Mental Health Book

http://www.fpnotebook.com/

Anxiety Management

Aka: Anxiety Management, Anxiety Medications, Anxiolytic
  1. See Also
    1. Anxiety Non-pharmacologic Management
  2. Management: Selective Serotonin Reuptake Inhibitors (SSRIs and SNRIs)
    1. Indicated as primary agents for anxiety as well as for concurrent depression
    2. Selective Serotonin Reuptake Inhibitors (SSRI)
      1. Paroxetine (Paxil)
      2. Escitalopram (Lexapro) or Citalopram (Celexa)
    3. Serotonin-Norepinephrine Reuptake Inhibitors
      1. Venlafaxine (Effexor)
      2. Duloxetine (Cymbalta)
  3. Medications: Anxiolytics
    1. Non-addictive Anxiolytics
      1. Buspirone (Buspar)
    2. Short-acting Benzodiazepines
      1. Indicated in the elderly or with decreased clearance
      2. Lorazepam (Ativan)
    3. Long Acting Benzodiazepines
      1. Clonazepam (Klonopin)
  4. Management: Adjunctive Pharmacotherapy
    1. Atypical Antipsychotics
      1. Quetiapine (Seroquel)
    2. Tricyclic Antidepressants (may be useful in transitioning off Benzodiazepines)
      1. Imipramine (Tofranil)
      2. Desipramine (Norpramin)
    3. MAO inhibitors
      1. Indicated for concurrent phobia
      2. Phenelzine (Nardil)
      3. Tranylcypromine (Parnate)
    4. Beta Blockers
      1. Indicated for excessive autonomic symptoms
      2. Propranolol (Inderal)
      3. Atenolol (Tenormin)
    5. Pregabalin (Lyrica)
      1. Relieves Anxiety Symptoms with similar efficacy to SSRIs and Benzodiazepines
      2. Minimum threshold effective dose is 200 mg per day
      3. Bech (2007) Pharmacopsychiatry 40(4): 163-8
  5. Management: Other options
    1. Clonidine (Catapres)
    2. Sedating Antihistamines (e.g. Hydroxyzine)
  6. Complications: Medications in the Elderly
    1. Ataxia with risk of falls and secondary Fracture
    2. Decreased cognition
  7. References
    1. Greenberger (1995) Mind over Mood, Guilford Press
    2. Bourne (1997) Anxiety and Phobia Workbook, Fine Comm.
    3. Kavan (2009) Am Fam Physician 79(9): 785-91
    4. Wittchen (2002) J Clin Psychiatry 63:24-34

Anti-Anxiety Agents (C0040616)

Definition (NCI) Any agent used to treat anxiety.
Definition (NCI) A drug used to treat symptoms of anxiety, such as feelings of fear, dread, uneasiness, and muscle tightness, that may occur as a reaction to stress. Most anxiolytic agents block the action of certain chemicals in the nervous system.
Definition (MSH) Agents that alleviate ANXIETY, tension, and ANXIETY DISORDERS, promote sedation, and have a calming effect without affecting clarity of consciousness or neurologic conditions. ADRENERGIC BETA-ANTAGONISTS are commonly used in the symptomatic treatment of anxiety but are not included here.
Concepts Pharmacologic Substance (T121)
MSH D014151
SnomedCT 321192002, 373282008, 255635008, 72297003
English Agents, Anti-Anxiety, Agents, Anxiolytic, Agents, Minor Tranquilizing, Agents, Minor Tranquillizing, Anti Anxiety Agents, Anxiolytic Agents, Minor Tranquilizing Agents, Minor Tranquillizing Agents, Tranquilizing Agents, Minor, Tranquillizing Agents, Minor, Anti Anxiety Drugs, Anti-Anxiety Drugs, Anxiolytics, Drugs, Anti-Anxiety, Anxiolytic agent, NOS, MISCELLANEOUS ANXIOLYTICS, anxiolytic, Anxiolytics (product), ANTIANXIETY AGENTS, Minor Tanquilizer, Anxiolytic Agent, antianxiety agent, anxiolytics (medication), anti-agents, antianxiety agents, anxiolytic agents, antianxiety tranquilizers, minor tranquilizers, 642-643 MISCELLANEOUS ANXIOLYTICS, anxiolytics, Antianxiety Agent, antianxiety drugs, anti-anxiety drugs, agent anxiolytic, antianxiety drug, tranquilizers antianxiety, anti anxiety drugs, anti anxiety drug, anti anxiety agents, anti-anxiety agents, agent anti anxiety, anxiolytic agent, Anxiolytic agent (substance), Anxiolytic agent, Anxiolytic, Anxiolytic (product), minor tranquilizer, Anxiolytic (substance), Anxiolytic agent (product), Anxiolytics (substance), Anti-Anxiety Agents, Antianxiety Drugs, Minor Tranquilizers
French Médicaments anxiolytiques, Agents anxiolytiques, Anxiolytiques, Tranquillisants mineurs
Swedish Ångestdämpande medel
Spanish ansiolíticos, agente ansiolítico (sustancia), agente ansiolítico, ansiolíticos (producto), agente ansiolítico (producto), ansiolítico (producto), ansiolítico, Agentes Ansioliticos, Agentes Antiansiedad, Tranquilizantes Menores, Agentes Ansiolíticos
Czech trankvilizéry malé, anxiolytika
Finnish Anksiolyytit
Italian Tranquillanti minori, Agenti ansiolitici, Farmaci ansiolitici, Sostanze ansiolitiche, Ansiolitici
Russian ANTIFOBICHESKIE SEDATIVNYE SREDSTVA BENZODIAZEPINOVYE, ANTIFOBICHESKIE SEDATIVNYE SREDSTVA, BENZODIAZEPINOVYE TRANKVILIZATORY, TRANKVILIZATORY MALYE, ANKSIOLITIKI, ANKSIOLITIKI BENZODIAZEPINOVYE, TRANKVILIZATORY, PROIZVODNYE BENZODIAZEPINA, АНКСИОЛИТИКИ, АНКСИОЛИТИКИ БЕНЗОДИАЗЕПИНОВЫЕ, АНТИФОБИЧЕСКИЕ СЕДАТИВНЫЕ СРЕДСТВА, АНТИФОБИЧЕСКИЕ СЕДАТИВНЫЕ СРЕДСТВА БЕНЗОДИАЗЕПИНОВЫЕ, БЕНЗОДИАЗЕПИНОВЫЕ ТРАНКВИЛИЗАТОРЫ, ТРАНКВИЛИЗАТОРЫ МАЛЫЕ, ТРАНКВИЛИЗАТОРЫ, ПРОИЗВОДНЫЕ БЕНЗОДИАЗЕПИНА
Croatian ANKSIOLITICI
Polish Trankwilizatory małe, Leki przeciwlękowe, Środki anksjolityczne, Anksjolityki, Leki anksjolityczne
Japanese 穏和安定薬, 抗不安剤, マイナートランキライザ, マイナートランキライザー, 不安除去薬, 抗不安薬, トランキライザー-マイナー
German Anxiolytika, Tranquilizer, milde, Angstlösende Mittel
Portuguese Agentes Ansiolíticos, Ansiolíticos, Tranquilizantes Menores
Sources
Derived from the NIH UMLS (Unified Medical Language System)


Navigation Tree