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PHRM 845 > Anxiety Ott > Flashcards

Anxiety Ott Flashcards

(45 cards)

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1
Q

drugs that can cause anxiety

A

albuterol
caffeine
decongestants
levothyroxine
stimulants
steroids

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2
Q

buspirone is approved for what disorder

A

generalized anxiety disorder

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3
Q

buspirone target dose

A

10-15 mg TID

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4
Q

how long for buspirone efficacy

A

3-4 weeks for initial

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5
Q

why are benzos not really recomended as first line?

A

abuse potential
not good to be on long term

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6
Q

acute withdrawal of benzos can lead to what?

A

life-threatening seizures

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7
Q

warnings with benzos

A

other CNS depressants, opioids

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8
Q

benzos with no active metabolite

A

alprazolam
lorazepam
clonazepam
oxazepam

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9
Q

benzos with long acting metabolite

A

diazepam
clorazepate
chlordiazepoxide

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10
Q

side effects of benzos

A

sedation
paradoxical excitement
swallowing difficulties
memory impairment
psychomotor impairment

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11
Q

benzo taper off lasts

A

weeks to months

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12
Q

can we give benzos in elderly

A

Beers, >65 is a risk

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13
Q

elderly preferred benzos

A

lorazepam, oxazepam, temazepam

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14
Q

hydroxyzine is fda approved for what

A

generalized anxiety disorder

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15
Q

hydroxyzine is the most commonly used what

A

as needed drug for anxiety or insomnia instead of a benzo

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16
Q

risk with hydroxyzine

A

QTC

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17
Q

side effects with hydroxyzine

A

sedation and anticholinergic

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18
Q

hydroxyzine in elderly?

A

avoid

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19
Q

propranolol useful for

Study These Flashcards
A

performance and situational anxiety

20
Q

doses of propranolol that are effective

21
Q

what history to watch out for with propranolol

Study These Flashcards
A

asthma, cardiovascular

22
Q

natiral products for anxiety

Study These Flashcards
A

Kava, St Johns Wort, passionflower, valerian, chamomile

23
Q

when could we consider gabapentenoids

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A

pt with bipolar and anxiety/neuropathic pain

24
Q

qutiapine in sleep?

25
first line therapy for all anxiety disorders
SSRis, SNRis buspirone for generalized too
26
atypical antipsychotics could be used for what
OCD (treatment resistant)
27
atypical antipsychotics we could use for OCD / anxiety
aripiprazole, risperidone
28
gerneralized anxiety disorder diagnosis
excessive anxiety / worry for at least 6 months three symptoms: restlessness easily fatigued concentration irritable muscle tension sleep disturb
29
SNRIs especially useful if what
patient has a pain syndrome
30
benzodiazepine use in GAD
bridge therapy cover time till SSRi/SNRi onset
31
what is social anxiety
fear about social, performance situations in which pt fears embarrassment/humiliation
32
social anxiety disorder treatment
SSRI beta blocker (non generalized performacnce social anxiety)
33
panic disorder criteria
recurrent panic attacks 4 sx: sweating, palpitations, nausea, dixxy, fear of losing control, going crazy at least one followed by concerns or changes
34
panic disorder treatment
SSRis SNRIs - venlafaxine benzos - last line
35
obsessions
intrusive thoughts causing anxiewty
36
complusions
repetitive behaviors
37
OCD treatment
SSRis second line: clomipramine
38
symptom reduction with OCD
25-50%
39
OCD augmentation therapy with antipsychotics
risperidone, aripiprazoleq
40
cardinal signs of PTSD
flashbacks reexperience avoidance hypervigilance
41
treatment of PTSD
SSRI/SNRi
42
drug helpful for nightmares in PTSD
prazosin
43
which drug class should not be used with PTSD
benzos
44
jitteriness can occur with what drug classes
SSRI,SNRI start with lower doses
45
non drug treatments are especially helpful in PTSD with waht
events occuring over a long period of time

PHRM 845 (38 decks)

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