Week 6 Case Studies: Anxiolytics, Antidepressants, Sedatives, Anesthesia,AntiepilepticsCase Study #1: AnxietyA 40-year-old patient with a history of generalized anxiety disorder (GAD) has received an assortmentof medications over the past 2 years to help treat the condition. The patient has also been attendingcognitive therapy sessions to help with symptoms of restlessness, chronic agitation, and severeinsomnia. The patient presents to clinic today to review all previous medications that have beenattempted in the past, and to discuss any other available therapies.Social history: Works in a research lab, but currently unemployed. Married with 2 young children.Previous medication list: amitriptyline, paroxetine, buspirone, diazepam, zolpidemCurrent medications: venlafaxine daily, St. John’s wort daily, lorazepam and melatonin qhsPMx: chronic anxiety as a child, depressive episode 10 years agoFHx: mother suffers from depression; sister also has generalized anxiety disorder1) List 6 adverse effects of benzodiazepines, such as diazepam and lorazepam. [3 points]Dizziness, ataxia, drowsiness, blurred vision, vertigo , sedation, confusion2) List 2 common indications for amitriptyline. [2 points]Fibromyalgia, Anxiety disorder3) List 6 adverse effects for tricyclic antidepressants, such as amitriptyline. [3 points]Cardiotoxicity, suicidal ideation, sedation, orthostatic hypotension, weakness , convulsions,parethesia, stroke, syncope4) Why was the patient prescribed buspirone in the past? [1 point]Pt was prescribed buspar for generalized anxiety disorder5) What are the main indications for zolpidem and melatonin? [1 point]Sedative, drugs for insomnia6) What is the most likely indication for paroxetine in this patient? [1 point]Generalized anxiety disorder
