Anxiety

Question 1

SSRI and SNRI- for chronic anxiety

Answer 1

Like Paxil

Question 2

Benzodiazepines

Answer 2

for short term use only and in acute situations

Zanax and Ativan

Question 3

Beta Blockers-Propranolol or atenolol

Answer 3

can be used for performance anxiety. Keep heart rate low and decrease anxiety

Question 4

Cannot use Benzodiazepines

Answer 4

With other CNS depressants. Long term use can lead to independance and is highly discouraged. If used chronically, must taper

Question 5

Benzo’s metabilized in liver

Answer 5

rapid onset. help with insomnia. CP450 drug interactions must be considered.
They cause: sedatin, decreased anxiety, muscle relaxation, anti-convulsant action

Question 6

Valium-fairly long half-life

Answer 6

Good to reduce spasm and decrease seizre activity

Question 7

Xanax

Answer 7

works quickly and has moderate half-life. Quick onset. The most addictive are due to rapid onset of action.

Question 8

Ativan

Answer 8

is commonly used for anxiety-slower onset but shorter half-life

Question 9

SSRI to tx anxiety

Answer 9

Paxal for social anxiety

Question 10

If someone has severe anxiety

Answer 10

Treat with SSRI or SNRI. They can have a 2 week course of intermediate acting benzos to provide relief until the SSRI/SNRI takes effect.

Question 11

Buspirone (buspar)

Answer 11

long term treatment of panic attacks, not habit-forming, is not a CNS drug. It has a high affinity for serotonin receptors and less affinity for Dopamine receptors. SSRI that are indicated for anxiety offer better coverage for GAD

Question 12

Atarax AND Visteral

Answer 12

USED FOR mild anxiety. It is a strong antihistamine

Question 13

Benzodiazepines and pregnancy

Answer 13

Category D-

May cause cleft problems, preterm labor, “floppy baby”

Question 14

Pregnancy-if Benzo is a must

Answer 14

Clonazepam (Klonopin) may be the best choice. Please refer this person

Question 15

non-benzos and pregnancy

Answer 15

Buspirone (BuSpar) used as an anxioloytic. Category B. Try to avoid. Limited data.
Visteril-category C short term use
Ambien-Categgory C use as a last resort for short term

Question 16

Benzos and breastfeeding

Answer 16

Avoid the long half-life meds like: Valium, Klonopin. Short term use with short half-life like Versed and Ativan may be safer with breastfeeding. May want to pump and dump.

Question 17

BuSpar

Answer 17

no data. Short term visteral in small doses may be safer. A non-sedating antihistamine would be better. Ambien is considered safe with breastfeeding.