Gidazepam, also known as hydazepam or hidazepam,[2] is a drug which is an atypical benzodiazepine derivative, developed in the Soviet Union.[3][4] It is a selectively anxiolytic benzodiazepine.[5] It also has therapeutic value in the management of certain cardiovascular disorders.[6][7][8][9][10]
Pharmacology
Gidazepam and several of its analogs, in contrast to other benzodiazepines, are comparatively more selective agonists of TSPO (formerly the peripheral benzodiazepine receptor) than the benzodiazepine receptor.[5]
Gidazepam acts as a prodrug to its active metabolite 7-bromo-2,3-dihydro-5-phenyl-1H-1,4-benzodiazepin-2-one (desalkylgidazepam or bromo-nordazepam).[11][12] Its anxiolytic effects can take several hours to manifest presumably due to its slow metabolism (half-life 87 hours). The onset and intensity of anxiolytic effects correlate with blood levels of desalkylgidazepam.[13]
Gidazepam active metabolite (desalkylgidazepam), responsible for its therapeutic effects
See also
Phenazepam—another benzodiazepine widely used in Russia and other CIS countries
^Spasennikov BA, Spasennikova MG (September 1991). "[The new Soviet tranquilizer--gidazepam]". Fel'dsher I Akusherka. 56 (9): 35–7. PMID1684941.
^Neznamov GG, Koshelev VV, Voronina TA, Trofimov SS (Mar 2002). "[Experimental and clinical rationale for complex treatment of mental disorders in clean-up workers of the Chernobyl nuclear plant accident]". Eksperimental'naia i Klinicheskaia Farmakologiia. 65 (2): 12–6. PMID12109283.
^ abKorkhov VM, Tkachuk NA, Makan SY, Pavlovsky VI, Andronati SA (Feb 2002). "Affinities of gidazepam and its analogs for mitochondrial benzodiazepine receptors". Journal of Receptor and Signal Transduction Research. 22 (1–4): 411–20. doi:10.1081/RRS-120014610. PMID12503630. S2CID25403613.
^Morozov IS, Barchukov VG, Neznamov GG (Jan 1998). "[The effect of gidazepam on the cardiovascular system function in patients with neurotic reactions and in healthy subjects under aggravated conditions]". Eksperimental'naia i Klinicheskaia Farmakologiia. 61 (1): 30–2. PMID9575408.
^Petrova TR, Tatarkin AN (1994). "[The neuroregulatory modulation of the hemodynamic reactions to physical loading in patients with cardiac arrhythmias]". Terapevticheskii Arkhiv. 66 (9): 65–8. PMID7992218.
^Skibitskiĭ VV, Kanorskiĭ SG (Sep 1993). "[New pharmacodynamic effects of gidazepam and befol in patients with cardiac arrhythmias]". Eksperimental'naia i Klinicheskaia Farmakologiia. 56 (5): 23–7. PMID7906171.
^Skibitskiĭ VV, Petrova TR, Kanorskiĭ SG (June 1992). "[Comparative analysis of antiarrhythmic action and electrophysiological effects of a new benzodiazepine derivative gidazepam and ethacizin in arrhythmias of various genesis]". Kardiologiia. 32 (6): 35–7. PMID1405290.
^Meerson FZ, Skibitskiĭ VV (April 1992). "[Comparative anti-arrhythmia effectiveness of activators of body stress-limiting systems in patients with arrhythmia]". Kardiologiia. 32 (4): 25–30. PMID1328745.
^Andronati SA, Zin'kovskiĭ VG, Totrova MI, Golovenko NI, Stankevich EA, Zhuk OV (January 1992). "[Biokinetics of a new prodrug gidazepam and its metabolite]". Biulleten' Eksperimental'noi Biologii I Meditsiny. 113 (1): 45–7. PMID1356504.
^Kolyvanov GB, Zherdev VP, Chirkov AM, Otabekova SG, Litvin AA (May 1993). "[Gidazepam biotransformation and pharmacokinetics in different species of animals and man]". Eksperimental'naia i Klinicheskaia Farmakologiia. 56 (3): 48–50. PMID8106054.
^Zherdev VP, Neznamov GG, Kolyvanov GB, Litvin AA, Otabekova SG (May 1993). "[The pharmacokinetic aspects of the clinical action of gidazepam]". Eksperimental'naia i Klinicheskaia Farmakologiia. 56 (3): 50–2. PMID8106055.
