Benzodiazepine Withdrawal Symptoms and Management
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Questions and Answers

Which neurotransmitter is typically decreased in patients with anxiety disorders?

  • Dopamine
  • Endorphins
  • Acetylcholine
  • Serotonin (correct)
  • What is a common side effect associated with benzodiazepines?

  • Hypotension
  • Increased energy levels
  • Weight gain
  • Respiratory depression (correct)
  • In anxiety disorders, what brain circuit is associated with fear, panic, and phobia?

  • Cerebellum circuit
  • Occipital lobe circuit
  • Amygdala-centered circuit (correct)
  • Parietal lobe circuit
  • Which medical condition may precipitate anxiety in some individuals?

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

    What is the primary role of SSRIs in the treatment of anxiety disorders?

    <p>Blocking the reuptake of serotonin</p> Signup and view all the answers

    Which system in the body shows hyperactivity in individuals with anxiety disorders?

    <p>Autonomic nervous system</p> Signup and view all the answers

    What is the first-line treatment for chronic anxiety, generalized anxiety disorder (GAD), and panic disorder?

    <p>Selective serotonin reuptake inhibitors (SSRI)</p> Signup and view all the answers

    Which of the following medical conditions may precipitate anxiety according to the text?

    <p>Thyroid disease</p> Signup and view all the answers

    What is the common MOA of benzodiazepines?

    <p>Potentiation of GABA effects</p> Signup and view all the answers

    What is a potential risk associated with benzodiazepine use in elderly patients?

    <p>Increased fall risk</p> Signup and view all the answers

    What is a common side effect of benzodiazepines mentioned in the text?

    <p>Daytime drowsiness</p> Signup and view all the answers

    When are benzodiazepines suggested to be useful in anxiety disorders according to the text?

    <p>During SSRI/SNRI initiation to rapidly reduce anxiety</p> Signup and view all the answers

    Which symptom is not associated with benzodiazepine withdrawal?

    <p>Muscle weakness</p> Signup and view all the answers

    Which benzodiazepine is commonly used in the treatment of seizures?

    <p>Clonazepam (Klonopin)</p> Signup and view all the answers

    What is a side effect associated with long-term benzodiazepine use?

    <p>Rebound insomnia</p> Signup and view all the answers

    Which benzodiazepine has a high potential for abuse due to its short half-life?

    <p>Alprazolam (Xanax)</p> Signup and view all the answers

    Which benzodiazepine is recommended for use in cases of severe alcohol withdrawal?

    <p>Lorazepam (Ativan)</p> Signup and view all the answers

    What is a key takeaway regarding benzodiazepines and their usage?

    <p>&quot;Easy to start, hard to stop&quot;</p> Signup and view all the answers

    Which type of medication has the highest anticholinergic effect?

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

    What is a known limitation of benzodiazepine treatment?

    <p>Rebound insomnia</p> Signup and view all the answers

    Which non-benzodiazepine anxiolytic has a low potential for abuse/addiction?

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

    Which anxiolytic has a slower onset of action compared to typical benzodiazepines?

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

    Why is Propranolol rarely used as an anxiolytic?

    <p>Lethality of overdose</p> Signup and view all the answers

    Which medical condition is a contraindication for using Propranolol as an anxiolytic?

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

    What is the first-line pharmacologic management for agoraphobia?

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

    Which antihistamine has a fairly wide dosage range and can be sedating?

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

    What is the primary reason for initially using benzodiazepines in panic attacks?

    <p>Rapid relief of symptoms</p> Signup and view all the answers

    Which anticonvulsant has the most street value from the mentioned list?

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

    What is a common side effect of hydroxyzine mentioned in the text?

    <p>Paradoxical response</p> Signup and view all the answers

    Which class of medications can be considered as augmentation therapy with buspirone (Buspar) for generalized anxiety disorder?

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

    What is considered the first-line treatment for anxiety disorders?

    <p>SSRI or SNRIs</p> Signup and view all the answers

    Which medication is FDA approved for Panic Disorder and Social Phobia?

    <p>Alprazolam (Xanax)</p> Signup and view all the answers

    What can be used as an adjunct to mainline treatments for anxiety, but should be used with caution and only short-term?

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

    In severe cases of Obsessive Compulsive Disorder (OCD), which medication class can be augmented to the treatment?

    <p>Atypical antipsychotics</p> Signup and view all the answers

    What are the symptoms of SSRI discontinuation syndrome known as FINISH?

    <p>Flu-like symptoms, insomnia, imbalance</p> Signup and view all the answers

    Which medication can be considered when a patient experiences SSRI-related sexual dysfunction?

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

    For specific phobias, which treatment modality is often recommended along with medication?

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

    "Fear of scrutiny by others or fear of acting in a humiliating or embarrassing way" is characteristic of which condition?

    <p>Social Phobia</p> Signup and view all the answers

    Which type of medication can be considered as second-line treatment for Obsessive Compulsive Disorder?

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

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