Benzodiazepines; Meds
lorazepam
alprazolam
clonazepam
diazepam
Benzodiazepines; Complications
-CNS depression
-anterograde amnesia
-acute toxicity
-paradoxical response
-withdrawal effects
-drowsiness
-dry mouth
CNS Depression; Signs & Symptoms
(benzodiazepines)
-sedation
-lightheadedness
-ataxia
-decreased cognitive function
Anterograde Amnesia; Signs & Symptoms
(benzodiazepines)
difficulty recalling events that occur after dosing
Acute Toxicity; Signs & Symptoms
(benzodiazepines)
-drowsiness
-lethargy
-confusion
-respiratory depression
-severe hypotension
-cardiac arrest
Paradoxical Response; Signs & Symptoms
(benzodiazepines)
-insomnia
-excitation
-euphoria
-anxiety
-rage
Withdrawal Effects; Signs & Symptoms
(benzodiazepines)
-anxiety
-insomnia
-diaphoresis
-tremors
-lightheadedness
, -delirium
-seizures
Benzodiazepines; Contraindications
-pregnancy cat. D
-sleep apnea
-respiratory depression
-glaucoma
-hx of substance abuse
Benzodiazepines; Considerations
-very addictive, can cause dependence
-generally used short term
Non-Benzodiazepines (non addictive)
-buspirone
-diphenhydramine
Buspirone; Side Effects
CNS effects
-dizziness
-nausea
-headache
-lightheadedness
-agitation
Buspirone; Contraindications
-pregnancy cat. B (don't breastfeed)
-liver/kidney/renal dysfunction
-MAOI = HTN crisis
-NO grapefruit
-NO st. johns wort
-NO erythromycin
Diphenhydramine; Side Affects
-anticholinergic symptoms
-sleeeeepy
SSRI; Side Effects
-early = nausea, diaphoresis, tremor, fatigue, drowsiness
-late = sexual dysfunction, weight gain, headache
-weight changes
-GI bleeding
-hyponatremia
-serotonin syndrome
-bruxism
-withdrawal syndrome
Altruism
dealing with anxiety by reaching out/helping others
Sublimation
dealing with unacceptable feelings or impulses by unconsciously substituting a mature
and socially acceptable activity
Suppression