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SEDATIVE HYPNOTIC Short-term use (days to a few weeks) for insomnia; not for long term use Long-term use (months or years); long-term use can cause druginduced abnormalities in the patient's sleep cycle In combination with analgesics in painful situations Preoperative anesthetics Dental work, surgery, etc. USES Flurazepam (Dalmane) Schedule IV Alprazolam (Xanax), Schedule IV Lorazepam (Ativan), Schedule IV Diazepam (Valium), Schedule IV Temazepam (Restoril), Schedule IV Triazolam (Halcion), Schedule IV Clonazepam (Klonopin), Schedule IV Chlordiazepoxide (Librium), Schedule IV BENZODIAZEPINES PRESCRIBERS ARE MORE LIKELY TO PRESCRIBE A NON-CONTROLLED LEGEND DRUG BEFORE A CONTROLLED SUBSTANCE LIKE BENZOS. “Z Drugs” are a group of nonbenzodiazepine drugs with effects similar to benzodiazepines which are used in the treatment of insomnia and whose names mostly start with the letter “Z”. Some “Z” drugs may have advantages over benzodiazepines: Zolpidem (Ambien), Schedule IV Eszopiclone (Lunesta), Schedule IV Zaleplon (Sonata), Schedule IV Ramelteon (Rozerem), Legend Drug, is a melatonin receptor agonist-mimics the action of melatonin MISC. DRUGS SIMILAR TO BENZOS Drowsiness Addiction Tolerance and dependence Respiratory and cardiac depression (with high doses) SIDE EFFECTS SKELETAL MUSCLE RELAXANTS Relieve muscle spasm associated with muscle inflammation and injury Useful in neuromuscular disorders such as Multiple Sclerosis and Cerebral Palsy USES Cyclobenzaprine (Flexeril), Legend Drug Methocarbamol (Robaxin), Legend Drug Baclofen (Lioresal), Legend Drug Carisoprodol (Soma), Schedule IV Metaxalone (Skelaxin), Legend Drug Tizanidine (Zanaflex), Legend Drug Orphenadrine (Norflex), Legend Drug Chlorzoxazone (Parafon Forte), Legend Drug EXAMPLES Drowsiness Addiction Tolerance and dependence Respiratory and cardiac depression (with high doses) SIDE EFFECTS