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

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

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

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

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

What is the common MOA of benzodiazepines?

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

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

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

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

<p>Daytime drowsiness (A)</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 (D)</p> Signup and view all the answers

Which symptom is not associated with benzodiazepine withdrawal?

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

Which benzodiazepine is commonly used in the treatment of seizures?

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

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

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

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

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

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

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

Which type of medication has the highest anticholinergic effect?

<p>TCAs (B)</p> Signup and view all the answers

What is a known limitation of benzodiazepine treatment?

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

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

<p>Buspirone (C)</p> Signup and view all the answers

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

<p>Buspirone (B)</p> Signup and view all the answers

Why is Propranolol rarely used as an anxiolytic?

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

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

<p>Asthma (B)</p> Signup and view all the answers

What is the first-line pharmacologic management for agoraphobia?

<p>Lexapro (C)</p> Signup and view all the answers

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

<p>Hydroxyzine (B)</p> Signup and view all the answers

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

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

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

<p>Gabapentin (A)</p> Signup and view all the answers

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

<p>Paradoxical response (B)</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 (C)</p> Signup and view all the answers

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

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

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

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

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

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

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

<p>Wellbutrin (A)</p> Signup and view all the answers

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

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

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

<p>TCAs (A)</p> Signup and view all the answers

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