AnxietyFC

Question 1

Anxiety Disorders names

Answer 1

Generalized Anxiety Disorder (GAD
Panic Disorder (PD)
Social Anxiety Disorder (SAD)
Obsessive Compulsive Disorder (OCD)
Post-Traumatic Stress Disorder (PTSD)

Question 2

Antidepressants with Anxiety Indication

Answer 2

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)

Question 3

Medication that can Worsen Anxiety

Answer 3

Albuterol
Aripiprazole
Caffeine
Stimulants
Decongestants
Steroids
Bupropion
Fluoxetine
Illicit drugs

Question 4

Hydroxyzine (Vistaril)

Answer 4

Sedating antihistamine
Occasionally used for short-term Anxiety
Should not be used long-term
More commonly used for pruritus

Question 5

Pregabalin (Lyrica)

Answer 5

Sometimes used for Anxiety, and can be especially useful if a patient has neuropathic pain

Question 6

Quetiapine (Seroquel)

Answer 6

Sometimes used for Anxiety

Question 7

Propranolol (Inderal)

Answer 7

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)

Question 8

Buspirone MOA

Answer 8

5-HT partial agonist

Question 9

when to use buspirone for anxiety

Answer 9

used for Anxiety for patients who do not respond to antidepressants or in a patient at risk of abuse with benzodiazepines

Question 10

how long to get the max effect of buspar for anx

Answer 10

2-4 weeks for optimal effect

Question 11

se buspar

Answer 11

SE: nausea, dizziness, headache, lightheadedness, excitement

Question 12

dose buspar

Answer 12

Dose: start 7.5mg BID and can increase 5mg/day Q2-3 days

Question 13

when to avoide buspar

Answer 13

avoid use if severe kidney or liver dysfunction

Question 14

Buspirone Drug Interactions

Answer 14

Decrease dose with erythromycin, diltiazem, verapamil, and any inhibitor3A4 inducers
avoid large amounts of grapefruit

Question 15

Benzodiazepines

Answer 15

Lorazepam (Ativan), alprazolam (Xanax), chlordiazepoxide (Librium), clonazepam (Klonopin), diazepam (Valium), oxazepam

Question 16

DDI of bzd

Answer 16

Potentiate GABA, an inhibitory neurotransmitter, causing CNS depression

Question 17

se bzds

Answer 17

SE: drowsiness, dizziness, ataxia, lightheadedness
abuse potential
Physiological dependence and tolerance develop
Withdrawal symptoms when discontinued

Question 18

which bzds perferred in the elderly

Answer 18

-LOT (lorazepam, oxazepam, & temazepam) can be used in elderly