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Flashcards in ATI CH 7 anxiety disorders Deck (30)
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0

Name the major medications used to treat anxiety disorders.

Benzodiazepine sedative anxiolytics
Atypical anxiolytics/ nonbarbitrate anxiolytics
Selected antidepressants

1

Name selected antidepressants used to treat anxiety disorders.

Parozetine( Paxil).. A selective serotonin reuptake inhibitor (SSRI)
Sertraline( Zoloft).. (SSRI)
Venlafaxine( Effexor).. A serotonin-norepinephrine reuptake inhibitor (SNRI)

2

Name some antidepressants that help treat anxiety disorders.

Amitriptyline (Elavil)..a tricyclics antidepressant (TCA)
Clomipramine (Anafranil) (TCA)

3

Name a antihistamine that helps treat anxiety disorders.

The antihistamine hydroxyzine (Vistaril)

4

Name a beta blocker that helps treat anxiety disorders.

Propranolol ( Inderal)

5

Name a anticonvulsant that helps treat anxiety disorders

The anticonvulsant gabapentin (Neurontin) helps treat anxiety disorders.

6

What is the prototype drug for this class of drugs...Sedative hypnotic anxiolytic-benzodiazepine

alprazolam (Xanax)

7

What are other meds in the class of
SEDATIVE HYPNOTIC ANXIOLYTICS - BENZODIAZEPINE

diazepam (Valium)
lorazepam (Ativan)
chlordiazeapoxide ( Librium)
clorazepate (Tranxene)
oxazepam (Serax)
clorazepate ( Klonopin)

8

What does diazepam enhance?

Diazepam enhances the inhibitory effects of gamma- aminobutyric acid in the CNS. relief from anxiety occurs rapidly after administration.

9

What are uses for BENZODIAZEPINES

Generalized anxiety disorder (GAD) & panic disorder
Seizure disorders
Insomnia
Muscle spasm
Alcohol withdrawal
Induction of anesthesia
Amnesiac prior to surgery or procedures

10

What pregnancy category is diazepam?

Category D

11

What schedule of drugs is BENZODIAZEPINES considered?

Class 4.

12

Diazepam is contraindicated in clients who...

Have sleep apnea, respiratory depression, and or glaucoma.
Use diazepam cautiously in clients who,have liver disease and or a history of mental illness or a substance use disorder.
They are typically used short term due to the risk 4 dependence

13

What is the prototype drug of the class of drugs
ATYPICAL ANXIOLYTICS/NON BARBITUATE ANXIOLYTIC

buspirone (BuSpar)

14

What are the therapeutic uses of
ATYPICAL ANXIOLYTIC/NONBARBITUATE ANXIOLYTIC

panic disorder
Social anxiety disorder
Obsessive- compulsive and related disorders
Trauma and stressor related disorders(PTSD)

15

Buspirone

Pregnancy category B
Not recommended for woman who are breastfeeding
Use cautiously in older adults and clients who have liver or kidney dysfunction

16

Name some medication and food interactions that react with Buspirone.

Erythromycin
Ketoconazole
St. John's wart
Grapefruit juice

17

What is the prototype drug of
SELECTIVE SEROTONIN REUPTAKE INHIBITORS
(SSRI ANTIDEPRESSANTS)

paroxetine(Paxil)

18

What are other SSRI ANTIDEPRESSANTS

sertraline (Zoloft)
escitalopram (Lexapro)
fluoxetine (Prozac)
fluvoxamine (Luvox)

19

What is pharmalogical action of paroxtine?

Paroxetine selectively inhibits serotonin reuptake, allowing more serotonin to stay at the junction of the neurons

20

Paroxetine

Does not block uptake of dopamine or norepinephrine
Causes CNS stimulation which can cause insomnia
Has a long half life/ a time frame of 4 was is necessary to produce therapeutic med levels

21

What are uses of paroxetine ( Paxil)?

GAD
panic disorder
OCD
social anxiety disorder
Trauma & stressor related disorders

22

What is sertraline (Zoloft) indicated for?

Panic disorder
OCD
social anxiety disorder
PTSD

23

What is escitalopram (Lexapro) used for?

GAD
OCD

24

What is fluxetine (Prozac) used for?

Panic disorder
OCD

25

What is fluvoxamine (Luvox) used for?

OCD
social anxiety disorder

26

What are the contraindications/precautions of Paroxetine?

It is contraindicated in clients taking MAOI's or a TCA
pregnancy category D
avoid alcohol
Use cautiously in clients who,have liver and kidney dysfunction, seizure disorders or a history of GI bleeding.

27

What are 2 subgroups of sedative-hypnotics?

Benzodiazepines
Barbiturates

28

What are the 2 suffixes for benzodiazepines?

-azepam......diazepam, lorazepam,
-azolam...........midazolam, alprazolam


29

What are suffixes for barbituates?

-Pental...........Thiopental
- barbital........Phenobarbitol