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Nik essentials guidelines > Anxiety guidelines > Flashcards

Anxiety guidelines Flashcards

1
Q

Considerations for baseline lab investigations (as needed based on the patient’s presenting symptoms)

A
  • CBC
  • Fasting lipid profile (TC, vLDL, LDL, HDL, TG)
  • Electrolytes
  • Fasting glucose
  • TSH
  • Liver enzymes

If warranted: urine tox for substance abuse

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2
Q

First-line pharmacotherapy for panic disorder

A

All SSRI

  • Citalopram
  • Escitalopram
  • Fluoxetine
  • Fluvoxamine
  • Paroxetine (+ CR)
  • Sertraline

With 1 SNRI

  • Venlafaxine
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3
Q

Second-line pharmacotherapy treatments for Panic Disorder

A

4 Benzos

  • Alprazolam
  • Clonazepam
  • Diazepam
  • Lorazepam

2 TCA

  • Clomipramine
  • Imipramine

2 Others

  • Mirtazapine
  • Reboxetine
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4
Q

First-line adjunctive therapy for panic disorder

A

NONE

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5
Q

Second-line adjunctive therapy for panic disorder

A
  • Alprazolam ODT
  • Clonazepam
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6
Q

First-line for SAD

A

4 SSRI (not fluoxetine or citalopram)

  • Escitalopram
  • Fluvoxamine
  • Paroxetine
  • Sertraline

1 SNRI:

  • Venlafaxine

Other

  • Pregabalin
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7
Q

Second-line for SAD

A

3 Benzos

  • Alprazolam
  • Bromazepam
  • Clonazepam

Others:

  • Citalopram
  • Phenelzine (Nardil)
  • Gabapentin
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8
Q

Adjunctive therapy - not recommended for SAD

A
  • Clonazepam
  • Pindolol
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9
Q

First-line GAD

A

3 SSRI

  • Escitalopram
  • Paroxetine
  • Sertraline

2 SNRI

  • Venlafaxine
  • Duloxetine

Other:

  • Pregabalin
  • Agomelatine
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10
Q

Second-line GAD

A

4 Benzos

  • Alprazolam
  • Bromazepam
  • Diazepam
  • Lorazepam

3 Other antidepressants:

  • Vortioxetine
  • Bupropion
  • Imipramine

3 Others:

  • Buspirone
  • Hydroxyzine
  • Quetiapine XR
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11
Q

First-line adjunctive for GAD

A

None

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12
Q

Second-line adjunctive for GAD

A

Pregabalin

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13
Q

First-line for OCD

A

5 SSRI

  • Escitalopram
  • Fluoxetine
  • Fluvoxamine
  • Paroxetine
  • Sertraline
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14
Q

Second-line OCD

A

1 SSRI

  • Citalopram

1 SNRI

  • Venlafaxine

1 TCA

  • Clomipramine

Others:

  • Mirtazapine
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15
Q

First-line adjunctive OCD

A
  • Aripiprazole
  • Risperidone
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16
Q

Second-line augmentation for OCD

A
  • Memantine
  • Quetiapine
  • Topiramate
17
Q

First-line PTSD

A

3 SSRI

  • Fluoxetine
  • Paroxetine
  • Sertraline

1 SNRI

  • Venlafaxine XR
18
Q

Second-line PTSD

A
  • Fluvoxamine
  • Mirtazapine
  • Phenelzine
19
Q

First-line adjunctive therapy PTSD

A

NONE

20
Q

Second-line adjunctive therapy PTSD

A
  • Eszopiclone
  • Olanzapine
  • Risperidone
21
Q

Not recommended PTSD

A

2 Benzos

  • Alprazolam
  • Clonazepam

Others:

  • Citalopram
  • Desipramine
  • Divalproex
  • Olanzapine
  • Tiagabine

Nik essentials guidelines (6 decks)

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