Antianxiety Medications

Question 1

What is the name of the first benzodiazepine

Answer 1

librium

Question 2

Benzodiazepines are used for both

Answer 2

anxiety (sedatives) and insomnia (hypnotics)

Question 3

The effects of benzodiazepines are similar to alcohol intoxication

Answer 3

true

Question 4

Benzodiazepine receptors are co-located with what receptors and in which area of the brain

Answer 4

GABA, limbic system

Question 5

Atypical benzodiazepines are mostly used as

Answer 5

hypnotics

Question 6

Why is buspirone a unique medication for anxiety

Answer 6

not associated with tolerance or dependence, does not reach with other CNS depressants such as alcohol, however it has a delayed onset of action

Question 7

Valium 2-10

Answer 7

benzo

Question 8

librium 10-50

Answer 8

benzo

Question 9

klonopin 0.5-2

Answer 9

benzo

Question 10

restoril 15-30

Answer 10

benzo

Question 11

ativan 0.5-2

Answer 11

benzo

Question 12

xanax 0.25-2

Answer 12

benzo

Question 13

halcion 0.125-0.5

Answer 13

benzo

Question 14

versed injectable only

Answer 14

benzo

Question 15

Name the atypical and nonbenzodiazepines

Answer 15

prosom, ambien, sonata, lunesta, belsomra

Question 16

Other antianxiety medications that are not atypicals or benzos

Answer 16

buspar, atarax, benadryl, inderal, tenormin, catapres, silenor, minipress

Question 17

antihistamines can be used to treat anxiety

Answer 17

true

Question 18

beta blockers can be used for anxiety

Answer 18

true, however they lower blood pressure and can cause depression

Question 19

clonidine is a presynaptic inhibitor of norepinephrine release

Answer 19

true

Question 20

What medication is used to treat anxiety as well as nightmares most commonly associated with PTSD

Answer 20

Minipress (prazosin)

Question 21

Antianxiety medications should be the first line of treatment for anxious symptoms

Answer 21

false, therapy and relaxation training should be tried first unless the anxiety is too severe

Question 22

benzodiazepines can lead to addiction

Answer 22

yes, if used longer than 6 months

Question 23

severe symptoms of benzodiazepine withdrawal include

Answer 23

seizures, high fever, psychosis, and death

Question 24

mild symptoms of benzo withdrawal include

Answer 24

anxiety, restlessness, insomnia, nightmares

Question 25

what disorders are anxiolytics used for

Answer 25

GAD, panic disorders, specific phobia, social phobia, OCD, PTSD, substance induced

Question 26

What is the neurobiology of anxiety

Answer 26

the amygdala is activated and the hippocampus does not do a quick job of calming it down

Question 27

ignoring the anxiety will make it go away

Answer 27

false, they must develop neural pathways

Question 28

the most commonly prescribed psychotropic drug by physicians is anxiolytics

Answer 28

true

Question 29

what schedule are benzos

Answer 29

schedule 4

Question 30

what are other uses of benzos

Answer 30

seizures, alcohol withdrawal, sleep, muscle spasms, akathisia, anesthesia

Question 31

specific drug used for GAD

Answer 31

effexor xr

Question 32

specific drugs used for OCD

Answer 32

anafranil, effexor, luvox, paxil, zoloft, prozac (SSRIs)

Question 33

specific drugs used for PTSD

Answer 33

SSRIs prozac and zoloft, TCAs and MAOI with some success, tegretol, depakote, neurontin

Question 34

specific drugs used for panic disorders

Answer 34

SSRIs paxil and zoloft, TCAs tofranil, norpramin, anafranil, elavil, desyrel, Benzos xanax and klonopin, tegretol

Question 35

specific drugs used for phobic disorders

Answer 35

SSRIs, TCAs, MAOI, benzos

Question 36

specific drugs used for Social anxiety disorder

Answer 36

beta blockers, benzos, SSRIs, MAOI, neurontin. First choice are SSRIs like luvox, zoloft, and paxil NOT BENZOS