Anxiety Disorders in DSM II

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Author:
mcucullu
ID:
162498
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Anxiety Disorders in DSM II
Updated:
2012-07-14 18:39:21
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disease state management II DSM anxiety disorders drugs doses symptoms signs treatments
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These flashcards cover all materials presented in the DSM II course in the pharmacy curriculum.
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  1. What are some of the symptoms associated with anxiety?
    • 1) fear
    • 2) worry
    • 3) tachycardia
    • 4) palpitations
    • 5) SOB
    • 6) GI upset
    • 7) pain
    • 8) chest pain
    • 9) insomnia
    • 10) fatigue
  2. What are some common types of anxiety disorders?
    • 1) generalized anxiety disorder (GAD)
    • 2) panic disorder (PD)
    • 3) social anxiety disorder (SAD)
    • 4) obsessive compulsive disorder (OCD)
    • 5) post-traumatic stress disorder (PTSD)
  3. What are some treatments for anxiety disorders?
    • 1) lifestyle modifications
    • 2) antidepressants
    •   a. SSRIs
    •   b. SNRIs
    •   c. TCAs
    • 3) benzodiazepines
    • 4) natural products
  4. What are some lifestyle modifications that you can apply in patients with anxiety disorders?
    • 1) increase physical activity
    • 2) talk therapy
    • 3) helping others
    • 4) community involvement
  5. What are some SSRIs used in the treatment of anxiety disorders?
    • 1) citalopram (Celexa)
    • 2) escitalopram (Lexapro)
    • 3) fluoxetine (Prozac)
    • 4) Fluvoxamine (Luvox)
    • 5) paroxetine (Paxil)
    • 6) sertraline (Zoloft)
  6. What are some SNRIs used in the treatment of anxiety disorder?
    • 1) duloxetine (Cymbalta)
    • 2) venlafaxine (Effexor)
  7. What TCAs are used in the patients with anxiety disorders?
    • 1) doxepin (Silenor)
    • 2) imipramine (Tofranil)
  8. What drugs are used for OCD?
    • 1) citalopram (Celexa)
    • 2) fluoxetine (Prozac)
    • 3) fluvoxamine (Luvox)
    • 4) paroxetine (Paxil)
    • 5) sertraline (Zoloft)
  9. What drugs are used for PD?
    • 1) citalopram (Celexa)
    • 2) fluoxetine (Prozac)
    • 3) paroxetine (Paxil)
    • 4) sertraline (Zoloft)
    • 5) venlafaxine (Effexor)
  10. What drugs are used to treat GAD?
    • 1) escitalopram (Lexapro)
    • 2) paroxetine (Paxil)
    • 3) duloxetine (Cymbalta)
    • 4) venlafaxine (Effexor)
  11. What drugs are used to treat SAD?
    • 1) fluvoxamine (Luvox)
    • 2) paroxetine (Paxil)
    • 3) sertraline (Zoloft)
    • 4) venlafaxine (Effexor)
    • 5) buproprion (Aplenzin, Budeprion SR, Budeprion XL, Buproban, Wellbutrin SR, Wellbutrin XL, Wellbutrin, Zyban)
  12. What drugs are used to treat PTSD?
    paroxetine (Paxil)
  13. What drugs can be used for relief of acute symptoms, however, not for treatment of the causes of anxiety?
    benzodiazepines
  14. What is the dose for lorazepam (Ativan)?
    0.5 - 2 mg prn
  15. What is the dose for alprazolam (Xanax)?
    0.25 - 2 mg prn
  16. What is the dose for clonazepan (Klonopin)?
    0.125 - mg 2 mg prn
  17. What is the dose of diazepam (Valium)?
    2 - 10 mg prn
  18. What is the dose for chlordiazepoxide (Librium)?
    5 - 25 mg prn
  19. What is the dose of oxazepam (Serax)?
    10 - 30 mg prn
  20. What are the side effects associated with benzodiazepine use?
    • 1) C - IV
    • 2) potential abuse
    • 3) physiological dependence
    • 4) tolerance
    • 5) withdrawal symptoms when d/c
  21. What are some natural products used for anxiety disorders?
    • 1) valerian
    • 2) lemon balm
    • 3) glutamine
    • 4) passion flower/hops
    • 5) chamomile tea
    • 6) theanine
    • 7) skullcap
    • 8) kava
    •   a.  can cause damage to the liver
  22. What is the starting dose of buspirone (Buspar)?
    7.5 mg BID
  23. What is the maximum dose of buspirone (Buspar)?
    60 mg/day
  24. What are the side effects associated with buspirone (Buspar)?
    • 1) Nausea
    • 2) HA
    • 3) dizziness
    • 4) excitement
    • 5) kidney damage
    • 6) liver damage
  25. What class of drugs should you avoid using while taking buspirone (Buspar)?
    MAOIs
  26. When should you consider decreasing the dose of buspirone (Buspar)?
    • When taking:
    • 1) erythromycin
    • 2) diltiazem
    • 3) verapamil
    • 4) 3A4 inhibitors
    •   a. cimetidine
    •   b. amiodarone
    •   c. aprepitant
    •   d. atazanavir
    •   e. caffeine
    •   f. clarithromycin
    •   g. clotrimazole
    •   h. conivaptan
    •   i.  cycloSPORINE
    •   j. delavirdine
    •   k. desipramine
    •   l. diltiazem
    •   m. doxycycline
    •   n. efavirenz
    •   o. erythromycin
    •   p. fluconazole
    •   q. fosamprenavir
    •   r. fosaprepitant
    •   s. fospropofol
    •   t. haloperidol
    •   u. imatinib
    •   v. indinavir
    •   w. isoniazid
    •   x.  itraconazole
    •   y. ketoconazole
    •   z. lidocaine
    •   aa. metroNIDAZOLE
    •   bb. miconazole
    •   cc. nefazodone
    •   dd. nelfinavir
    •   ee. niCARdipine
    •   ff. norfloxacin
    •   gg. propofol
    •   hh. quiNIDine
    •   ii. ritonavir
    •   jj. saquinavir
    •   kk. sertraline (Zoloft)
    •   ll. sitaxsentan
    •   mm. telithromycin
    •   nn. tetracycline
    •   oo. verapamil
    •   pp. voriconazole
  27. When should you consider increasing the dose of buspirone (Buspar)?
    • When taking:
    • 1) rifampin
    • 2) 3A4 inducers
    •   a. phenobarbital
    •   b. phenytoin
    •   c. armodafinil
    •   d. bosentan
    •   e. carBAMazepine
    •   f. dexamethasone
    •   g. efavirenz
    •   h. fosphenytoin
    •   i. nafcillin
    •   j. nevirapine
    •   k. OXcarbazepine
    •   l. PENTobarbital
    •   m. primidone
    •   n. rifabutin
    •   o. rifapentin
  28. What are some drugs that can worsen anxiety?
    • 1) albueterol
    • 2) caffeine
    • 3) stimulants
    • 4) decongestants
    • 5) steroids
    • 6) buPROPion
    • 7) fluoxetine
    • 8) illicit drugs
    •   a. cocaine
    •   b. LSD
    •   c. methamphetamine
    • 9) aripiprazole (Abilify)

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