Hypnotics & Anxiolytics Flashcards
1
Q
Side effects of acute BZD use
A
- non selective depressive activity
- sedation if used for anxiolysis
- poor motor coordination
- amnesia
- decreased REM sleep
- effects potentiated by alcohol
2
Q
Side effects of chronic BZD use
A
Withdrawal: rebound anxiety (due to GABA receptor adaptation)
3
Q
Contraindications to BZD use
A
hepatic impairment
4
Q
Panic disorder
recommended tx + not recommended
A
Recommended:
SSRI, TCAs (Imipramine, Clomipramine)
Not recommended: Benzo
5
Q
Generalised anxiety disorder
recommended tx + not recommended
A
Recommended:
SSRI, SNRI
Not recommended: Benzo (except short term during crisis)
6
Q
OCD
recommended tx + not recommended
A
Recommended:
SSRI
Not recommended:
TCA, SNRI, serotonin reuptake inhibitor, MAOI, Benzo
7
Q
PTSD
recommended tx
A
Recommended:
SSRI
+ hypnotic if sleep disturbance
8
Q
Acute anxiety/adjustment disorder
recommended tx
A
Benzos (diazepam, tamazopam)
9
Q
Social anxiety disorder
recommended tx
A
Venlafaxine (SNRI)
