Antianxiety medication Flashcards
(24 cards)
Anxiety is an uncomfortable state that has both ______ and _______ components
psychologic; physical
What are the characteristics of associated with the psychologic component
fear
apprehension
dread
uneasiness
What are the characteristics of associated with the physical component
tachycardia palpitations trembling dry mouth sweating weakness fatigue shortness of breath
What are 5 common anxiety disorders
generalized anxiety disorder panic disorder obsessive-compulsive disorder social anxiety disorder post- traumatic stress disorder
What are the 3 anxiolytic classes that we discussed
antidepressants
benzodiazepines
buspar (buspirone)
______ is a chronic condition characterized by uncontrollable worrying
Generalized anxiety disorder (GAD)
For the last 6 months a patient has showed anxiety about work and school performance. The patient has tension, apprehension, poor concentration, trouble falling asleep, tachycardia, sweating, and cold clammy hands. What is this anxiety disorder?
Generalized anxiety disorder
Any antidepressant that increase _____ will also work for anxiety
serotonin
T/F: antidepressant work better on anxiety than depression
True
What are the 2 antidepressants that DO NOT work for anxiety
bupropion
atomoxetine
What are some common Benzodiazepines
Xanax (alprazolam) Librium (chlordiazepoxide) Klonopin (clonazepam) Valium (diazepam) Ativan (lorazepam) Restoril (temazepam)
_________ are supposes to be for short term use because they are highly addictive
Benzodiazepines
What is the problem with antidepressants?
It takes a long time for it to work
What is the mechanism of action for Benzodiazepines
enhance the action of GABA
What are the side effects for Benzodiazepines (very similar to ETOH
sedation
slurred speech
ataxia (the loss of full control of bodily movements)
What Benzodiazepine is used most commonly
Xanax (alprazolam)
_____ and _____ are the main differences between the types of Benzodiazepines
speed and duration
What are 3 safety issues with Benzodiazepines
- synergistic effect when combined with ETOH
- habit forming
- seizure risk when withdrawing
For someone who is withdrawing from ETOH we would give them a ________ to stop seizures
Benzodiazepine
What are the advantages of buspar
- no sedation
- no tolerance/ dependence
- no interaction with ETOH
What are the disadvantages of buspar
- slow onset of actions (weeks)
- low efficacy (has been called an “expensive placebo”)
T/F Buspar mechanism of action is unclear
True
Buspar exerts its effect on the _______ system
serotonin
_______ requires a much higher dose than originally thought
Buspar
