AnxietyFC Flashcards
Anxiety Disorders names
Generalized Anxiety Disorder (GAD
Panic Disorder (PD)
Social Anxiety Disorder (SAD)
Obsessive Compulsive Disorder (OCD)
Post-Traumatic Stress Disorder (PTSD)
Antidepressants with Anxiety Indication
Bupropion (SAD)
Citalopram (OCD, PD)
Escitalopram (GAD)
Fluoxetine (OCD, PD)
Fluvoxamine (OCD, SAD)
Paroxetine (GAD, OCD, SAD, PD, PTSD)
Sertraline (OCD, PD, SAD)
Duloxetine (GAD)
Venlafaxine (GAD, PD, SAD)
Doxepin (Anxiety)
Imipramine (PD)
Medication that can Worsen Anxiety
Albuterol
Aripiprazole
Caffeine
Stimulants
Decongestants
Steroids
Bupropion
Fluoxetine
Illicit drugs
Hydroxyzine (Vistaril)
Sedating antihistamine
Occasionally used for short-term Anxiety
Should not be used long-term
More commonly used for pruritus
Pregabalin (Lyrica)
Sometimes used for Anxiety, and can be especially useful if a patient has neuropathic pain
Quetiapine (Seroquel)
Sometimes used for Anxiety
Propranolol (Inderal)
used to reduce symptoms of stage fright, or preformance Anxiety
-Dosed at 10-40mg 1 hour prior to an event
CNS effects (confusion, dizziness) may be present
Non-selective beta blocker (avoid with asthma, COPD)
Buspirone MOA
5-HT partial agonist
when to use buspirone for anxiety
used for Anxiety for patients who do not respond to antidepressants or in a patient at risk of abuse with benzodiazepines
how long to get the max effect of buspar for anx
2-4 weeks for optimal effect
se buspar
SE: nausea, dizziness, headache, lightheadedness, excitement
dose buspar
Dose: start 7.5mg BID and can increase 5mg/day Q2-3 days
when to avoide buspar
avoid use if severe kidney or liver dysfunction
Buspirone Drug Interactions
Decrease dose with erythromycin, diltiazem, verapamil, and any inhibitor3A4 inducers
avoid large amounts of grapefruit
Benzodiazepines
Lorazepam (Ativan), alprazolam (Xanax), chlordiazepoxide (Librium), clonazepam (Klonopin), diazepam (Valium), oxazepam
