Adult-Gerontology Clinical Nurse Specialist (CNS) Practice Exam

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Which pharmacologic treatment is NOT a benzodiazepine?

Ativan
ProSom
Elavil
Restoril

The correct answer is: Elavil

The answer is Elavil, which is not a benzodiazepine. Elavil is the brand name for amitriptyline, a tricyclic antidepressant used primarily for the treatment of depression, anxiety disorders, and pain management. Unlike benzodiazepines, which are primarily used for their anxiolytic (anxiety-reducing) and sedative properties, amitriptyline works by inhibiting the reuptake of serotonin and norepinephrine, which helps to improve mood and alleviate pain. In contrast, Ativan (lorazepam), ProSom (estazolam), and Restoril (temazepam) are all benzodiazepines. These medications exert their effects through enhancing the activity of gamma-aminobutyric acid (GABA), a neurotransmitter that promotes relaxation and reduces anxiety. By understanding the unique pharmacological classifications and indications for these medications, one can appreciate the nuanced differences between them.