Which of the following medications is noted for treating REM Sleep Behavior Disorder (RBD)?

Prepare for the NBRC Sleep Disorders Specialty Exam. Study with flashcards and multiple choice questions, each enhanced with hints and explanations. Get ready to excel in your exam!

Clonazepam is often used to treat REM Sleep Behavior Disorder (RBD) due to its properties as a benzodiazepine. This class of medications is effective in managing the symptoms of RBD, which includes acting out dreams and potentially harmful behaviors during REM sleep. Clonazepam works by enhancing the effect of the neurotransmitter gamma-aminobutyric acid (GABA) at the GABA-A receptor, leading to increased inhibition in the central nervous system. This inhibitory effect helps to suppress the abnormal motor activity associated with RBD during sleep.

Other medications listed, such as sertraline, venlafaxine, and fluoxetine, are primarily antidepressants and are not typically first-line treatments for RBD. While they may have some efficacy in treating other sleep disorders or associated mood states, their mechanism of action is not directly aligned with addressing the core symptoms of REM Sleep Behavior Disorder as effectively as clonazepam.

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