Drilldown: Medicines

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Medicines (732)

Medicines > classes

: Anticonvulsant

or Cathinone

or [[:Category:Sleep aids|Sleep aid]]

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3-MMC (1) · Brivaracetam (1) · Butylone (1) · Cannabidiol (1) · Cathinone (1) · Cenobamate (1) · Clobazam (1) · Diphenhydramine (hydrochloride; citrate) (1) · Ephylone (1) · Eslicarbazepine (1) · Ethcathinone (1) · Ethosuximide (1) · Ethylone (1) · Felbamate (1) · Fenfluramine (1) · Fosphenytoin (1) · Hexedrone (1) · Lacosamide (1) · Melatonin (N-acetyl-5-methoxytryptamine) (1) · Mephedrone (1) · Methcathinone (1) · Methylone (1) · Mexedrone (1) · N-Ethylhexedrone (1) · N-Ethylpentedrone (1) · Pentedrone (1) · Perampanel (1) · Phenobarbital (1) · Phenytoin (1) · Rufinamide (1) · Stiripentol (1) · Tiagabine (1) · Trazodone (1) · Valproic acid (1) · Vigabatrin (1) · Zolpidem (tartrate) (1) · Zonisamide (1)

None (2) · AMPA receptor antagonist (1) · Cathinone analogue; monoamine reuptake inhibitor (2) · GABA enhancer; sodium channel blocker; histone deacetylase inhibitor (1) · GABA reuptake inhibitor (GAT-1 blocker) (1) · GABAA positive allosteric modulator (1) · GABAA positive allosteric modulator; lactate dehydrogenase inhibitor (1) · GABAA potentiator and direct activator (1) · Irreversible GABA-T inhibitor (1) · Monoamine releasing agent (4) · Monoamine releasing agent; active ingredient in khat (1) · Multiple mechanisms; GPR55 antagonist; TRPV1 agonist (1) · NMDA antagonist; GABAA potentiator (1) · Norepinephrine and dopamine releasing agent (1) · Norepinephrine/dopamine releasing agent (1) · Norepinephrine/dopamine reuptake inhibitor (1) · Prodrug of phenytoin; sodium channel blocker (1) · Serotonin releaser; sigma-1 agonist (1) · Serotonin releasing agent; monoamine reuptake inhibitor (1) · Serotonin/norepinephrine/dopamine releasing agent (3) · Slow-inactivation sodium channel enhancer; CRMP-2 ligand (1) · Sodium channel blocker (2) · Sodium channel blocker; GABAA positive allosteric modulator (1) · Sodium channel modulator (1) · Sodium/T-type calcium channel blocker; carbonic anhydrase inhibitor (1) · SV2A ligand (higher affinity than levetiracetam) (1) · T-type calcium channel blocker (1) · '"`UNIQ--vote-00000017-QINU`"' '''Priapism''' is a recognized rare adverse effect via α1 antagonism in penile vasculature and is the marquee counseling point for male patients'"`UNIQ--ref-00000018-QINU`"'. (1) · '"`UNIQ--vote-0000001D-QINU`"' Major Beers-list concern in elderly patients for cognitive and fall risks. CYP2D6 substrate. At massive overdose, also produces sodium channel blockade with cardiac toxicity'"`UNIQ--ref-0000001E-QINU`"'. '"`UNIQ--effect-0000001F-QINU`"' (1)

None (33) · '''5 mg PO at bedtime for women, 5-10 mg for men''' (per FDA's 2013 sex-specific dose reduction for women due to slower clearance). Ambien CR 6.25 mg women / 6.25-12.5 mg men. Intermezzo SL 1.75 mg women / 3.5 mg men (1) · 0.5-3 mg PO 30-60 minutes before bedtime. Some patients respond to micro-doses (0.3 mg) without additional benefit at higher doses. For circadian phase shifting, timing relative to dim-light melatonin onset matters more than absolute dose (1) · Allergy: 25-50 mg PO every 4-6 hours. Insomnia: 25-50 mg PO at bedtime. IV (acute dystonia, severe allergic reaction): 25-50 mg slow IV push (1) · Insomnia (off-label): 25-50 mg PO at bedtime, titrate to effect. Depression: 150 mg/day divided BID-TID; titrate to 400 mg/day outpatient or 600 mg/day inpatient (1)

None (33) · IR tablets 5, 10 mg; CR tablets 6.25, 12.5 mg; SL tablets 1.75, 3.5, 5, 10 mg; oral spray (1) · IR tablets 50, 100, 150, 300 mg; Oleptro ER tablets 150, 300 mg (1) · OTC tablets, sublingual tablets, gummies, liquid, extended-release tablets and capsules; common strengths 0.5, 1, 3, 5, 10 mg (1) · Tablets 25, 50 mg; capsules; liquid; chewable; topical cream/gel; injection 50 mg/mL (1)

None (33) · 10 mg/day (IR); 12.5 mg/day (CR) (1) · 300 mg/day (oral) (1) · 400 mg/day outpatient; 600 mg/day inpatient (1) · Not formally established (dietary supplement); doses above ~3-5 mg show no additional efficacy but increase next-day sedation risk (1)

None (33) · IM (1) · IV (1) · Oral (4) · oromucosal spray (1) · sublingual (2) · topical (1)

None (33) · 15-30 minutes (1) · 15-30 minutes (oral); 1-2 minutes (IV) (1) · 30-60 minutes (immediate-release oral) (1) · Sleep effect within 30-60 minutes; antidepressant effect over 1-2 weeks (1)

None (33) · 3-4 hours (1) · 4-6 hours (1) · 6-8 hours (IR); 8 hours (CR via biphasic release) (1) · ~6-8 hours (IR); 24 hours (Oleptro ER) (1)

None (33) · 30-50 minutes (short)'"`UNIQ--ref-00000021-QINU`"' (1) · 4-8 hours (longer in elderly, 9-13 hours)'"`UNIQ--ref-00000026-QINU`"' (1) · Biphasic: ~3-6 hours alpha, ~5-9 hours beta'"`UNIQ--ref-0000001D-QINU`"' (1) · ~2.5 hours'"`UNIQ--ref-0000001A-QINU`"' (1)

None (33) · ~15% (oral; highly variable due to extensive and variable first-pass metabolism)'"`UNIQ--ref-00000022-QINU`"' (1) · ~40-60% (oral, with significant first-pass)'"`UNIQ--ref-00000027-QINU`"' (1) · ~65% (oral)'"`UNIQ--ref-0000001E-QINU`"' (1) · ~70% (oral)'"`UNIQ--ref-0000001B-QINU`"' (1)

None (33) · Limited human data; case reports of neonatal sedation with late-pregnancy exposure.[[[Pharmacopedia:Citation needed|citation needed]]] (1) · Limited human data; endogenous hormone, but supplemental pharmacological doses are not well characterized in pregnancy.[[[Pharmacopedia:Citation needed|citation needed]]] (1) · Limited human data; observational signals inconclusive.[[[Pharmacopedia:Citation needed|citation needed]]] (1) · Older agent with substantial use experience; broadly considered safe in pregnancy'"`UNIQ--ref-00000028-QINU`"' (1)

None (33) · [[USLegal:Over-the-counter|OTC]] dietary supplement in the US ('''not FDA-regulated as a medicine'''; multiple studies show OTC products contain 50-470% of labeled melatonin content); [[USLegal:Prescription only|Rx-only]] in the EU and UK (1) · [[USLegal:Over-the-counter|OTC]] for most oral and topical formulations; [[USLegal:Prescription only|Rx-only]] for injectable (1) · [[USLegal:Prescription only|Rx-only]] in US. Carries the antidepressant '''Boxed Warning''' for suicidality in children, adolescents, and young adults'"`UNIQ--ref-0000001F-QINU`"' (1) · [[USLegal:Schedule IV|Schedule IV controlled substance]] in US. Carries the FDA '''Boxed Warning''' for '''complex sleep behaviors''' (sleep-driving, sleep-walking, sleep-eating, other parasomnias) added in 2019'"`UNIQ--ref-0000001C-QINU`"' (1)