Comparison of Anxiolytic Drugs of Diazepam and Zolpidem in Patients Undergoing Extraction
Journal of Pharmaceutical Research International,
Page 178-187
DOI:
10.9734/jpri/2020/v32i1830701
Abstract
Anxiolytic drugs are a class of drugs that reduce the anxiety levels in the individuals by nonspecifically binding to the GABAα located throughout the central nervous system. The aim of this study was to compare the anxiolytic effects of diazepam and Zolpidem in patients undergoing extraction. This was a cross-sectional study conducted at a university setting, with a sample size of 100 patients, of the age group 25-45 years. 50 patients were administered with Tab. Diazepam and 50 patients with Tab. Zolpidem one hour before the surgical procedure. The Hamilton Anxiety Rating Scale (HAM-A Scale) was used to record the patient's anxiety levels before and during the extraction procedure. These data were then recorded in MS Excel Sheet and imported to SPSS for statistical analysis. From this study, it can be seen that most of the patients were females and mainly between the age group 25-35 years. Diazepam had significantly lesser post sedation anxiety levels in comparison with its post sedation levels than zolpidem with, a statistically significant difference (p<0.001). Therefore, it can be concluded that diazepam had better post sedation effects than zolpidem in patients undergoing extraction as patients presented with lesser severity in their anxiety levels.
Keywords:
- Anxiety
- diazepam
- zolpidem
How to Cite
References
Available:http://dx.doi.org/10.14219/jada.archive.1983.0285
Domoto P, Weinstein P, Kamo Y, Wohlers K, Fiset L, Tanaka A. Dental fear of Japanese residents in the United States. Anesth Prog. 1991;38(3):90–5.
Malamed SF. Sedation and safety: 36 years of perspective. Alpha Omegan. 2006;99(2):70–4.
&na;, &NA; Anesthesia and Co-Existing Disease, 3rd ed. Robert K. Stoelting and Stephen F. Dierdorf. New York/ Edinburgh/London/Madrid/Melbourne/Tokyo [Internet]. Anesthesia & Analgesia. 1994;78:415.
Available:http://dx.doi.org/10.1213/00000539-199402000-00052
Higashima M, Kinoshita H, Yamaguchi N, Koshino Y. Differences in enhancing effects of zolpidem and benzodiazepine drugs on recurrent inhibition in rat hippocampal slices [Internet]. Psychopharmacology. 1997;131:394–8.
Available:http://dx.doi.org/10.1007/s002130050308
Inducible transcription factors in neurons: The missing link in adaptation? Tom Curran and James I. Morgan, Roche Institute of Molecular Biology, Nutley, NJ 07110 [Internet]. Neurochemistry International. 1990;16:2.
Available:http://dx.doi.org/10.1016/0197-0186(90)90165-p
Holm KJ, Goa KL. Zolpidem: an update of its pharmacology, therapeutic efficacy and tolerability in the treatment of insomnia. Drugs. 2000;59(4):865–89.
Langtry HD, Benfield P. Zolpidem. A review of its pharmacodynamic and pharmacokinetic properties and therapeutic potential. Drugs. 1990;40(2):291–313.
Anbu RT, Suresh V, Gounder R, Kannan A. Comparison of the Efficacy of Three Different Bone Regeneration Materials: An Animal Study. Eur J Dent. 2019;13(1):22–8.
Ashok V, Ganapathy D. A geometrical method to classify face forms. J Oral Biol Craniofac Res. 2019;9(3):232–5.
Ganapathy DM, Kannan A, Venugopalan S. Effect of Coated Surfaces influencing Screw Loosening in Implants: A Systematic Review and Meta-analysis. World Journal of Dentistry. 2017;8(6):496–502.
Jain AR. Clinical and Functional Outcomes of Implant Prostheses in Fibula Free Flaps. World Journal of Dentistry. 2017;8(3):171–6.
Ariga P, Nallaswamy D, Jain AR, Ganapathy DM. Determination of Correlation of Width of Maxillary Anterior Teeth using Extraoral and Intraoral Factors in Indian Population: A Systematic Review. World Journal of Dentistry. 2018;9(1):68–75.
Evaluation of Corrosive Behavior of Four Nickel–chromium Alloys in Artificial Saliva by Cyclic Polarization Test: An in vitro Study. World Journal of Dentistry. 2017;8(6):477–82.
Ranganathan H, Ganapathy DM, Jain AR. Cervical and Incisal Marginal Discrepancy in Ceramic Laminate Veneering Materials: A SEM Analysis. Contemp Clin Dent. 2017;8(2):272–8.
Jain AR. Prevalence of Partial Edentulousness and Treatment needs in Rural Population of South India. World Journal of Dentistry. 2017;8(3):213–7.
Duraisamy R, Krishnan CS, Ramasubramanian H, Sampathkumar J, Mariappan S, Navarasampatti Sivaprakasam A. Compatibility of Nonoriginal Abutments With Implants: Evaluation of Microgap at the Implant-Abutment Interface, With Original and Nonoriginal Abutments. Implant Dent. 2019;28(3):289–95.
Gupta P, Ariga P, Deogade SC. Effect of Monopoly-coating Agent on the Surface Roughness of a Tissue Conditioner Subjected to Cleansing and Disinfection: A Contact Profilometric Study. Contemp Clin Dent. 2018;9(1):122–6.
Varghese SS, Ramesh A, Veeraiyan DN. Blended Module-Based Teaching in Biostatistics and Research Methodology: A Retrospective Study with Postgraduate Dental Students. J Dent Educ. 2019;83(4):445–50.
Monteserin-Matesanz M, Esparza-Gomez GC, Garcia-Chias B, Gasco-Garcia C, Cerero-Lapiedra R. Descriptive study of the patients treated at the clinic integrated dentistry for patients with special needs at Complutense University of Madrid (2003-2012) [Internet]. Medicina Oral Patología Oral y Cirugia Bucal. 2015;211–7.
Available:http://dx.doi.org/10.4317/medoral.20030
Surendar MN, Natarajan Surendar M, Kumar Pandey R, Kumar Saksena A, Kumar R, Chandra G. A Comparative evaluation of Intrnasal Dexmedetomidine, Midazolam and Ketamine for their sedative and analgesic properties: A Triple Blind Randomized Study [Internet]. Journal of Clinical Pediatric Dentistry. 2014;38:255–61.
Available:http://dx.doi.org/10.17796/jcpd.38.3.l828585807482966
Breimer DD. Clinical pharmacokinetics of hypnotics. Clin Pharmacokinet. 1977;2(2):93–109.
Yanase H, Braham RL, Fukuta O, Kurosu K. A study of the sedative effect of home-administered oral diazepam for the dental treatment of children [Internet]. International Journal of Paediatric Dentistry. 2009;6:13–7.
Available:http://dx.doi.org/10.1111/j.1365-263x.1996.tb00202.x
-
Abstract View: 320 times
PDF Download: 200 times