It is well documented that acute administration of the benzodiazepine hypnotic drug triazolam (Halcion®) impairs episodic memory encoding. We examined the neuroanatomical substrates of this effect in healthy adult volunteers using a double-blind, within-subject design. Following oral capsule administration (0.25 mg/70 kg triazolam or placebo), regional cerebral blood flow (rCBF) was measured using positron emission tomography (PET) withBenzodiazepine anxiolytic/hypnotic drugs, such as diazepam (Valium®), alprazolam (Xanax®), lorazepam (Ativan®), and triazolam (Halcion®), are among the most widely prescribed psychotropic medications. In addition to their anxiolytic and sedative properties, benzodiazepines also have memory-and cognitiveimpairing effects (for reviews see Curran 1991;Duka et al. 1996;Polster 1993). Acute benzodiazepine administration produces dose-related decrements in episodic memory encoding, while leaving retrieval of previously encoded material intact. Episodic memory refers to conscious long-term memory for a personally experienced event that is associated with a specific spatial and temporal context (Tulving 1972(Tulving , 1983. Encoding refers to the cognitive processes engaged (either intentionally or unintentionally) during the initial event that lead to the creation of a representation or trace of the event in epi- N EUROPSYCHOPHARMACOLOGY 2001 -VOL . 25 , NO . 5 Triazolam and PET 745 sodic memory. Thus, if information is presented for study while a participant is under the influence of a benzodiazepine, subsequent memory for that information is impaired, even when memory testing occurs while the drug is no longer in the system; however, if information presented before drug administration is tested under the influence of a benzodiazepine, no impairment is observed. Benzodiazepines act at specific receptor sites on the gamma-aminobutyric acid (GABA) A receptor complex by facilitating the action of GABA, the primary inhibitory neurotransmitter in the central nervous system (CNS) (Mohler and Okada 1977;Squires and Braestrup 1977). Benzodiazepine receptors are distributed widely throughout the brain, and, therefore, the initial sites of benzodiazepine action in the brain are known (Fernandez-Lopez et al. 1997;Frey et al. 1996;Millet et al. 2000;Persson et al. 1985). Nonetheless, little is known about the brain circuitry affected by benzodiazepine administration during episodic memory encoding, because the distribution of such effects likely goes beyond the sites of initial receptor interactions.Over the past decade, considerable progress has been made in identifying the brain regions involved in episodic memory encoding under nonpharmacological conditions using noninvasive functional neuroimaging techniques, such as positron emission tomography (PET) and functional magnetic resonance imaging (fMRI), which enable measurement of brain activity in vivo while a human subject performs specific tasks. Encoding has been investigated most commonly by comparing brain activity associated with a cond...