Which statement regarding anxiolytic and hypnotic agents is correct?

Prepare for the Lippincott Pharmacology Exam with interactive flashcards and multiple-choice questions, each accompanied by detailed hints and explanations. Master your exam with ease!

The correct statement is that phenobarbital induces respiratory depression, which is enhanced by the consumption of ethanol. This is significant because both phenobarbital, a barbiturate, and ethanol are central nervous system (CNS) depressants. When used together, they can have additive effects on respiratory depression, which can lead to serious complications such as hypoventilation or respiratory failure. Understanding the way these substances interact is critical for safe prescribing practices, especially in patients who may be using multiple CNS depressants.

The other options either present incorrect information about the uses and actions of the respective drugs or do not accurately describe their pharmacological profiles. For instance, while phenobarbital does interact with various metabolic pathways, its indication for acute intermittent porphyria is not appropriate, as it can actually exacerbate this condition. Diazepam's role in inducing the cytochrome P450 system is also not as straightforward as suggested, particularly regarding other drug interactions. Lastly, buspirone does not have actions similar to benzodiazepines; it functions primarily as a serotonin receptor agonist and does not exert the same sedative effects or dependence potential associated with benzodiazepines. This distinction is crucial in clinical practice when managing anxiety and sleep disorders

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