Step 1: What are benzodiazepines?
Benzodiazepines (e.g., diazepam, lorazepam, alprazolam) are a chemical class sharing a benzene ring fused to a 1,4-diazepine ring. They act on GABAA receptors and are used as anxiolytics, hypnotics, and anticonvulsants.
Step 2: What does non-benzodiazepine mean?
Non-benzodiazepine hypnotics (Z-drugs) do not have the benzodiazepine chemical structure but still act at the same GABAA receptor (specifically the α1 subunit). They have fewer side effects and are preferred for short-term insomnia.
Step 3: Identify Zolpidem.
Zolpidem is an imidazopyridine derivative. It is a non-benzodiazepine that selectively acts on α1-containing GABAA receptors to produce sedation and sleep. It is widely used as a hypnotic.
Step 4: Eliminate the wrong options.
Diazepam, lorazepam, and alprazolam are all true benzodiazepines. They contain the classic benzodiazepine ring structure and therefore do not qualify as non-benzodiazepine hypnotics.
Step 5: Summary.
Among the choices, only Zolpidem is a non-benzodiazepine hypnotic.
Answer: Option (2) — Zolpidem