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Old 08-06-2012
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Default Pt with a hx of substance abuse - which drug?

A 25-year-old woman with a history of substance abuse reports that she has periods of intense fear and discomfort. Her symptoms include shortness of breath, dizziness, sweating, heart palpitations, and a fear of losing control. Which of the following drugs would be most appropriate to manage this disorder in this patient?

a) Alprazolam
b) Phenobarbital
c) Risperidone
d) Sertraline
e) Zaleplon
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confused btw A & D
but i will go for A
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SSRI. Short acting benzo wouldnt be an ideal drug for a recovered addict.
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a) Alprazolam
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isn't she having panic attack?
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Default Withdrawal

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Originally Posted by Kabutar111 View Post
isn't she having panic attack?
I think this discription fits for kinda withdrawal symptoms but not sure about Rx.
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Originally Posted by koolkiller88 View Post
I think this discription fits for kinda withdrawal symptoms but not sure about Rx.
Actually symptom fit panic, but history of subs abuse is mentioned with no specific symptom I see , I think alchol than do benzodiazepine
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Ya fear and discomfort fits for panic but due to alcohol abuse I thought its withdrawal.
Can fear be factor in alcohol overdose? I don't think.


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Default correct answer

The answer is d) Sertraline

This patientís symptoms are consistent with the diagnosis of panic disorder and agoraphobia. Sertraline is a selective serotonin reuptake inhibitor that is approved for the treatment of major depression, obsessive-compulsive disorders, and panic disorders. It does not have any abuse potential.

As for a) Alprazolam, b) Phenobarbital and e) Zaleplon- those are allschedule C-IV controlled substance.
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Quote:
Originally Posted by Casandra View Post
The answer is d) Sertraline

This patientís symptoms are consistent with the diagnosis of panic disorder and agoraphobia. Sertraline is a selective serotonin reuptake inhibitor that is approved for the treatment of major depression, obsessive-compulsive disorders, and panic disorders. It does not have any abuse potential.

As for a) Alprazolam, b) Phenobarbital and e) Zaleplon- those are allschedule C-IV controlled substance.
Thank you that was relief but alprazolam is also used for panic ?
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Originally Posted by Kabutar111 View Post
Thank you that was relief but alprazolam is also used for panic ?
alprazolam -> for anxiety, panic, phobias
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Old 08-07-2012
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Quote:
Originally Posted by Casandra View Post
The answer is d) Sertraline

This patientís symptoms are consistent with the diagnosis of panic disorder and agoraphobia. Sertraline is a selective serotonin reuptake inhibitor that is approved for the treatment of major depression, obsessive-compulsive disorders, and panic disorders. It does not have any abuse potential.

As for a) Alprazolam, b) Phenobarbital and e) Zaleplon- those are allschedule C-IV controlled substance.
casandra nice question but i am still confused between alprazolam and sertraline
as kaplan B.S& pharma clearly states alprazolam for anxiety,panic and phobias
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Quote:
Originally Posted by Casandra View Post
alprazolam -> for anxiety, panic, phobias
Forgive my stupidity but why you prefer alprazolam is not better choice
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Originally Posted by offpiste View Post
casandra nice question but i am still confused between alprazolam and sertraline
as kaplan B.S& pharma clearly states alprazolam for anxiety,panic and phobias
of course it does - we use alprazolam in those disorders. but the question asked about the drug which would be the best for a former drug abuser
Benzoes have potential for abuse that's why it wouldn't be the best choice here.
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The above post was thanked by:
Kabutar111 (08-08-2012), koolkiller88 (08-07-2012), Learner (08-07-2012), offpiste (08-07-2012), sol1411 (08-07-2012), venky2600 (08-10-2012)



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