Benzodiazepines properties

Buspirone does not share any of the problematic benzodiazepine properties such as sedation, motor impairment, addiction, physical dependence, or withdrawal. The most common side effects of buspirone include dizziness, nausea, headache, fatigue, and dry mouth. Despite its activity in the serotonin system, buspirone is not associated with the sexual side effects that plague the SSRIs, SNRIs, MAOIs, and TCAs. 

The CCK system shares one property with the opioid system, ie, the existence of selective nonpeptide antagonists. These include aspedicine, a natural benzodiazepine (136), and Devazepide (L-364,718 MK-329) (137). Selective, potent peptide antagonists for CCK, eg, Cl-988 and PD 134308, have been developed that maybe useful as anxiolytics and as dmgs which increase the analgesic effect of morphine but at the same time prevent morphine tolerance (138) (see Hypnotics, sedatives, anticonvulsants, and anxiolytics). 

Combinations of barbiturates and benzodiazepine tranquilizers or even antihistaminergics having sedative properties are sometimes used. Furthermore, infusion of anesthetics can be used to provide long-term anesthesia for intensive care medicine. The antagonist flumazenil (18) is available to reverse the effects of anesthetics of the benzodiazepine class. 

Other agents are also used for the treatment of manic-depressive disorders based on preliminary clinical results (177). The antiepileptic carbamazepine [298-46-4] has been reported in some clinical studies to be therapeutically beneficial in mild-to-moderate manic depression. Carbamazepine treatment is used especially in bipolar patients intolerant to lithium or nonresponders. A majority of Hthium-resistant, rapidly cycling manic-depressive patients were reported in one study to improve on carbamazepine (178). Carbamazepine blocks noradrenaline reuptake and inhibits noradrenaline exocytosis. The main adverse events are those found commonly with antiepileptics, ie, vigilance problems, nystagmus, ataxia, and anemia, in addition to nausea, diarrhea, or constipation. Carbamazepine can be used in combination with lithium. Several clinical studies report that the calcium channel blocker verapamil [52-53-9] registered for angina pectoris and supraventricular arrhythmias, may also be effective in the treatment of acute mania. Its use as a mood stabilizer may be unrelated to its calcium-blocking properties. Verapamil also decreases the activity of several neurotransmitters. Severe manic depression is often treated with antipsychotics or benzodiazepine anxiolytics. 

A decrease in the basic properties of the reagent in going from 1,2-diaminoethane to 1,2-diaminobenzene leads, in the case of ynaminoketones (X = Me), to the 1,3-orientation of binucleophile and the formation of the benzodiazepines 356, suggesting that the carbonyl group is also involved in the heterocyclization. 

McKernan RM, Rosahl TW, Reynolds DS et al (2000) Sedative but not anxiolytic properties of benzodiazepines are mediated by the GABAa receptor al subtype. Nat Neurosci 3 587-592... 

The benzodiazepine nucleus is extremely important, as it is the base of several drugs and other biologically active compounds with different properties. A facile synthesis of 2-methyl-l,4-benzodiazepin-5-ones has been described by Santagada and co-workers [162]. Isatoic anhydride 254 was reacted with M-substituted allylamines under microwave irradiation to give compound 255... 

Brogden RN, Goa KL Flumazenil a preliminary review of its benzodiazepine antagonist properties, intrinsic activity and therapeutic use. Drugs 35 448 67, 1988... 

Buldakova S, Weiss M Electrophysiological evidence for agonist properties of flumazenil, a benzodiazepine receptor antagonist, in rat hippocampus slices. J Neurol Sci 149 121-126, 1997... 

In addition to useful polymers, thiophene derivatives have a variety of other interesting properties. Novel benzodiazepine analogues such as 46 and related compound 47 continue to... 

J, Cook, G, Ferris, P, Garrett, L, Bristow, F, Marshall, G, Macaulay, A, Brown, N, Howell, O, Moore, KW, Carling, RW, Street, LJ, Castro, JF, Ragan, Cl, Dawson, GR and Whiting, PJ (2000) Sedative but not anxiolytic properties of benzodiazepines are mediated by the GABAa receptor alphal subtype. Nat. Neurosci. 3 587-592. 

Moehler, H and Okada, T (1977) Properties of [3H]diazepam binding to benzodiazepine receptors in rat cerebral cortex. Life Sci. 20 2101-2110. 

A benzodiazepine template was also reported by researchers at GlaxoSmithKline [85]. The lead molecule GW405212, (40), was identified from a 1,296-member library of 1,4-benzodiazepines prepared on Tentagel beads and screened initially in pools of 30 against CHO cells expressing the human oxytocin receptor. It is a highly potent inhibitor of oxytocin binding with a K of 8nM [86]. However, all attempts to improve the pharmacokinetic properties of this molecule were unsuccessful. It appears that the functionality responsible for the oxytocin activity is distributed around the periphery... 

Matricaria recutita, known as German chamomile, is also purported to have antispasmodic properties. It is taken most often as a tea up to four times a day. Benzodiazepine, alcohol, and warfarin users should be cautioned against taking this product because it can cause drowsiness, and it contains coumarin derivatives.20... 

Benzodiazepines are the evidence-based treatment of choice for uncomplicated alcohol withdrawal.17 Barbiturates are not recommended because of their low therapeutic index due to respiratory depression. Some of the anticonvulsants have also been used to treat uncomplicated withdrawal (particularly car-bamazepine and sodium valproate). Although anticonvulsants provide an alternative to benzodiazepines, they are not as well studied and are less commonly used. The most commonly employed benzodiazepines are chlordiazepoxide, diazepam, lorazepam, and oxazepam. They differ in three major ways (1) their pharmacokinetic properties, (2) the available routes for their administration, and (3) the rapidity of their onset of action due to the rate of gastrointestinal absorption and rate of crossing the blood-brain barrier. 

Huen MS, Leung JW, Ng W, et al. Dihydroxy-6-methoxyflavone, a benzodiazepine site ligand isolated from Scutellaria baicalensis Georgi, with selective antagonistic properties. Biochem Pharmacol 2003 66 125-127. 

The most widely researched properties of benzodiazepines are their ability to reduce anxiety and convulsions through the above mechanisms. Clinically, the avail-... 

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