Anxiety Meds

Question 1

Can SSRIs and SNRIs be given for anxiety?

Answer 1

yes for long term tx and start with low doses

Question 2

For long term tx with SSRIs and SNRIs can they be abruptly stopped?

Answer 2

no they must be tapered off

Question 3

What are the different benzodiazepines?

Answer 3

1. Lorazepam
2. Clonazapam
3. Alprazolam

Question 4

Which anti-anxiety med is given on a PRN basis, why?

Answer 4

PRN benzos and antihistamines but benzodiazepines specifically are highly addictive and can cause withdrawal symptoms

Question 5

what is the antidote for Benzo OD?

Answer 5

flumazenil

Question 6

Side effects of benzos?

Answer 6

1. AMNESIA
2. impaired judgement
3. leads to dementia or memory impairment
4. can make pt agitated

Question 7

What are the antihistamines?

Answer 7

1. Diphenhydramine
2. Hydroxyzine

Question 8

Which anti anxiety med is best for someone with substance abuse disorder?

Answer 8

antihistamines

Question 9

Are antihistamines for long term or short term use?

Answer 9

short term

Question 10

Buspirone : old people drive the BUS

Answer 10

1. caused delirium in older adults
2. orthostatic hypotension
3. not for acute anxiety
4. Risk for SS syndrome

Question 11

how long does it take for busprione to be effective?

Answer 11

2-4 weeks

Question 12

Alternative medicine for anxiety

Answer 12

1. Kava Kava
2. Valerian
3. Lavender oil
4. St. Johns Wort