ANSWERS WITH COMPLETE SOLUTIONS GRADED A++
drug class of alprazolam (Xanax)
Benzodiazepine
antidote for alprazolam
Flumazenil
indications for alprazolam
anxiety
considerations for alprazolam
-CNS depression (avoid alcohol or other CNS depressing symptoms)
-anterograde amnesia
-short half-life
-may experience paridoxical effects, particularly in the elderly or children
-watch for resp depression
-watch for suicidal ideation
-CONTROLLED SUBSTANCE
drug class of buspirone (Buspar)
atypical nonbarbituate anxiolytic
indications for buspirone
GAD, when benzos are not helping or are contraindicated
considerations for buspirone
, -takes 2-4 weeks to be effective
-take regularly, not PRN
-most side effects are self-limiting
-do not use with st. John's wort, SSRIs, MAOIs, or grapefruit juice
drug class for fluoxetine (Prozac)
SSRI
indications for fluoxetine
anxiety, depression
drug class for paroxetine (Paxil)
SSRI
indications for paroxetine
depression, anxiety
considerations for fluoxetine
-GI upset and bleeding (no NSAIDS, caution w/ anticoagulants)
-seratonin syndrome
-taper off slowly
-sexual dysfunction and weight gain
-diaphoresis, tremor, fatigue
-do not use st. john's wort or MAOIs
-suicidal ideation (black box warning)
considerations for paroxeine
-GI upset and bleeding (no NSAIDS, caution w/ anticoagulants)
-seratonin syndrome