Exam 1: MH 701 / MH701 (Latest
) Psychopharmacologic /
Neuroscience Foundations of Mental
Health Care | Questions and
Answers | 100% Correct - Frontier
Question:
3 neurotransmitters associated with anxiety
Answer:
The 3 major neurotransmitters associated with anxiety are
norepinephrine (NE)
serotonin
γ-aminobutyric acid (GABA).
,Question:
First-Like pharmacotherapy for Panic Disorder
Answer:
Treatment of panic disorder combines CBT, self-management techniques, and
medications, including antidepressants and anxiolytic agents.
Alprazolam (Xanax) and paroxetine (Paxil) are the two drugs approved by the
US FDA for the treatment of panic disorder.
SSRIs and clomipramine (Anafranil) over the benzos, MAOIs, and TCAs.
Venlafaxine (Effexor) and buspirone (BuSPar) has been suggested as an
additive medication in some cases. Venlafaxine is approved by the FDA for
treatment of FAD and may be useful in panic disorder combined with
depression.
Question:
How long can client take benzodiazepines before experiencing dependence?
Answer:
12 weeks
,Question:
What other pharmacotherapy is important for the treatment of Panic
Disorder?
Answer:
-A conservative approach is to begin treatment with paroxetine, sertraline
(Zoloft), citalopram (Celexa), or fluvoxamine (Luvox) in isolated panic
disorder.
-If rapid control of severe symptoms is desired, a brief course of alprazolam
should be initiated concurrently with the SSRI followed by slowly tapering
use of the benzodiazepine
-In long-term use, fluoxetine (Prozac) is an effective drug for panic with
comorbid depression, although its initial activating properties may mimic
panic symptoms for the first several weeks, and it may be poorly tolerated on
this basis.
-Clonazepam (Klonopin) can be prescribed for patients who anticipate a
situation in which panic may occur (o.5 to 1mg as required)
, Question:
What education will you provide to clients about benzodiazepines?
Answer:
-Patients should be instructed not to drive, to abstain from alcohol or other
CNS depressant medications, and avoid operating dangerous equipment
while taking benzodiazepines.
-When used in short periods of 1-2 weeks usually have no
tolerance/dependence/withdrawal
-Instruct patient that plan is short course with taper- do not use more than
necessary; risk for tolerance and dependence
Question:
What other/adjunct pharmacotherapy is important for treatment of
Agoraphobia?
Answer:
After 1st line therapy of SSRIs:
-The TCA drugs clomipramine (Anafranil) and imipramine (Tofranil) are the
most effective in the treatment of these disorders. Dosages must be titrated
slowly upward to avoid overstimulation (e.g. "jitteriness" syndrome), and the
full clinical benefit requires full dosages and may not be achieved for 8 to 12
weeks.
) Psychopharmacologic /
Neuroscience Foundations of Mental
Health Care | Questions and
Answers | 100% Correct - Frontier
Question:
3 neurotransmitters associated with anxiety
Answer:
The 3 major neurotransmitters associated with anxiety are
norepinephrine (NE)
serotonin
γ-aminobutyric acid (GABA).
,Question:
First-Like pharmacotherapy for Panic Disorder
Answer:
Treatment of panic disorder combines CBT, self-management techniques, and
medications, including antidepressants and anxiolytic agents.
Alprazolam (Xanax) and paroxetine (Paxil) are the two drugs approved by the
US FDA for the treatment of panic disorder.
SSRIs and clomipramine (Anafranil) over the benzos, MAOIs, and TCAs.
Venlafaxine (Effexor) and buspirone (BuSPar) has been suggested as an
additive medication in some cases. Venlafaxine is approved by the FDA for
treatment of FAD and may be useful in panic disorder combined with
depression.
Question:
How long can client take benzodiazepines before experiencing dependence?
Answer:
12 weeks
,Question:
What other pharmacotherapy is important for the treatment of Panic
Disorder?
Answer:
-A conservative approach is to begin treatment with paroxetine, sertraline
(Zoloft), citalopram (Celexa), or fluvoxamine (Luvox) in isolated panic
disorder.
-If rapid control of severe symptoms is desired, a brief course of alprazolam
should be initiated concurrently with the SSRI followed by slowly tapering
use of the benzodiazepine
-In long-term use, fluoxetine (Prozac) is an effective drug for panic with
comorbid depression, although its initial activating properties may mimic
panic symptoms for the first several weeks, and it may be poorly tolerated on
this basis.
-Clonazepam (Klonopin) can be prescribed for patients who anticipate a
situation in which panic may occur (o.5 to 1mg as required)
, Question:
What education will you provide to clients about benzodiazepines?
Answer:
-Patients should be instructed not to drive, to abstain from alcohol or other
CNS depressant medications, and avoid operating dangerous equipment
while taking benzodiazepines.
-When used in short periods of 1-2 weeks usually have no
tolerance/dependence/withdrawal
-Instruct patient that plan is short course with taper- do not use more than
necessary; risk for tolerance and dependence
Question:
What other/adjunct pharmacotherapy is important for treatment of
Agoraphobia?
Answer:
After 1st line therapy of SSRIs:
-The TCA drugs clomipramine (Anafranil) and imipramine (Tofranil) are the
most effective in the treatment of these disorders. Dosages must be titrated
slowly upward to avoid overstimulation (e.g. "jitteriness" syndrome), and the
full clinical benefit requires full dosages and may not be achieved for 8 to 12
weeks.
