Anxiety Flashcards
Anxiety Symptoms: BESKIM
Blank mind, difficulty concentrating Easily fatigued Sleep disturbed Keyed up, on edge, restless Irritability Muscle Tension
What is the first line medication class for anxiety?
SSRI
What are the SSRIs?
Escitalopram Fluoxetine, fluvoxamine Paroxetine Citalopram Setraline
SSRI Side Effects (4)
Suicidal thoughts
Stomach upset (N/V)
Sexual Dysfunction (priapism, inability to achieve orgasm, decreased libido)
Serotonin syndrome
Serotonin syndrome s/s (SHIVERS)
Shivers Hyperreflexia, myoclonus Increased temp VS increased (Increased RR, HR, Decreased BP) Encephalopathy Restlessness Sweating
examples of SNRI (3)
Effexor, Pristiq, Cymbalta
Anxiolytic that is taken while waiting for SSRI to work
buspirone
How long does it take for SSRI to work?
4-6 weeks
Anxiety symptom relief meds (2)
- diphenhydramine
- hydroxyzine
side effects of symptom relief meds (9)
- dry mouth
- drowsiness
- dizziness
- N/V
- restlessness
- moodiness
- trouble urinating or not being able to urinate
- blurred vision
- confusion
Anticonvulsant given for anxiety
Gabapentin
How do Benzo’s work?
enhance the effects of GABA
Complications of Benzos (4)
- CNS depression
- anterograde amnesia
- paradoxical response
- withdrawal effects
How long are benzos taken for?
4-6 weeks max
examples of benzos (5)
- diazepam
- alprazolam
- chlordiazepoxide
- lorazepam
- clonazepam