Download to read offline
![The goal of
Pharmacotherapy in the
management of anxiety
• Short-term goals –
[Immediate release of anxiety]
• Long-term goals –
[Long-term control of anxiety
and prevention of relapses]](https://image.slidesharecdn.com/managementofanxietyoverviewofpharmacotherapy-250209053919-70fe6a3d/75/Management-of-anxiety-Overview-of-Pharmacotherapy-pptx-5-2048.jpg)
More Related Content
Similar to Management of anxiety @ Overview of Pharmacotherapy.pptx
More from Sujit Kumar Kar
Management of anxiety @ Overview of Pharmacotherapy.pptx
- 1. Management of anxiety: Overviewof Pharmacotherapy Dr. Sujit Kumar Kar Additional Professor of Psychiatry King George’s Medical University, Lucknow, U.P
- 2.
- 3. Management outlines ofanxiety 3
- 4. 4 Anxiety Vs Anxiety Disorders Pharmacotherapy Psychologicaltreatments Relaxation therapies Somatic treatments Alternative therapies (Yoga, Meditation, Reki…)
- 5. The goal of Pharmacotherapyin the management of anxiety • Short-term goals – [Immediate release of anxiety] • Long-term goals – [Long-term control of anxiety and prevention of relapses]
- 6. 6 Medications with anxiolytic properties • Benzodiazepines •Selective serotonin reuptake inhibitors (SSRIs) • Serotonin norepinephrine reuptake inhibitors (SNRIs) • Tricyclic antidepressants (TCAs) • Monoamine oxidase inhibitors (MAOs) • Buspirone • Other antidepressants – Agomelatine, Tianeptine, Mirtazapine • Tofisopam • Beta blockers • Anticonvulsants • Atypical antipsychotics • Antihistaminic agents • Etifoxine
- 7. Pharmacological management of anxiety AcuteControl Versus Long-term Control
- 8. Acute Control Versus Long-term Control Benzodiazepines(Less than 1 hour) Selective serotonin reuptake inhibitors (SSRIs) Serotonin-norepinephrine reuptake inhibitors (SNRIs) Tricyclic antidepressants (TCAs) Monoamine oxidase inhibitors (MAOIs) Buspirone Other antidepressants – Agomelatine, Tianeptine, Mirtazapine Tofisopam (2 hours to 3 days) Beta-blockers (within 1 to 4 hours) Anticonvulsants Atypical antipsychotics Antihistaminic agents (Less than 1 hour) Etifoxine (2 to 3 hours) 8
- 9. Understanding Anxiolytics 9 Anxiolytics • With antidepressant property •Without antidepressant property Anxiolytics • With sedative property • Without sedative property Anxiolytics • Less risk in pregnancy & lactation Anxiolytics • With abuse potential • Without abuse potential
- 10.
- 11. Slee et al.,2019 Click icon to add picture 11
- 12.
- 15. Click icon toadd picture
- 16. 16 Understanding Anxiolytics Benzodiazepine anxiolyticsNon-benzodiazepine anxiolytics
- 17. Future Need: Sophisticated Anxiolytics 17 Non-sedating Nohangover No dependence Good safety profile Low cost No cognitive slowing
- 18. Who can deliverthese sophisticated needs? 18 Propranolol ???? Etifoxine ?????? Any other drug?? Buspirone ???? Tofisopam ???
- 19.