Anti-Anxiety Meds

antidepressants can be used to treat

anxiety disorders

effective for treating anxiety disorders without the CNS- depressant effects for the potential for abuse and withdrawal symptoms

Buspirone

what are the side effects of buspirone

dizziness

drowsiness

nausea

excitement

headache

what are the cautions when taking buspirone

caution with driving or operating heavy machinery

avoid alcohol

DO NOT USE MAOIs : 2 week period

What are the interactions of haldol and buspirone

increase serum levels of haldol

what is the drug of choice for treating GAD

buspirone

how long does it take for buspirone to take effect

3-6 weeks

beta blocker, that blocks B1 receptors which may prevent fear conditioning

used to treat physical anxiety symptoms or performance anxiety

propranolol

what are the cautions for propanolol

can worsen depression

what are the side effects of propanalol

bradycardia

hypotension

fatigue

what is the daily dosing for propanalol

20-40 mg/day

used in anxiety related to alcohol withdrawal

blocks histamine receptors

not as effective as benzos

can be lethal in OD

hydroxyzine

what are the side effects of hydroxyzine

sedation

blurry vision

dry mouth

what is the dosing of hydroxyzine

50-100 QID

increases availability of GABA

rapid onset

CNS depressant

benzodiazepine

abrupt discontinuation of benzos can lead to

recurrence of target symptoms

what are the benzos

lorazepam (ativan)

alprazolam (xanax)

clonazepam (klonopin)

diazepam (valium)

chlordiazepoxide (librium)

flurazepam (dalmane)

triazolam (halcion)

what are the side effects of benzos

CNS depression

ataxia

tolerance

what are the cautions of benzos

avoid other CNS depressants

risk of sedation

do not stop abruptly

can cause dependence

what are the sedative-hypnotics

benzos

GABA enhancers

melatonergic hypnotics

antihistamines

orexin receptor antagonists

used as a supplement for depression, pain, anxiety, insomnia, and PMS by causing serotonin, dopamine, and norepinephrine modulation

st johns wort

causes risk of serotonin syndrome with other serotonergic drugs

st johns wort

used for anxiety reduction due to interactions with dopaminergic transmission, inhibition of MAO-B enzyme system and GABA receptor modulation

Kava

what supplement can cause a risk of severe liver injury, thrombocytopenia, leukopenia, and hearing impairments

kava