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Top 200 Drugs Week 5
Top 200 Drugs Week 5 - Anxiety and Insomnia
25
Medical
Graduate
09/19/2013

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Cards

Term
Brand Name: Xanax, Niravam
Definition
Generic Name: alprazolam
Indications: anxiety
Drug class: BZD
Control Substance Status: C-IV
Term
Brand Name: Buspar
Definition
Generic Name: buspirone
Indications: anxiety
Drug class: Anxiolytic
Term
Brand Name: Klonopin
Definition
Generic Name: clonazepam
Indications: anxiety
Drug class: BZD
Control Substance Status: C-IV
Term
Brand Name: Valium
Definition
Generic Name: diazepam
Indications: anxiety
Drug class: BZD
Control Substance Status: C-IV
Term
Brand Name: Lunesta
Definition
Generic Name: eszopiclone
Indications: insomnia
Drug class: Non-BZD
Control Substance Status: C-IV
Term
Brand Name: Vistaril
Definition
Generic Name: hydroxyzine pamoate
Indications: insomnia
Drug class: First Generation Antihistamine
Term
Brand Name: Ativan
Definition
Generic Name: lorazepam
Indications: anxiety - PREFERRED in elderly patients!
Drug class: BZD
Control Substance Status: C-IV
Term
Brand Name: Oleptro, Desyrel
Definition
Generic Name: trazodone
Indications: depression, anxiety
Drug class: anti-depressant
Term
Brand Name: Ambien, Edluar, Intermezzo
Definition
Generic Name: zolpidem
Indications: sleep
Drug class: Non-BZD
Control Substance Status: C-IV
Term
Benzodiazepines (BZD) drug class adverse effects
Definition
Adverse effects: Sedation, drowsiness, memory difficulties, fatigue, muscle weakness
Control Substance Status: C-IV
Term
Benzodiazepines (BZD) drug class clinical pearls/counseling points
Definition
Short term use, potentially addictive, taper off slowly; avoid abrupt discontinuation
Term
Benzodiazepines (BZD) drug class withdrawl symptoms
Definition
Agitation, paresthesia, muscle cramps, diarrhea, worsening of mood, anxiety attack, nervousness, restlessness, insomnia, tremors, Seizures and hallucinations (rare)
Term
Anxiolytic drug class adverse effects
Definition
Dizziness, drowsiness, headache, nervousness, nausea
Term
Anxiolytic drug class clinical pearls/counseling points
Definition
Less potential for abuse, slow onset, not for PRN use, preferred in pregnant women over BZD
Term
Anxiolytic & Non-BZD drug class drug interactions
Definition
Alcohol, CNS depressants
Term
Anxiolytic drug class warnings/cautions
Definition
Restlessness syndrome, cognitive/motor impairment, concurrent use with MAO inhibitor
Term
Non-BZD drug class Warnings/cautions
Definition
Cause CNS depression, abnormal thinking/behavior changes, sleep-related activities
Caution in drug abuse, elderly, female
Term
Non-BZD drug class clinical pearls/counseling points
Definition
Produce more natural sleep, cause few disturbances in sleep stages, decrese the amount of time to fall asleep, avoid abrupt discontinuation, habit-forming, short-term use, take at bedtime
Term
First Generation Antihistamine side effects
Definition
Dizziness, drowsiness, fatigue, headache, dry mouth
Term
First Generation Antihistamine clinical pearls/counseling points
Definition
Considerably less effective than benzodiazepines, Associated with residual daytime sedation and anticholinergic effects, Some consideration for use in elderly patients and individuals with a history of alcohol or sedative-hypnotic abuse
Term
Trazodone side effects
Definition
headache, dizziness, fatigue, dry mouth, nausea, blurred vision, Rare: priapism
Term
Trazodone drug interactions
Definition
SSRI/SNRI, linezolid, amiodarone
Term
Trazodone warnings/cautions
Definition
BBW: suicidal thinking/behavior in children, adolescents, young adults (18-24)
Term
Trazodone clinical pearls
Definition
Use lower does for sedative effects - 25-200 mg QHS
Term
Alcohol withdrawl symptoms
Definition
Common symptoms: agitation, anxiety, nervousness, mood swings, shakiness
Severe symptoms: hallucination, confusion, seizure
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