Antianxiety and substance abuse meds Flashcards

1
Q

how long should a patient be treated for anxiety after stabilization

A

at least 12 months

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2
Q

brand name for alprazolam

A

xanax

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3
Q

brand name for buspirone

A

buspar

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4
Q

brand name for clonazepam

A

klonopin

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5
Q

brand name for diazepam

A

valium

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6
Q

brand name for gabapentin

A

neurontin

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7
Q

brand name for hydoxyzine

A

vistaril

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8
Q

brand name for lorazepam

A

ativan

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9
Q

brand name for propranolol

A

inderal

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10
Q

dosage range for aplrazolam to treat panic disorder

A

start at 1.5mg divided into 3 doses

range 5-6mg daily

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11
Q

FDA approved uses for xanax

A

GAD
panic disorder

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12
Q

off label uses for alprazolam

A

other anxiety disorders
PMDD
acute mania adjunct
acute psychosis adjunct

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13
Q

pregnancy risk with alprazolam

A

avoid

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14
Q

discontinuing antianxiety meds

A

taper all of them to avoid rebound anxiety, withdrawal symptoms, or seizures

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15
Q

contraindications for alprazolam

A

angle-closure glaucoma

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16
Q

starting dosage of buspirone

A

15mg BID at breakfast and lunch

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17
Q

dosage range for buspirone

A

20-60mg qd

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18
Q

FDA approved uses for buspirone

A

anxiety disorders
short term treatment

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19
Q

off label uses for buspirone

A

mixed anxiety/depression
tx resistant depression adjunct

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20
Q

pregnancy risk with buspirone

A

risk v benefit

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21
Q

starting dose for clonazepam

A

0.25mg divided BID

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22
Q

maintenance dosage range for clonazepam

A

0.5-4mg qd divided or at hs

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23
Q

FDA approved uses for clonazepam

A

panic disorder (with or without agorophobia)

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24
Q

off label uses for clonazepam

A

insomnia

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25
labs to monitor for clonazepam
CBC LFT if seizures or medical illnesses
26
pregnancy risk for clonazepam
avoid
27
contraindications for clonazepam
angle-closure glaucoma severe liver disease
28
initial dosage of diazepam
2-10mg BID-QID
29
maintenance range for diazepam
4-40mg daily in divided doses
30
FDA approved uses for diazepam
anxiety disorders acute agitation
31
off label uses for diazepam
insomnia catatonia
32
diazepam dosage adjustment for elderly
initial is 2-2.5mg 1-2x/day
33
labs to monitor with diazepam
if hx of seizures or medical illnesses CBC, LFT
34
pregnancy risk for diazepam
avoid
35
which antianxiety med has a rectal formulation
diazepam
36
contraindication for diazepam
angle-closure glaucoma
37
diazepam dosage adjustment for renal/hepatic impairment
2-2.5mg
38
dosage range for hydroxyzine
50-100mg QID
39
FDA approved uses for hydoxyzine
anxiety
40
off label uses for hydroxyzine
insomnia
41
geriatric considerations for hydroxyzine
avoid in dementia
42
pregnancy risk for hydroxyzine
avoid
43
what med cannot be given with hydroxyzine and why
citalopram d/t QT prolongation
44
dosage of lorazepam
2-3mg in 2-3 divided doses max 10mg qd
45
FDA approved uses for lorazepam
anxiety, anxiety associated with depressive sx
46
off label uses for lorazepam
insomnia alcohol withdrawal panic disorder acute mania adjunct acute psychosis adjunct catatonia
47
lorazepam dosage adjustment for elderly
1-2mg qd in 2-3 divided doses
48
labs to monitor with long term use of lorazepam
CBC LFT LDH
49
pregnancy risk for lorazepam
avoid
50
what is the preferred benzodiazepine for older adults and why
lorazepam because of its short half-life
51
which benzodiazepine is preferred for delirium
lorazepam
52
contraindications for lorazepam
angle-closure glaucoma sleep apnea
53
lorazepam dosage adjustment for renal/hepatic impairment
1-2 mg qd in 2-3 divided doses
54
dosage range for propranolol
40-400mg in divided doses
55
off label uses for propranolol
akathisia, parkinsonian tremor, PTSD, GAD, violence/aggression
56
pregnancy risk for propranolol
risk v benefit
57
contraindications for propranolol
bradycardia bronchial asthma COPD
58
brand name for acamprosate
campral
59
brand name for chlordiazepoxide
librium
60
brand name for naltrexone
revia vivitrol
61
dosage for acamprosate
666mg TID MUST DOSE TID no titration required
62
uses for acamprosate
maintenance of alcohol abstinence
63
pregnancy risk with acamprosate
avoid
64
dosage range for librium
15-40mg daily in 3-4 divided doses
65
FDA approved uses for librium
anxiety disorders withdrawal from alcohol
66
pregnancy risk with librium
avoid
67
how to dc librium
taper by 10mg every 3 days
68
contraindication for librium
angle closure glaucoma
69
librium dosage adjustment for renal/hepatic impairment
10-20mg qd
70
dosage of naltrexone
50mg qd
71
FDA approved uses for naltrexone
alcohol dependence prevention of opioid relapse
72
labs to monitor for naltrexone
LFT UDS for presence of opioids
73
how long does a patient need to be opioid free before starting naltrexone
7-10 days
74
contraindications for naltrexone
opioid use acute hepatitis liver failure
75
rare risk of naltrexone
eosinophilic asthma