Quiz 18: Pharmacotherapy of Anxiety and Sleep Disorders


According to the given case study, the subject (Mr. Craig Edwards), experiencing the insomnia, and the symptoms related to anxiety. So, the healthcare provider prescribed him a short course of drug called Lorazepam (Benzodiazepines medication). Lorazepam : The drug Lorazepam is a Benzodiazepines class of drug, prescribed for the anxiety disorders, which produces the sedative effect. Adverse Effects of Lorazepam: The most frequently reported adverse effects associated with the drug Lorazepam, are listed below. • Dizziness. • Vertigo. • Sedation. • Blurred vision. • Drowsiness. • Ataxia. • Confusion. Note : The above stated adverse effects are dose related; as the therapy progresses, the adverse effects can be tolerated by the subject. In addition, the drug Lorazepam, produces some less common adverse effects, such as Hepatoxicity, Anaphylaxis, Hypotension, Nausea, Constipation and Anorexia.

The adrenergic blockers are used for the treatment of anxiety; so, the adrenergic blockers do not produces the anxiety. The Cholinergic Blockers are used to decrease the hypertension; hence, it won't produces the Anxiety. The parasympathomimetics drugs, are given to stimulate the parasympathetic nervous system. The most common adverse effects produced by the parasympathomimetics drugs, includes the hypotension and bradycardia, but not produces the anxiety. The sympathomimetic drugs are the stimulants of the sympathetic nervous system. We know well, the anxiety activates the sympathetic nervous system and triggers the fight or flight response. Therefore, the sympathomimetic drugs can able to cause the anxiety as the side effect. Hence, the correct answer is Sympathomimetics.

According to the given case study, the subject (Seraphina Alvarez) is an elementary school teacher, who has planned for her retirement. The subject's Husband (Joe) has been retired for three years ago, and getting little amount of money through his social security pension. In addition, he has some plans for travel, after his wife's (Seraphina) retirement. On such situation, both husband and wife are facing some financial problems; because, the subject's grandchildren are came to stay with them approximately 10 months ago. The salary of an elementary school teacher, and the small amount of security pension, are not completely enough to satisfy all the needs of present situations of the subject; because, raising the teenagers are considerably more costly. So, the subject (Seraphina) faces stress, and resents towards the grandchildren. However, she feels guilty on it; because, she knows that, they (grandchildren) are not caused such situations. But, the stress caused due to her guilty and worrying about the financial problems, leads her to get the inability of night sleep.

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