Thienodiazepines: Difference between revisions
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Similar to [[benzodiazepines]], [[Thienodiazepine#Discontinuation|the sudden discontinuation of thienodiazepines]] can be potentially dangerous or life-threatening for individuals using regularly for extended periods of time, sometimes resulting in seizures or death. It is highly recommended to [[taper]] one's dose by gradually lowering the amount taken each day for a prolonged period of time instead of stopping abruptly.<ref>Canadian Guideline for Safe and Effective Use of Opioids for Chronic Non-Cancer Pain - Appendix B-6: Benzodiazepine Tapering | http://nationalpaincentre.mcmaster.ca/opioid/cgop_b_app_b06.html</ref> | Similar to [[benzodiazepines]], [[Thienodiazepine#Discontinuation|the sudden discontinuation of thienodiazepines]] can be potentially dangerous or life-threatening for individuals using regularly for extended periods of time, sometimes resulting in seizures or death. It is highly recommended to [[taper]] one's dose by gradually lowering the amount taken each day for a prolonged period of time instead of stopping abruptly.<ref>Canadian Guideline for Safe and Effective Use of Opioids for Chronic Non-Cancer Pain - Appendix B-6: Benzodiazepine Tapering | http://nationalpaincentre.mcmaster.ca/opioid/cgop_b_app_b06.html</ref> | ||
== List of substituted thienodiazepines== | ==List of substituted thienodiazepines== | ||
{| class="wikitable" | {| class="wikitable" | ||
|- | |- | ||
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! scope="col" style="width: 50px;" | '''R<sub>1</sub>''' | ! scope="col" style="width: 50px;" | '''R<sub>1</sub>''' | ||
! scope="col" style="width: 50px;" | '''R<sub>2</sub>''' | ! scope="col" style="width: 50px;" | '''R<sub>2</sub>''' | ||
! scope="col" style="width: 50px;" | '''R<sub>3</sub>''' | |||
! scope="col" style="width: 50px;" | '''R<sub>5</sub>''' | ! scope="col" style="width: 50px;" | '''R<sub>5</sub>''' | ||
! scope="col" style="width: 50px;" | '''R<sub>7</sub>''' | ! scope="col" style="width: 50px;" | '''R<sub>7</sub>''' | ||
! scope="col" | '''Structure''' | ! scope="col" | '''Structure''' | ||
|- | |- | ||
| [[ | | [[Brotizolam]] || C(CH<sub>3</sub>)=N- || =N-|| H<sub>2</sub> || C<sub>6</sub>H<sub>4</sub>Cl || Br || [[File:Brotizolam.svg|170px]] | ||
|- | |- | ||
| [[Deschloroetizolam]] || C(CH<sub>3</sub>)=N- || =N-|| C<sub>6</sub>H<sub>5</sub> || CH<sub>2</sub>CH<sub>3</sub> || [[File:Deschloroetizolam.svg|170px]] | | [[Deschloroetizolam]] || C(CH<sub>3</sub>)=N- || =N-|| H<sub>2</sub> || C<sub>6</sub>H<sub>5</sub> || CH<sub>2</sub>CH<sub>3</sub> || [[File:Deschloroetizolam.svg|170px]] | ||
|- | |- | ||
| [[Metizolam]] || CH=N- || =N-|| C<sub>6</sub>H<sub>4</sub>Cl || CH<sub>2</sub>CH<sub>3</sub> || [[File:Metizolam.svg|170px]] | | [[Etizolam]] || C(CH<sub>3</sub>)=N- || =N-|| H<sub>2</sub> || C<sub>6</sub>H<sub>4</sub>Cl || CH<sub>2</sub>CH<sub>3</sub> || [[File:Etizolam.svg|170px]] | ||
|- | |||
| [[Fluclotizolam]] || C(CH<sub>3</sub>)=N- || =N-|| H<sub>2</sub> || C<sub>6</sub>H<sub>4</sub>F || Cl || [[File:Fluclotizolam.svg|170px]] | |||
|- | |||
| [[Metizolam]] || CH=N- || =N-|| H<sub>2</sub> || C<sub>6</sub>H<sub>4</sub>Cl || CH<sub>2</sub>CH<sub>3</sub> || [[File:Metizolam.svg|170px]] | |||
|- | |- | ||
|} | |} |