Save
Busy. Please wait.
Log in with Clever
or
show password
Forgot Password?
Don't have an account?  Sign up 
Sign up using Clever
or
Username is available taken
show password


Make sure to remember your password. If you forget it there is no way for StudyStack to send you a reset link. You would need to create a new account. Your email address is only used to allow you to reset your password. See our Privacy Policy and Terms of Service.

Already a StudyStack user? Log In

Reset Password
Enter the associated with your account, and we'll email you a link to reset your password.
focusNode
Didn't know it?
click below
 
Knew it?
click below
Don't Know
Remaining cards (0)
Know
0:00
edit
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.

  Normal Size     Small Size show me how

Anxiety Pharma

Behavioral Medicine Pharmacology

QuestionAnswer
Anti-anxiety med: adequate trial = 6-8 weeks
Classes of anti-anxiety drugs Benzodiazepines; SSRIs; SNRIs; Buspirone; other (hydroxyzine, imipramine, and propranolol)
Which drugs are firstline for anxiety? Benzodiazepines; SSRIs; SNRIs
Tx of choice for acute anxiety relief Benzodiazepines
Anxiety tx of choice for noncompliance / avoidance of withdrawal sx Diazepam
Advantage of buspirone lack of sedation AE; good if pt h/o substance abuse
Advantage of beta blockers in anxiety tx good for pt w/ hx of CV sx; adjunct for refractory
MOA: Benzodiazepines Potentates inhibitory effect of GABA
MOA: SSRIs Selectively inhibit the reuptake of 5-HT by blocking the 5-HT transporter
MOA: SNRIs Block the reuptake of 5-HT and NE (and DA)
MOA: Buspirone SSRI
MOA: Hydroxyzine Potent antihistaminergic, anticholinergic, and antispasmodic effects
MOA: Imipramine (TCA) Blocks reuptake of 5-HT and NE
MOA: propranolol beta-blocker
Bz side effects CNS depression / sedation; anterograde amnesia; dependence / abuse
Shorter acting benzodiazepines Alprazolam; Lorazepam; Oxazepam
Longer acting benzodiazepines Chlordiazepoxide; clonazepam; Diazepam
Benzodiazepines: increased toxicity / mortality if: taken with other CNS depressants
Benzodiazepine OD mild sx drowsy, confusion, somnolence, impaired coordination, diminished reflexes, lethargy
Benzodiazepine OD serious sx ataxia, hypotonia, hypotension, hypnosis, coma, death
Benzodiazepine OD: Tx: gastric lavage, supportive measures, flumazenil
Benzodiazepine Withdrawal Sx anxiety, restlessness, insomnia, agitation, muscle tension, irritability
Bz withdrawal sx more likely in: users of high doses for long periods of time
Tx: Bz withdrawal Taper over several weeks when discontinuing
Antidepressants for anxiety dz: SSRIs; Venlafaxine; Mirtazipine; TCA; MAOI
SSRI dosing for anxiety delayed tx response; initiate w/smaller dose than AD dose
Anxiety: MAOI reserved for: refractory cases
FDA approved for panic disorder paroxetine, fluoxetine, sertraline, venlafaxine XR, alprazolam, clonazepam
Tx for OCD CBT firstline for mild; CBT and SSRI for severe (clomipramine if 2-3 failed SSRIs); tx mania, depression, or psychosis first
Created by: Abarnard
Popular Pharmacology sets

 

 



Voices

Use these flashcards to help memorize information. Look at the large card and try to recall what is on the other side. Then click the card to flip it. If you knew the answer, click the green Know box. Otherwise, click the red Don't know box.

When you've placed seven or more cards in the Don't know box, click "retry" to try those cards again.

If you've accidentally put the card in the wrong box, just click on the card to take it out of the box.

You can also use your keyboard to move the cards as follows:

If you are logged in to your account, this website will remember which cards you know and don't know so that they are in the same box the next time you log in.

When you need a break, try one of the other activities listed below the flashcards like Matching, Snowman, or Hungry Bug. Although it may feel like you're playing a game, your brain is still making more connections with the information to help you out.

To see how well you know the information, try the Quiz or Test activity.

Pass complete!
"Know" box contains:
Time elapsed:
Retries:
restart all cards