cpje secrets - anxiety

Vistaril

Hydroxyzine

Vistaril SE

Sedating

Lyrica generic name and schedule

Pregabalin, IV

Which anxiolytic would be helpful in neuropathic pain?

Pregabalin

Seroquel

Quetiapine

Inderal

Propranolol

Propranolol dose for public speaking

10-40 mg 1 hour prior to event

Natural products for anxiety

Kava kava, valerian, lemon balm, glutamine, passion flower and hops, chamomile tea, theanine, skullcap

What types of anxiety is fluoxetine used for?

OCD, Panic

What types of anxiety is sertraline used for?

SAD, OCD, Panic

What types of anxiety is Paxil used for?

SAD, OCD, Panic, GAD, Trauma

What types of anxiety is Celexa used for?

OCD, Panic

What types of anxiety is Lexapro used for?

GAD

What types of anxiety is Luvox used for?

SAD, OCD

What types of anxiety is Cymbalta used for?

GAD

What types of anxiety is Effexor used for?

SAD, Panic, GAD

What types of anxiety is Wellbutrin used for?

SAD

What types of anxiety is Imipramine used for?

Panic

What types of anxiety is Sinequan used for?

SAD

Which antihistamine can be used for anxiety?

Hydroxyzine

Is hydroxyzine used for short or long-term anxiety?

Short-term

Which ASM can be used for anxiety?

Pregabalin

Which antihistamine can be used for anxiety?

Which beta-blocker can be used for anxiety?

Propranolol

Caution with propranolol

CNS effects

Benzodiazepine counseling point for insomnia

Take at bedtime

Benzodiazepine counseling point for anxiety

Take PRN (works in about 1-2 hours)

Are benzodiazepines used for short or long-term anxiety?

Short-term

Romazicon

Flumazenil

Romazicon dosing

0.2 mg IV

What is the antidote for BDZ overdose (brand name)

Romazicon

What is the antidote for BDZ overdose (generic name)

Flumazenil

Xanax

Alprazolam

Ativan

Lorazepam

Serax

Oxazepam

Restoril

Temazepam

Halcion

Triazolam

Versed

Midazolam

Is Xanax short-acting or long-acting?

Short-acting

Is Ativan short-acting or long-acting?

Short-acting

Is Serax short-acting or long-acting?

Short-acting

Is Restoril short-acting or long-acting?

Short-acting

Is Halcion short-acting or long-acting?

Short-acting

Is Versed short-acting or long-acting?

Short-acting

Valium

Diazepam

Klonopin

Clonazepam

Tranxene

Clorazepate

Librium

Chlordiazepoxide

Dalmane

Flurazepam

Is Valium short-acting or long-acting?

Long-acting

Is Klonopin short-acting or long-acting?

Long-acting

Is Tranxene short-acting or long-acting?

Long-acting

Is Librium short-acting or long-acting?

Long-acting

Is Dalmane short-acting or long-acting?

Long-acting

LOT benzodiazepines

Lorazepam, Oxazepam, Temazepam

BDZ for alcohol withdrawal (LDC)

Lorazepam, Diazepam, Chlordiazepoxide (and Oxazepam)

Zaxopam

Oxazepam

Benzodiazepines schedule

IV

How long should BZDs be used for anxiety?

1-2 weeks

BuSpar MOA

5-HT partial agonist

BuSpar pros

Not anticholinergic, not sedative, Cat B

BuSpar cons

Slow onset, BID-TID dosing (not PRN), MAOI CI

Are BuSpar tablets scored?

Yes

Should BDZ be tapered? Yes, to avoid withdrawal symptoms

Which anxiolytics cause anterograde amnesia and ataxia?

Benzodiazepines

What beverage should be avoided with BDZs?

Alcohol

BDZ pregnancy category

D

Which BDZ are preferred in patients with liver disease?

Short-acting

How is anxiety primarily treated

SSRIs, SNRIs, TCAs