Anxiety Management (Overview)
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Questions and Answers

Which of the following medications is NOT recommended for anxiety?

  • Hydroxyzine
  • Amitriptyline (correct)
  • Buspirone
  • Pregabalin

    • What is the main purpose of using benzodiazepines for anxiety?

  • Long-term treatment
  • Treating liver impairment
  • Preventing dependence
  • Acute anxiety relief (correct)

    • Which benzodiazepine is metabolized to inactive compounds, making it less harmful for patients with liver impairment?

  • Clonazepam
  • Lorazepam (correct)
  • Alprazolam
  • Diazepam

    • What is the black box warning associated with benzodiazepines?

    <p>Respiratory depression</p> Signup and view all the answers

    Which medication should be avoided in combination with strong CYP3A4 inhibitors?

    <p>Alprazolam</p> Signup and view all the answers

    What is the potential danger of combining buspirone with a monoamine oxidase inhibitor (MAOi)?

    <p>Serotonin syndrome</p> Signup and view all the answers

    Which medications can increase the risk of serotonin syndrome when combined with buspirone?

    <p>SSRIs and SNRIs</p> Signup and view all the answers

    What are the common adverse effects of benzodiazepines?

    <p>Nausea, headache, dizziness, and drowsiness</p> Signup and view all the answers

    What is the potential benefit of using lorazepam, oxazepam, and temazepam for patients with liver impairment?

    <p>Reduced risk of harm</p> Signup and view all the answers

    What is the main purpose of using SSRIs and SNRIs for anxiety?

    <p>Long-term treatment</p> Signup and view all the answers

    Which treatment option has shown great efficacy in managing anxiety?

    <p>Cognitive Behavioral Therapy (CBT)</p> Signup and view all the answers

    What are the major types of anxiety disorders identified in the DSM-5 classification?

    <p>General Anxiety Disorder (GAD), Panic Disorder (PD), Social Anxiety Disorder (SAD)</p> Signup and view all the answers

    Which substances can exacerbate anxiety symptoms?

    <p>Steroids, Stimulants, Levothyroxine, Theophylline</p> Signup and view all the answers

    What is the recommended approach for titrating medication dosage?

    <p>Gradually increase the dosage</p> Signup and view all the answers

    How long may it take for relief from medication to be noticeable?

    <p>Up to four weeks of starting the medication</p> Signup and view all the answers

    What are considered first-line options for pharmaceutical treatment of anxiety?

    <p>Selective serotonin reuptake inhibitors (SSRIs), Serotonin-norepinephrine reuptake inhibitors (SNRIs)</p> Signup and view all the answers

    Which disorder is characterized by continuous and severe distress, fear, and worry?

    <p>General Anxiety Disorder (GAD)</p> Signup and view all the answers

    Which disorder is characterized by difficulties in focusing at school or work and can harm relationships?

    <p>General Anxiety Disorder (GAD)</p> Signup and view all the answers

    Which treatment option focuses on identifying and changing negative thought patterns and behaviors that contribute to anxiety?

    <p>Cognitive Behavioral Therapy (CBT)</p> Signup and view all the answers

    Which substances should be avoided to prevent drug-induced anxiety?

    <p>Albuterol, Anti-psychotics, Caffeine</p> Signup and view all the answers

    True or false: Cognitive Behavioral Therapy (CBT) is a pharmaceutical treatment option for managing anxiety.

    <p>False</p> Signup and view all the answers

    True or false: Relief from medication for anxiety can be noticeable within a week.

    <p>False</p> Signup and view all the answers

    True or false: Selective serotonin reuptake inhibitors (SSRIs) and serotonin-norepinephrine reuptake inhibitors (SNRIs) are considered second-line options for pharmaceutical treatment of anxiety.

    <p>False</p> Signup and view all the answers

    True or false: Buspirone is a sedating anti-histamine and should not be used long-term.

    <p>True</p> Signup and view all the answers

    True or false: Pregabalin is a schedule II controlled substance used to treat anxiety in patients with neuropathy.

    <p>False</p> Signup and view all the answers

    True or false: Benzodiazepines should only be used for one to two weeks and discontinued thereafter to avoid dependence.

    <p>True</p> Signup and view all the answers

    True or false: Flumazenil can be used as an antidote for benzodiazepine overdose.

    <p>True</p> Signup and view all the answers

    What is the recommended first-line non-pharmaceutical treatment option for managing anxiety?

    <p>Cognitive Behavioral Therapy (CBT)</p> Signup and view all the answers

    What are the major types of anxiety disorders identified in the DSM-5 classification?

    <p>General Anxiety Disorder (GAD), Panic Disorder (PD), Social Anxiety Disorder (SAD), Obsessive-Compulsive Disorder (OCD), and Post-Traumatic Stress Disorder (PTSD)</p> Signup and view all the answers

    What is the optimal approach for titrating the dosage of anxiety medication?

    <p>Start with half the initial dose and gradually titrate the medication to find the optimal dosage</p> Signup and view all the answers

    What are the potential side effects of buspirone?

    <p>Some potential side effects of buspirone include nausea, headache, dizziness, and drowsiness.</p> Signup and view all the answers

    What precautions should be taken when using buspirone?

    <p>Buspirone should not be taken within 14 days of using a monoamine oxidase inhibitor (MAOi) and serotonergic medications should be avoided.</p> Signup and view all the answers

    What are the common adverse effects of benzodiazepines?

    <p>Common adverse effects of benzodiazepines include somnolence, dizziness, lightheadedness, weakness, and ataxia.</p> Signup and view all the answers

    What is the recommended duration of benzodiazepine use to avoid dependence?

    <p>Benzodiazepines should only be used for one to two weeks and discontinued thereafter to avoid dependence.</p> Signup and view all the answers

    Match the following anxiety disorders with their abbreviations:

    <p>General Anxiety Disorder = GAD Panic Disorder = PD Social Anxiety Disorder = SAD Obsessive-Compulsive Disorder = OCD Post-Traumatic Stress Disorder = PTSD</p> Signup and view all the answers

    Match the following substances with their potential to exacerbate anxiety symptoms:

    <p>Albuterol = Can exacerbate anxiety symptoms Anti-psychotics = Can exacerbate anxiety symptoms Caffeine = Can exacerbate anxiety symptoms Bupropion = Can exacerbate anxiety symptoms</p> Signup and view all the answers

    Match the following medications with their classification:

    <p>Escitalopram = Selective serotonin reuptake inhibitor Fluoxetine = Selective serotonin reuptake inhibitor Paroxetine = Selective serotonin reuptake inhibitor Duloxetine = Serotonin-norepinephrine reuptake inhibitor Venlafaxine XR = Serotonin-norepinephrine reuptake inhibitor</p> Signup and view all the answers

    Match the following medications with their correct usage or characteristic:

    <p>Buspirone = Takes two to four weeks to show its full effect Hydroxyzine = A sedating anti-histamine not to be used long-term Pregabalin = A schedule V controlled substance used to treat anxiety in patients with neuropathy Diazepam = Lipophilic, has a fast onset, long half-life, and high abuse potential</p> Signup and view all the answers

    Match the following benzodiazepines with their correct usage or characteristic:

    <p>Lorazepam, oxazepam, and temazepam = Less harmful for patients with liver impairment Diazepam = Used for alcohol withdrawal symptoms and has high abuse potential Flumazenil = Used as an antidote for benzodiazepine overdose Alprazolam = Should be avoided in combination with strong CYP3A4 inhibitors</p> Signup and view all the answers

    Match the following medications with their associated adverse effects or precautions:

    <p>Benzodiazepines = Risk of dependence and tolerance with chronic use Buspirone = Should not be taken within 14 days of using a monoamine oxidase inhibitor Alprazolam = Should be avoided in combination with strong CYP3A4 inhibitors</p> Signup and view all the answers

    Match the following benzodiazepines with their associated contraindications or precautions:

    <p>Lorazepam, oxazepam, and temazepam = Beneficial for patients with liver impairment Benzodiazepines = Contraindicated with opioids, pregnancy, use of other CNS depressants Alprazolam = Avoided in combination with strong CYP3A4 inhibitors Temazepam = Not recommended for anxiety</p> Signup and view all the answers

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