Nepinalone

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Nepinalone


Nepinalone is a sedative and analgesic drug that belongs to the cyclopyrrolone family of nonbenzodiazepine GABA_A receptor agonist drugs. Nepinalone was developed in the late 1980s and is used primarily in the treatment of insomnia and as a premedication for surgery or medical procedures.

Pharmacology[edit | edit source]

Nepinalone acts as a full agonist at the benzodiazepine site of the GABA_A receptor, leading to increased activity of the inhibitory neurotransmitter GABA. This results in sedative, anxiolytic, and muscle relaxant effects. The drug has a rapid onset of action, with effects typically beginning within 15 minutes of administration and lasting for several hours.

Medical Uses[edit | edit source]

Nepinalone is primarily used for the short-term treatment of insomnia. It is also used as a premedication for surgery or medical procedures to reduce anxiety and induce sedation. In some cases, it may be used for the treatment of certain types of seizure disorders.

Side Effects[edit | edit source]

Common side effects of Nepinalone include drowsiness, dizziness, and impaired coordination. Less common side effects can include amnesia, confusion, and changes in mood or behavior. Long-term use of Nepinalone can lead to tolerance, dependence, and withdrawal symptoms upon discontinuation.

History[edit | edit source]

Nepinalone was developed in the late 1980s as part of a new class of nonbenzodiazepine GABA_A receptor agonists. These drugs were designed to have the beneficial effects of benzodiazepines, such as sedation and anxiolysis, without the associated risks of dependence and withdrawal.

See Also[edit | edit source]

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Contributors: Prab R. Tumpati, MD