Week 4: TIC and deprescribing

Question 1

How do you taper Benzodiazepine?

Answer 1

Taper dose by 10% every 1-2 weeks until dose is 20% of the original dose
THEN taper by %% every 2-4 weeks

Question 2

What are first line treatments for PTSD?

Answer 2

PTSD:
- 1st line – fluoxetine, paroxetine, sertraline and venlafaxine

Question 3

What is a toxic stress physiology ?

Answer 3

repeated exposure to bad situations like abuse, neglect or violence/serious hardships (beyond our control)
If no supportive adults are around to help buffer the stress response, stress hormone levels stay dangerously high
Severe stress is especially toxic if occurs often and lingers for a long time
Negative impact on brain architecture and other systems in body
Can cause serious health issues later in life
Damage other body systems in young children – lifetime of health challenges including mental and physical health conditions and addiction

Question 4

Why would you want to deprescribe antipsychotics (if pt doesnt need it)

Answer 4

increased risk of metabolic disturbances, weight gain, dry mouth, dizziness, abnormal gait