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Pharmacology · Anxiolytics: buspirone
Sample itemA patient with generalised anxiety disorder and a history of alcohol misuse wants an anxiolytic without sedation or dependence. Which drug is a partial agonist at 5-HT1A receptors?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Buspirone
Buspirone is a 5-HT1A partial agonist anxiolytic with no sedation, muscle relaxant effect or abuse potential, but it takes one to two weeks to act and is not useful for acute panic.
Option by option
A. Alprazolam
Alprazolam is a benzodiazepine with dependence potential.
B. Diazepam
Diazepam is a benzodiazepine.
C. Phenobarbitone
Phenobarbitone is a sedative with dependence risk.
D. Buspirone (correct)
Correct. Buspirone is non-sedating with low dependence risk.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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