Anxiety Flashcards
(14 cards)
What is pharmacological crisis treatment for GAD?
Benzos short term
What is pharmacological treatment for chronic GAD?
1st, 2nd and 3rd line
1st SSRIs
2nd Alternative SSRI or SNRI
3rd pregabalin
Name the 2 SNRIs
Duloxetine
Venlafaxine
What is the time period which benzos can become addictive?
When used longer than 4 weeks
What is the benefit of using short acting benzos vs long acting?
Little to no hangover effect
What are the 2 reasons long acting is used over short acting benzos?
Short has higher development of anxiety between doses = withdrawal
Short has higher risk of falls in elderly
MHRA warning for benzos
Risk of fatal respiratory depression
What to treat patients with toxic levels of benzos?
Flumazenil
Benzos: what are parodoxical effects?
Restlessness, agitation, aggresiveness, rages, nightmares, hallucinations, psychosis
Benzos have side effect on kidneys or liver?
Liver - avoid in hepatic impairment as it can lead to coma
Hence avoid use with alcohol and other CNS depressants
When withdrawing benzos, what drug do we prefer switching to?
Diazepam
Due to smaller dose reduction steps
What are the 6 benzos with legal driving limit?
COLD FeeT
Clonazepam
Oxazepam
Lorazepam
Diazepam
Flunitrazepam
Temazepam
What are the 5 short acting benzos?
shALLOT
Alprazolam
Lorazepam
Larmetazepam
Oxazepam
Temazepam
What are the 5 long acting benzos?
Chlordiazepoxide
Clonazepam
Diazepam
Florazepam
Nitrazepam
