcytosine in Vero Cells and Herpes Simplex Albuquerque, E. X. See Aracava, Ikeda, Daly, and Brooks, 304 Type 1-Infected Vero Cells, 587 See Ikeda, Aronstam, Daly, and Aracava, 293 Christie, Nelwyn T. See Cantoni, Swann, Drath, and Costa, 360 Ambler, S. Kelly, Brown, R. Dale, and Taylor, Palmer. The Chrivia, John. See Bolger, Dionne, Johnson, and Taylor, 57 Relationship between Phosphatidylinositol Metabolism and Mobili- Colacino, Joseph M. See Chou, Lopez, Feinberg, Watanabe, Fox, and zation of Intracellular Calcium Elicited by Alpha,-Adrenergic Recep- Philips, 587 tar Stimulation in BC3H-1 Muscle Cells, 405 Collins, Sheila, and Marletta, Michael A. Carcinogen-Binding Aracava, Y. Ikeda, S. R., Daly, J. W., Brookes, N., and Albu- Proteins: High-Affinity Binding Sites for Benzo[ajpyrene in Mouse querque, E. X. Interactions of Bupivacaine with Ionic Channels of Liver Distinct from the Ah Receptor, 353 the Nicotonic Receptor: Analysis of Single-Channel Currents, 304 Cooper, Dermot M. F. See Sadler and Mailer, 526 See Ikeda, Aronstam, Daly, and Albuquerque, 293 Corbett, Michael D. See Doerge, 348 Aronstam, R. S. See Ikeda, S. R. , Daly, J. W., Aracava, Y. , and Cormier, Ethel. See Jordan, Lieberman, Koch, Bagley, and Ruenitz, Albuquerque, E. X. , 293 272 Aub, Debra L. See Putney, McKinney, and Leslie, 261 Costa, Erminio. See Quach, Tang, Kageyama, Mocchetti, Guidotti, Meek, and Schwartz, 255 B Costa, Max.
    [Show full text]
  • Insomnia in Adults
    New Guideline February 2017 The AASM has published a new clinical practice guideline for the pharmacologic treatment of chronic insomnia in adults. These new recommendations are based on a systematic review of the literature on individual drugs commonly used to treat insomnia, and were developed using the GRADE methodology. The recommendations in this guideline define principles of practice that should meet the needs of most adult patients, when pharmacologic treatment of chronic insomnia is indicated. The clinical practice guideline is an essential update to the clinical guideline document: Sateia MJ, Buysse DJ, Krystal AD, Neubauer DN, Heald JL. Clinical practice guideline for the pharmacologic treatment of chronic insomnia in adults: an American Academy of Sleep Medicine clinical practice guideline. J Clin Sleep Med. 2017;13(2):307–349. SPECIAL ARTICLE Clinical Guideline for the Evaluation and Management of Chronic Insomnia in Adults Sharon Schutte-Rodin, M.D.1; Lauren Broch, Ph.D.2; Daniel Buysse, M.D.3; Cynthia Dorsey, Ph.D.4; Michael Sateia, M.D.5 1Penn Sleep Centers, Philadelphia, PA; 2Good Samaritan Hospital, Suffern, NY; 3UPMC Sleep Medicine Center, Pittsburgh, PA; 4SleepHealth Centers, Bedford, MA; 5Dartmouth-Hitchcock Medical Center, Lebanon, NH Insomnia is the most prevalent sleep disorder in the general popula- and disease management of chronic adult insomnia, using existing tion, and is commonly encountered in medical practices. Insomnia is evidence-based insomnia practice parameters where available, and defined as the subjective perception of difficulty with sleep initiation, consensus-based recommendations to bridge areas where such pa- duration, consolidation, or quality that occurs despite adequate oppor- rameters do not exist.
    [Show full text]
  • DBL Flumazenil Data Sheet
    NEW ZEALAND DATA SHEET 1. PRODUCT NAME DBL™ Flumazenil Injection 2. QUALITATIVE AND QUANTITATIVE COMPOSITION Ampoules contain 0.1 mg/mL flumazenil in aqueous solution (for intravenous administration) and also the following ingredients: disodium edetate, acetic acid, sodium chloride, sodium hydroxide in water for injections adjusted to pH 4.0. DBL Flumazenil Injection is available as 0.5 mg/5 mL and 1 mg/10 mL ampoules. For the full list of excipients, see section 6.1. 3. PHARMACEUTICAL FORM DBL Flumazenil Injection is a colourless to almost colourless clear liquid, adjusted to pH 4.0. Solution for injection. 4. CLINICAL PARTICULARS 4.1 Therapeutic indications DBL Flumazenil Injection is indicated for use in hospitalised patients for the reversal of acute benzodiazepine effects (overdose or therapeutic). Hospitalised patients are patients admitted to hospital, inpatient care and under continued professional observation while under the influence of flumazenil. Not to be used in outpatients or short stay patients. Not to be used as a diagnostic. 4.2 Dose and method of administration DBL Flumazenil Injection should be administered intravenously by an anaesthetist or experienced physician. Dosage should be titrated for the intended effect. Since the duration of action of some benzodiazepines may exceed that of DBL Flumazenil Injection, repeated doses may be required if sedation recurs following awakening. The use of DBL Flumazenil Injection should be balanced against the risk of precipitating withdrawal symptoms (see section 4.4). The desirability of retaining a degree of sedation in the early postoperative period should be considered. DBL Flumazenil Injection may be diluted in glucose 5% in water or 0.9% NaCl for infusion and may also be used concurrently with other resuscitative procedures.
    [Show full text]
  • Zopiclone Produces Effects on Human Performance Similar to Flurazepam, Lormetazepam and Triazolam
    Br. J. clin. Pharmac. (1986), 21, 647-653 Zopiclone produces effects on human performance similar to flurazepam, lormetazepam and triazolam A. N. GRIFFITHS', D. M. JONES2 & A. RICHENS1 'Department of Pharmacology and Therapeutics, University of Wales College of Medicine, Cardiff and 2Department of Applied Psychology, University of Wales Institute of Science and Technology, Cardiff 1 The cognitive function and psychomotor performance of 10 healthy male volunteers were measured following single oral doses of: zopiclone (7.5 mg), flurazepam (15 mg), lormetazepam (1 mg), triazolam (0.25 mg) and placebo. 2 The performance tests selected (stroop task, five choice serial reaction time, memory span, logical reasoning, mood and saccadic eye movement analysis) were thought to reflect aspects of normal daily activity. 3 The tests demonstrated a clear reduction of performance for all active treatments. No drug emerged as the most potent sedative overall, as each of the tests was affected to a different degree by each drug. 4 Drug effects were not qualitatively different between active treatments so that zopi- clone was indistinguishable from the three benzodiazepines with which it was compared. Keywords zopiclone benzodiazepines human performance saccadic eye movements Introduction Zopiclone is a cyclopyrrolone derivative which, (7.5 mg) has been shown to be effective as an although structurally unrelated to the benzodia- hypnotic (Wickstrom & Giercksky, 1980), zepines, shares their pharmacological profile. and furthermore, Lader & Denney (1983) Binding studies have shown that zopiclone binds reported this dose to be the preferred hypnotic to brain benzodiazepine receptors but is not dose. recognised by peripheral (renal) benzodiazepine The marketed benzodiazepines selected for receptors.
    [Show full text]
  • New Zealand Data Sheet
    NEW ZEALAND DATA SHEET 1 PRODUCT NAME (strength pharmaceutical form) Flumazenil Kabi 0.1 mg/mL solution for injection 2 QUALITATIVE AND QUANTITATIVE COMPOSITION Each mL contains 0.1 mg flumazenil. 1 ampoule with 5 mL contains 0.5 mg flumazenil. 1 ampoule with 10 mL contains 1 mg flumazenil. For the full list of excipients, see section 6.1. 3 PHARMACEUTICAL FORM Concentrate for solution for infusion Flumazenil Kabi Injection is a colourless to almost colourless clear liquid. The active ingredient of flumazenil belongs to the chemical group of 1,2- imidazo benzodiazepines and is ethyl 8-fluoro-5,6-dihydro-5-methyl-6-oxo- 4H-imidazo [1,5-a] [1,4] benzodiazepine -3- carboxylate (flumazenil). It has a molecular weight of 303.3. Flumazenil Kabi Injection – Data Sheet 4 CLINICAL PARTICULARS 4.1 Therapeutic indications Flumazenil Injection is indicated for reversal of the centrally sedative effects of benzodiazepines. It should therefore be used in anaesthesia and intensive care in the following indications: In anaesthesia • Termination of general anaesthesia induced and maintained with benzodiazepines in inpatients. • Reversal of benzodiazepine sedation in short diagnostic and therapeutic procedures in both inpatients and outpatients. •Reversal of paradoxical reactions due to benzodiazepines. In intensive care and in the management of unconsciousness of unknown origin • For the diagnosis and/or management of benzodiazepine overdose due to self- poisoning or accidental overdose. • As a diagnostic measure in unconsciousness of unknown origin to differentiate between involvement of benzodiazepines, other medicines or drugs or brain damage. • Flumazenil Injection may also be used for specific reversal of the central effects of benzodiazepines in drug or medicine overdose (return to spontaneous respiration and consciousness in order to render intubation unnecessary or allow extubation).
    [Show full text]
  • Psychotropic Drug Usage and Human Behaviour During Fire Emergencies
    Psychotropic Drug Usage and Human Behaviour During Fire Emergencies Submitted by Chris Lykiardopoulos PostGradDip (Psych), GradDip (Psych), BBA Victoria University This thesis is submitted in total fulfilment of the requirements for the degree of Doctor of Philosophy School of Psychology Victoria University, Melbourne, Australia December 2014 DRUG USE AND HUMAN BEHAVIOUR DURING FIRE EMERGENCIES ii Declaration I, Chris Lykiardopoulos, declare that the PhD titled “Psychotropic Drug Usage and Human Behaviour During Fire Emergencies” is no more than 100,000 words in length including quotes and exclusive of tables, figures, appendices, bibliography, references and footnotes. This thesis contains no material that has been submitted previously, in whole or in part, for the award of any other academic degree or diploma. Except where otherwise indicated, this thesis is my own work. Signature: Date: DRUG USE AND HUMAN BEHAVIOUR DURING FIRE EMERGENCIES iii Abstract Relatively little is known about the impact psychotropic drugs, particularly sedatives, have on human behaviour in a residential fire emergency. Two separate but related avenues of investigation were conducted to explore human behaviour in fire when under the influence of psychotropic drugs. In Study One the efficacy of current and alternative smoke alarm signals was tested after the consumption of hypnotics. A supplementary objective was to examine the relationship between sleep quality and arousal thresholds. Study Two retrospectively analysed an Australian database of fire fatalities using advanced algorithmic modelling techniques to determine: (a) if users of psychotropics and hypnotics were overrepresented in the Australian fire fatality statistics; and (b) the relationship between psychotropic drug consumption and a number of behavioural, environmental, and demographic risk factors.
    [Show full text]
  • Zopiclone Orion Date: 16-11-2016, Version 1.2 PUBLIC SUMMARY OF
    Zopiclone Orion Date: 16-11-2016, Version 1.2 PUBLIC SUMMARY OF THE RISK MANAGEMENT PLAN VI.2 Elements for a Public Summary VI.2.1 Overview of disease epidemiology Insomnia (i.e. sleeplessness) is a common sleep disorder which may make a person hard to fall asleep, hard to stay asleep or both, despite the opportunity for adequate sleep. Insomnia can be acute (short-term) or chronic (ongoing). Acute insomnia is common, lasts for days or weeks and often is brought on by situations such as stress at work, family pressures, or a traumatic event. Chronic insomnia lasts for a month or longer. Most cases of chronic insomnia are secondary, which means they are the symptom or side effect of some other problem e.g. medical conditions, medicines, sleep disorders, and use of substances like caffeine and nicotine. For many people restful sleep can be restored back by changing one’s sleep habits and addressing any underlying causes of insomnia, such as medical conditions or medications. If these measures don't work, medications (called hypnotic agents) which help with relaxation and sleep, may be recommended by the doctor. VI.2.2 Summary of treatment benefits Zopiclone is a benzodiazepine-like hypnotic agent/sleeping tablet which belongs to the group of cyclopyrrolones. The pharmacological properties are: sedation (calms down), anxiolysis (relieves anxiety), anticonvulsion (prevent or reduce the severity of epileptic fits or other convulsions), and muscle relaxation. It is used in adults as a sleeping drug for various kinds of sleeping problems, e.g. difficulty falling asleep, waking up too early or too many nightly awakenings.
    [Show full text]