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Psychosocial Ch16Wk3
Drugs used for Anxiety Disorders
| Question | Answer |
|---|---|
| Generalized Anxiety disorder | excessive and unrealistic worry about two or more life circumstances for 6 months or longer |
| Panic disorder | begins as a series of acute or unprovoked anxiety(panic) attacks involving an intense, terrifying fear. The attacks do not occur on exposure to an anxiety-causing situation as phobias do. |
| Phobias | irrational fear of a specific object, activity or situation. |
| Social Phobia | fear of being humiliated, scrutinized or embarrassed in public |
| Simple or specific Phobia | Simple or specific – fear of a specific object or situation |
| OCD (obsession) | (unwanted thought, idea, image or urge) that a patient recognizes as time-consuming and senseless but that repeatedly intrudes into the consciousness despite attempts to ignore, prevent, or counteract it. |
| OCD (compulsion) | is a repetitive, intentional, purposeful behavior performed to decrease the anxiety associated with an obsession. |
| Acute Stress Disorder | symptoms during or immediately after the distressing event |
| Post traumatic stress Disorder | symptoms that occur 1 month or more after the trauma |
| Anxiety Medications | Known as anxiolytics, tranquilizers & antianxiety |
| Anxiety Drug Classifications | Benzodiazepines Azaspirones SSRI’s – Selective Serotonin Reuptake Inhibitors Miscellaneous AntiAnxiety Agents |
| Benzodiazepines | Most commonly used because: “Yo Gaba-Gaba” - works on the Gaba -Gaba hits areas of brain that affect anxiety More consistently effective Less likely to interact with other drugs Account for 75% of 100 million annual prescriptions |
| Common Benzodiazepines | Alprazolam (Xanax) Chlordiazepozide (Librium) Clorazepate(Tranzene) Diazepam (Valium) Lorazepam (Ativan) Oxazepam (Serax) |
| Common Benzodiazepines | Lorazepam (ativan) or oxapam (serax) |
| Those with reduced hepatic functioning or older adults should take | Lorazepam (ativan) or oxapam (serax) – more short acting, preferred drugs Orally or IV (Ativan and Valium) |
| Azaspirones (Buspirone – Buspar) | Doesn't have an addictive effect Requires 7-10 days before initial signs of improvement, 3-4 weeks of therapy |
| Selective Serotonin Reuptake Inhibitors (SSRI’s) | Fluvoxamine(luvox) – used primarily in obsessive compulsive disorders, by reducing symptoms |
| Misc. Anti-anxiety Agents (Hydroxyzine (vistaril, atarax) | Antihistamine though seen as multipurpose agent due to diverse actions Orally and IV Used as mild tranquilizer and also pre or post- operative sedation to control vomiting, decrease anxiety and reduce amount of narcotics needed, also to relieve itching |
| Common adverse effects of Hydroxyzine | mostly anticholinergic effects, blurred vision, constipation, mucosal dryness |
Created by:
MarieG
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