Antianxiety medication

Question 1

Anxiety is an uncomfortable state that has both ______ and _______ components

Answer 1

psychologic; physical

Question 2

What are the characteristics of associated with the psychologic component

Answer 2

fear
apprehension
dread
uneasiness

Question 3

What are the characteristics of associated with the physical component

Answer 3

tachycardia 
palpitations 
trembling 
dry mouth 
sweating 
weakness
fatigue
shortness of breath

Question 4

What are 5 common anxiety disorders

Answer 4

generalized anxiety disorder 
panic disorder 
obsessive-compulsive disorder 
social anxiety disorder 
post- traumatic stress disorder

Question 5

What are the 3 anxiolytic classes that we discussed

Answer 5

antidepressants
benzodiazepines
buspar (buspirone)

Question 6

______ is a chronic condition characterized by uncontrollable worrying

Answer 6

Generalized anxiety disorder (GAD)

Question 7

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?

Answer 7

Generalized anxiety disorder

Question 8

Any antidepressant that increase _____ will also work for anxiety

Answer 8

serotonin

Question 9

T/F: antidepressant work better on anxiety than depression

Answer 9

True

Question 10

What are the 2 antidepressants that DO NOT work for anxiety

Answer 10

bupropion

atomoxetine

Question 11

What are some common Benzodiazepines

Answer 11

Xanax (alprazolam)
Librium (chlordiazepoxide)
Klonopin (clonazepam)
Valium (diazepam)
Ativan (lorazepam)
Restoril (temazepam)

Question 12

_________ are supposes to be for short term use because they are highly addictive

Answer 12

Benzodiazepines

Question 13

What is the problem with antidepressants?

Answer 13

It takes a long time for it to work

Question 14

What is the mechanism of action for Benzodiazepines

Answer 14

enhance the action of GABA

Question 15

What are the side effects for Benzodiazepines (very similar to ETOH

Answer 15

sedation
slurred speech
ataxia (the loss of full control of bodily movements)

Question 16

What Benzodiazepine is used most commonly

Answer 16

Xanax (alprazolam)

Question 17

_____ and _____ are the main differences between the types of Benzodiazepines

Answer 17

speed and duration

Question 18

What are 3 safety issues with Benzodiazepines

Answer 18

• synergistic effect when combined with ETOH
• habit forming
• seizure risk when withdrawing

Question 19

For someone who is withdrawing from ETOH we would give them a ________ to stop seizures

Answer 19

Benzodiazepine

Question 20

What are the advantages of buspar

Answer 20

• no sedation
• no tolerance/ dependence
• no interaction with ETOH

Question 21

What are the disadvantages of buspar

Answer 21

• slow onset of actions (weeks)

- low efficacy (has been called an “expensive placebo”)

Question 22

T/F Buspar mechanism of action is unclear

Answer 22

True

Question 23

Buspar exerts its effect on the _______ system

Answer 23

serotonin

Question 24

_______ requires a much higher dose than originally thought

Answer 24

Buspar