Psychiatric Nursing Anxiety Meds Flashcards
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| 1088036953 | SSRIs | Antidepressant. Selective serotonin reuptake inhibitors (SSRIs) are first line therapy for acute stress disorders and PTSD. Preferable to tricyclic antidepressants (TCAs) because they have more rapid onset of action and fewer side effects. Some of SSRIs have more of an activating effect than others and may increase anxiety. | 0 | |
| 1088036954 | Citalopram (Celexa) | SSRI. Used for panic disorder, social anxiety disorder, obsessive-compulsive disorder, generalized anxiety disorder, PTSD. | 1 | |
| 1088036955 | Escitalopram (Lexapro) | SSRI. Generalized anxiety disorder, panic disorder, social anxiety disorder, obsessive-compulsive disorder, PTSD. | 2 | |
| 1088036956 | Fluoxetine (Prozac) | SSRI. Panic disorder, obsessive compulsive disorder, social anxiety disorder, generalized anxiety disorder, PTSD. | 3 | |
| 1088036957 | Fluvoxamine (Luvox) | SSRI. Obsessive compulsive disorder, social anxiety disorder, panic disorder, generalized anxiety disorder, PTSD | 4 | |
| 1088036958 | Paroxetine (Paxil) | SSRI. Panic disorder, social anxiety disorder, obsessive-compulsive disorder, generalized anxiety disorder, PTSD. More calming effect than other SSRIs. | 5 | |
| 1088036959 | Sertraline (Zoloft) | SSRI. Panic disorder, social anxiety disorder, obsessive compulsive disorder, PTSD, generalized anxiety disorder. More calming effect than other SSRIs. | 6 | |
| 1088036961 | SNRIs | Serotonin-norepinephrine reuptake inhibitors. Useful for treatment of some anxiety disorders. Common: cymbalta, effexor. | 7 | |
| 1088036963 | Duloxetine (Cymbalta) | SNRI. Panic disorder, generalized anxiety disorder, obsessive-compulsive disorder, PTSD | 8 | |
| 1088036966 | Venlafaxine (Effexor) | SNRI. Generalized anxiety disorder, social anxiety disorder, panic disorder, obsessive compulsive disorder, PTSD | 9 | |
| 1088036969 | Tricyclic Antidepressants (TCAs) | SSRIs preferable over TCAs. TCAs have more problematic side effects. Initial dose should always be low and increased gradually. | 10 | |
| 1088036970 | TCA Side Effects | Common adverse reactions: anticholinergic actions (dry mouth, blurred vision, tachycardia, constipation, urinary retention, esophageal reflux). Weight gain also common. Can produce orthostatic hypotension, tachycardia, dizziness, increased falls. Administering at night is beneficial Potential toxic effects: cardiovascular- dysrhythmias, tachycardia, MI, heart block Contraindications: Not used with MAOI | 11 | |
| 1088036972 | Amitriptyline (Elavil) | TCA. Panic disorder, GAD, PTSD | 12 | |
| 1088036974 | Clomipramine (Anafranil) | TCA. OCD, panic disorde, GAD, PTSD | 13 | |
| 1088036977 | Desipramine (Norpramin) | TCA. Panic disorder, GAD, PTSD | 14 | |
| 1088036979 | Doxepin (Adapin, Sinequan) | TCA. Panic disorder, GAD, PTSD | 15 | |
| 1088036982 | Imipramine (Tofranil) | TCA. Panic disorder, GAD, PTSD | 16 | |
| 1088036985 | Nortriptyline (Aventyl, Pamelor) | TCA. Panic disorder, GAD, PTSD | 17 | |
| 1088036986 | Monamine oxidase inhibitors (MAOIs) | Reserved for treatment-resistant conditions because the risk of life-threatening hypertensive crisis if the patient does not follow dietary restrictions (pts cannot eat foods containing tyramine and must be given specific dietary instructions). Risk of hypertensive crisis contraindicated in those with comorbid substance abuse. | 18 | |
| 1088036988 | Phenelzine (Nardil) | MAOI. Panic disorder, social anxiety disorder, generalized anxiety disorder, PTSD | 19 | |
| 1088036991 | Tranylcypromine (Parnate) | MAOI. Panic disorder, social anxiety disorder, GAD, PTSD | 20 | |
| 1088036994 | Antianxiety Drugs (Anxiolytics) | Used to treat the somatic and psychological symptoms of anxiety disorders. | 21 | |
| 1088036997 | Benzodiazepines | Anxiolytic. Benzodiazepines most commonly used because they have a quick onset of action. Benzos have potential for dependence, ideally used for short periods only until other medication or treatments reduce symptoms. Side effects: sedation, ataxia, decreased cognitive function. Not recommended for those with substance abuse, not during pregnancy or breastfeeding. | 22 | |
| 1088036998 | Benzodiazepine Meds | Used to treat social anxiety disorder, panic disorder, GAD. Alprazolam (Xanax), clordiazepoxide (Librium), Clonazepam (Klonopin), diazepam (valium), lorazepam (Ativan), Oxazepam (Serax). | 23 | |
| 1088037001 | Nonbenzodiazepines | Alternative antianxiety medication that does not cause dependence but takes 2-4 weeks to reach full effects. Buspirone (BuSpar), may be used for long-term treatment and should be taken regularly. | 24 | |
| 1088037002 | Other classes of medications | B-blockers, antihistamines, anticonvulsants. Added if the first course of treatment is ineffective. | 25 | |
| 1088037003 | Antihistamines | Safe, nonaddictive alternative to benzodiazepines to lower anxiety levels and helpful in pts with substance use problems. Used for GAD. Hydroxyzine hydrochloride (Atarax), hydroxyzine pamoate (Vistaril) | 26 | |
| 1088037004 | Beta-Blockers | Block the nerves that stimulate the heart to beat faster and have been used to treat social anxiety disorder. Atenolol (Tenormin), Propranolol (Inderal). | 27 | |
| 1088037005 | Anticonvulsants | Show some benefit in the management of GAD, PD, PTSD, SAD. Carbamazepine (Tegretol), Gabapentin (Neurontin), Valporic Acid (Depakote) | 28 |