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15 Cards in this Set
- Front
- Back
3 Major medications used for treating anxiety disorders are?
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- Benzodiazepines
- Atypical anxiolytic / nonbarbiturate anxiolytics - Selective Serotonin Reuptake Inhibitors |
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Sedative Hypnotic Anxiolytic - Benzodiazepine
Prototype Drug |
- Diazepam
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Other Hypnotic Anxiolytic Benzodiazepines
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- Alprazolam
- Lorazepam - Chloridiazepoxide - Clorazepate - Oxazepam - Clonazepam |
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Diazepam Action
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- enhances the inhibitory effects of GABA in the central nervous system. Relief from anxiety occurs rapidly following administration
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Therapeutic uses for Diazepam
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- Generalized Anxiety Disorder
- Panic Disorder - Seizure disorders - Insomnia - Muscle Spasm - Alcohol Withdrawl (acute symptoms - Induction of anesthesia |
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Side Effects of Benzodiazepines
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- CNS Depression (Sedation, light-headedness, ataxia, decreased cognitivefunction)
- Anterograde amnesia (trouble recalling events after dosing) - Acute Toxicity - Paradoxical response(Insomnia, excitation) - Withdrawal symptoms |
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Contrindications of Benzodiazepines
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- Pregnancy (causes;Cleft Lip and palates)
- Sleep-apnea - Respiratory depression - Liver disease - Renal disease |
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Interactions of Benzodizepines
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- other CNS depressants
(Alcohol, barbiturates, opioids) May cause respiratory depression |
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Benzodiazepines should be tapered when discontinuing use.
True or False |
- True
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Antidote for Diazepine overdose
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- Flumazenil
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Barbiturate Prototype Drug
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- Phenobarbital
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Barbiturates are used as?
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- Anxiolytics-Hypnotics
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Barbiturates Action
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- Inhibits conduction in the ascending RAS; depresses the cerebral cortex; alters cerebellar function; depresses motor output; can produce excitation, sedation, hypnosis,anesthesia, and deep coma, and has anti-convulsant activity
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Adverse Effects of Barbiturates
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- Somnolence
- Agitation - Confusion - Hyerkinesias - Ataxia - Vertigo - CNS depression - Hallucinations - Bradycardia, Hypotension - Hypoventilation - Steven-Johnson Syndrome |
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Contraindications of Barbiturates
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- Allergy
- Previous addiction to barbs. or hallucinogenics - porphyria - Hepatic Impairment, Nephritis - Severe Respiratory Dysfunction - Pregnancy - Seizure disorders - Lactating women |