MEDS I-ANXIETY

Question 1

– Advantages – non-addictive, lack of cognitive
impairment, relatively safe in pregnancy
(except Paxil)
– Disadvantages – slow onset, may be a
problem in overdose (TCA’s)
– May use (carefully) with benzodiazepine
initially

Answer 1

Antidepressants

Question 2

– Prozac (Fluoxetine)
– Zoloft (Sertraline)
– Paxil (Paroxetine)
– Celexa (Citalopram)
– Lexapro (Escitalopram)
– Luvox (Fluvoxamine)

Answer 2

SSRI’s

Question 3

act at multiple receptors, “dirty drugs”

Answer 3

TCA’s

Question 4

SNRI, variable with dose

Answer 4

Effexor (Venlafaxine)

Cymbalta (Duloxetine)

Question 5

name the class:

Buspar (Buspirone)

Answer 5

5-HT agonist

Question 6

name the class:

Indural (Propranolol)

Answer 6

Beta Blocker

Question 7

name the class:

Vistaril (Hydroxyzine)

Answer 7

Benadryl

Question 8

– Short acting (Xanax) – less risk of sedation
– Long acting (Klonopin) – less risk of a
discontinuation syndrome
– Advantages – effective, rapid onset
– Disadvantages – depression, dependence,
(withdrawal can be lethal), disinhibition
(especially in the elderly), ataxia,
contraindicated in pregnancy
– Use as a short term treatment

Answer 8

Benzodiazepines

Question 9

these worsen anxiety?

Answer 9

– Wellbutrin (Bupropion)
– Steroids (Prednisone)
– Thyroid supplementation (Synthroid)
– Stimulants (Ritalin, Adderall)
– Insulin (in excess)