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20 Cards in this Set

  • Front
  • Back
What are 4 physical symptoms of anxiety disorder?
Tachycardia
sweating
trembling
palpations
What are some psychological symptoms of AD?
Worry
avoidance
poor concentration
feeling "pressure" or "on edge"
How is GAD diagnosed?
Excessive anxiety occurring more days than not for 6mo. or incapacitating symptoms
What treatment could one give for GAD?
Benzos
Psychotherapy
anticonvulsants
How does one make a formal diagnosis of panic disorder?
4 attacks wtihin 4 weeks or more than one attack and persistent fear of having another one.
What drugs are given for phobic disorder? (performance anxiety and social anxiety)
Performance: beta blockers
Social: MAOIs or SSRI
How is OCD treated?
Behavioural therapy
SSRI
Clomipramine
What is Acute Stress Disorder and how is it treated?
Behavioural disturbances that develop within the first month after trauma.
s/s: Dissociation, GAD, hyperarousal, avoidance, flashbacks, dreams, recurrent thoughts
RX: Benzos
What is the 3 symptom cluster associated with PTSD?
What rx are used in treatment?
Reexperiencing
avoidance
increased arousal persisting beyond 3 months
RX: SSRIs
What are the rx used to treat anxiety and related disorders?
Benzos
Buspirone
SSRIs
TCAs
Other: B-blocker and antihistamines, anticonvulsants
Where do BZDs act?
at GABA/BZD receptor
What a/e are associated with BZD use?
Sedation,
hangover feeling,
decreased RR,
weight gain,
risk for falls,
tolerance
What is the MOA of BUspirone?
A/e?
Partial agonist at 5HT1 receptor
a/e: May worsen symptoms, naursea, dizziness, fatigue
What a/e can be expected with SSRIs?
Contraindications?
Changing doses?
Nausea
headache
agitation
insomnia
sexual dysfunction
wt gain
Contraindicated with MAOIs
Beware of discontinuation syndrome
What kind of a/e are associated with TCAs when treating anxiety disorders?
Anticholinergic
no see
no pee
no spit
no shit
What caution must be used when taking MAOIs? Why?
No food with tyramine and no SSRIs.
HYPERTENSIVE CRISIS
What are the SNRIs that are used to treat anxiety?
Remeron,
wellbutrin
effexor
What rx options are available for treating insomnia (3)?
BZDs
Antidepressants
Antihistamines
What kind of antidepressants would be used to treat insomnia?
Why don't people like these?
Tricyclics
Desyrel
Remeron
Next day sedation, anticholinergic, hypotension, cardiotoxicity, seizures, hypothermia
how does rozerem work?
a/e?
It binds to melatonin receptors and induces sleep. not a controlled substance
A/E: No hangover effect, dizziness, fatigue,