Anti-Anxiety Flashcards
Most patients with generalized anxiety disorder and panic attacks are now being treated with what drugs?
antidepressants
what percentage of americans seek oral care only when absolutely necessary?
20%
what percentage of americans refuse to seek any dental care due to fear?
7%
what are the most commonly prescribed antianxiety drugs?
benzos
what is the mechanism of action of benzos?
enhance of facilitate the action of the neurotransmitter by exerting their effects in the CNS mediated by y-aminobutyric acid (GABA)
what are the clinical effects of benzos?
low doses- anxiety and panic reduction
high doses- drowsiness and sleep
which benzo is preferred for use in elderly patients?
phase 2 metabolism
what drug may be used to reverse some of the effects of benzos?
Flumazenil (Romazicon)
which of the following sleep stages is enhanced with the use of benzos?
Nonrapid eye movement (NREM) sleep stage 2
which is the primary adverse reaction associated with the use of benzos for conscious sedation?
respiratory depression
near- term administration of benzos to the mother has resulted in what adverse condition?
floppy infant syndrome
because these agents are seldom absoultely needed, except for epilepsy, what type of patient should avoid benzos?
women who are or may become pregnant and nursing mothers
what reduces the effectiveness of benzos?
smoking
why are benzos indicated for epilepsy?
because they limit the spread of abnormal activity to other parts of the brain
when benzos are used in dentistry to produce conscious sedation, what is used as an initial endpoint for dose administered?
appearance of ptosis