- Overview
- Properties
- Related Genes
- Pathways
- Related Drugs
- Related Diseases
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Overview
| Generic Names: | DEA No. 2887; Triazolamum [INN-Latin] |
|---|---|
| Trade Names: | Alti-Triazolam; Apo-Triazo; Clorazolam; Gen-Triazolam; Halcion; Novidorm; Novo-Triolam; Novodorm; Songar |
| PharmGKB Accession Id: | PA451753 |
Description
Withdrawn in the United Kingdom due to risk of psychiatric adverse drug reactions. This drug continues to be available in the U.S. Internationally, triazolam is a Schedule IV drug under the Convention on Psychotropic Substances. (source: Drug Bank)
Indication
For the short-term treatment of insomnia. (source: Drug Bank)
ATC Therapeutic Category
- N05CD:Benzodiazepine derivatives
Pharmacology, Interactions, and Contraindications
Mechanism Of Action
Benzodiazepines bind nonspecifically to bezodiazepine receptors BNZ1, which mediates sleep, and BNZ2, which affects affects muscle relaxation, anticonvulsant activity, motor coordination, and memory. As benzodiazepine receptors are thought to be coupled to gamma-aminobutyric acid-A (GABA<sub>A</sub>) receptors, this enhances the effects of GABA by increasing GABA affinity for the GABA receptor. Binding of GABA to the site opens the chloride channel, resulting in a hyperpolarized cell membrane that prevents further excitation of the cell. (source: Drug Bank)
Pharmacology
A short-acting benzodiazepine used as a hypnotic agent in the treatment of insomnia. Some countries temporarily withdrew triazolam from the market because of concerns about adverse reactions, mostly psychological, associated with higher dose ranges. Its use at lower doses with appropriate care and labeling has been reaffirmed by the FDA and most other countries. Triazolam has a shorter half-life than chlordiazepoxide, flurazepam, and prazepam and does not generate active metabolites. (source: Drug Bank)
Absorption, Distribution, Metabolism, Elimination & Toxicity
Biotransformation
Hepatic. Small amounts of unmetabolized triazolam appear in the urine. (source: Drug Bank)
Absorption
Bioavailability is 44% (oral) and 53% (sublingual). (source: Drug Bank)
Toxicity
Symptoms of overdose include drowsiness, slurred speech, motor inco-ordination, coma, and respiratory depression. (source: Drug Bank)
Isomeric SMILES Code:
Cc1nnc2n1-c3ccc(cc3C(=NC2)c4ccccc4Cl)Cl (source: Drug Bank)
The following genes are in curated knowledge about this drug.
| Gene | Relationship | Evidence | |
|---|---|---|---|
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CYP3A4 |
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Publications |
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CYP3A5 |
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Publications |
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GABRA1 |
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Publications |
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GABRB2 |
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Publications |
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GABRG2 |
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Publications |
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NR1I2 |
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Publications |
A list of non-curated publications that mention this drug along with other genes is available.
Drug Targets
| Gene | Description | |
|---|---|---|
| TSPO |
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(source: Drug Bank) |
PharmGKB Curated Pathways
The following drugs are in curated knowledge about this drug.
| Drug | Relationship | Evidence | |
|---|---|---|---|
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modafinil |
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Publications |
A list of non-curated publications that mention this drug along with other drugs is available.
Drug Interactions
| Drug | Description | |
|---|---|---|
| amprenavir |
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Amprenavir increases the effect and toxicity of benzodiazepine (source: Drug Bank) |
| atazanavir |
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Atazanavir increases the effect and toxicity of benzodiazepine (source: Drug Bank) |
| cimetidine |
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Cimetidine increases the effect and toxicity of benzodiazepine (source: Drug Bank) |
| clarithromycin |
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The macrolide increases the effect of the benzodiazepine (source: Drug Bank) |
| clozapine |
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Increased risk of toxicity (source: Drug Bank) |
| delavirdine |
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The antiviral agent increases the effect and toxicity of benzodiazepine (source: Drug Bank) |
| diltiazem |
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The calcium channel blocker increases the effect and toxicity of the benzodiazepine (source: Drug Bank) |
| efavirenz |
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The antiviral agent increases the effect and toxicity of benzodiazepine (source: Drug Bank) |
| erythromycin |
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The macrolide increases the effect of the benzodiazepine (source: Drug Bank) |
| fluconazole |
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Fluconazole increases the effect of the benzodiazepine (source: Drug Bank) |
| fosamprenavir |
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Amprenavir increases the effect and toxicity of benzodiazepine (source: Drug Bank) |
| indinavir |
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The protease inhibitor increases the effect of the benzodiazepine (source: Drug Bank) |
| itraconazole |
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The imidazole increases the effect of the benzodiazepine (source: Drug Bank) |
| ketoconazole |
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The imidazole increases the effect of the benzodiazepine (source: Drug Bank) |
| mephenytoin |
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Possible increased levels of the hydantoin, decrease of benzodiazepine (source: Drug Bank) |
| modafinil |
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Modafinil decreases the effect of triazolam (source: Drug Bank) |
| nefazodone |
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Nefazodone increases the effect of triazolam (source: Drug Bank) |
| nelfinavir |
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The protease inhibitor increases the effect of the benzodiazepine (source: Drug Bank) |
| omeprazole |
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Omeprazole increases the effect of the benzodiazepine (source: Drug Bank) |
| phenytoin |
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Possible increased levels of the hydantoin, decrease of benzodiazepine (source: Drug Bank) |
| rifampin |
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Rifampin decreases the effect of the benzodiazepine (source: Drug Bank) |
| ritonavir |
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The protease inhibitor increases the effect of the benzodiazepine (source: Drug Bank) |
| saquinavir |
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The protease inhibitor increases the effect of the benzodiazepine (source: Drug Bank) |
| telithromycin |
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Telithromycin increases the effect/toxicity of the benzodiazepine (source: Drug Bank) |
| verapamil |
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The calcium channel blocker increases the effect and toxicity of the benzodiazepine (source: Drug Bank) |
| voriconazole |
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The imidazole increases the effect of the benzodiazepine (source: Drug Bank) |
Non-Curated Information
A list of non-curated publications that mention this drug along with other diseases is available.
Additional Datasets
These datasets are minimally curated and are sorted alphabetically by title.
LinkOuts
Common Searches
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Non-Curated Publications
A list of non-curated publications that mention this drug is available.
