Medicine & USMLE

Buspirone

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Mental Health Drugs
  1. Bupropion
  2. SNRIs
  3. SSRIs
  4. MAOIs
  5. Tricyclic Antidepressants (TCAs)
  6. Extrapyramidal Symptoms (EPS)
  7. Lithium
  8. Typical Antipsychotics
  9. Atypical Antipsychotics
  10. Trazodone
  11. Buspirone
  12. Mirtazapine
  13. CNS Stimulants
  14. Zolpidem
  15. Benzodiazepines
  16. Barbiturates
  17. Neuroleptic Malignant Syndrome (NMS)
  18. Barbiturates (Old)
  19. Benzodiazepines (Old)
  20. Lithium (Old)
  21. Bupropion (Old)
  22. SNRIs (Old)
  23. MAOIs (Old)
  24. Amphetamines (Old)
  25. Typical Antipsychotics (Old)

Summary

Buspirone is a medication that works by activating serotonin receptors in the brain. It is not a benzodiazepine.

Buspirone is used to treat anxiety disorders. It has a delayed onset of action, taking about 2 weeks to start working.

Common side effects include headache and dizziness. Importantly, buspirone does NOT cause addiction or sedation like many other anti-anxiety drugs. This makes it a safer option for many patients.

Key Points

  • Buspirone (BuSpar)
    • Mechanism
      • Activates Serotonin Receptors
        • A partial serotonin agonist
      • Nonbenzodiazepine
        • Does not act on GABA receptors like benzodiazepines do, meaning it has less sedative effects and a lower risk of dependence
        • Buspirone is considered an atypical antianxiolytic
    • Clinical Use
      • Treats Anxiety
        • Including generalized anxiety disorder (GAD), OCD, PTSD, and social anxiety
        • Delayed Onset (2 weeks)
          • It can take several weeks for the effects of buspirone to be seen
          • Not appropriate for panic attacks or PRN use
          • Instruct patient starting buspirone to take the medication as prescribed, even if they don’t notice a difference at first
    • Side Effects
      • Dizziness
      • Headache
      • Does NOT cause sedation
      • Does NOT cause addiction
      • Nausea/vomiting
        • Patient can take with food to minimize GI upset
      • Restlessness, nervousness, agitation