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Pathway Description
Bromazepam Action Pathway
Homo sapiens
Drug Action Pathway
Bromazepam is a short-acting benzodiazepine with intermediate onset commonly used to treat panic disorders and severe anxiety.
Bromazepam is a lipophilic, long-acting benzodiazepine and with sedative, hypnotic, anxiolytic and skeletal muscle relaxant properties. It does not possess any antidepressant qualities. Bromazepam, like other benzodiazepines, presents a risk of abuse, misuse, and dependence. According to many psychiatric experts, Bromazepam has a greater abuse potential than other benzodiazepines because of fast resorption and rapid onset of action.
Bromazepam allosterically binds on the benzodiazepine receptors in the post-synaptic GABA-A ligand-gated chloride channel in different sites of the central nervous system (CNS). This binding will result in an increase on the GABA inhibitory effects which is translated as an increase in the flow of chloride ions into the cell causing hyperpolarization and stabilization of the cellular plasma membrane, ultimately leading to a sedative-like effect.
References
Bromazepam Pathway References
Miller A, McKee A, Mazer C. D. Chapter 4 - Sedation, Analgesia and Related Topics. Cardiothoracic Critical Care 53-70, 2007.
Kandasamy J, Waldemar A. C, 34 - Pharmacologic Therapies IV: Other Medications. Assisted Ventilation of the Neonate 6: 336-379, 2017.
Dodd-Butera T. Broderick M, Diazepam. Encyclopedia of Toxicology 2: 783-785, 2005.
Seksel K, Chapter 7 - Behaviour-modifying drugs. Small Animal Clinical Pharmacology 2: 126-147, 2008.
Wishart DS, Feunang YD, Guo AC, Lo EJ, Marcu A, Grant JR, Sajed T, Johnson D, Li C, Sayeeda Z, Assempour N, Iynkkaran I, Liu Y, Maciejewski A, Gale N, Wilson A, Chin L, Cummings R, Le D, Pon A, Knox C, Wilson M: DrugBank 5.0: a major update to the DrugBank database for 2018. Nucleic Acids Res. 2018 Jan 4;46(D1):D1074-D1082. doi: 10.1093/nar/gkx1037.
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