ANXIOLYTICS

Anxiety breakers



Benzodiazepines ("benzos") are the most important anxiolytic class; however, they are a bit controversial. Here are the 1st line indications for Benzos: Panic attacks (to break or lyse anxiety, hence anxio-lytics), Status Epilepticus, Alcohol Withdrawal, Benzo Withdrawal, NREM Parasomnias (sleepwalking and night terrors) and to provide anesthesia for a minor medical procedure (Midazolam). They are NOT to be taken everyday for anxiety disorders, because Benzos are addictive, dangerous, have serious tolerance and have huge abuse potentials. The main side effect with benzos is also their major indication: sedation. Benzos depress all parts of the CNS, including the cardiorespiratory reflex centers in the brainstem, which results in a low respiratory rate. 


Barbiturates (Phenobarbital) are just dangerous Benzos. Mostly used for neonatal seizures, or benzo-resistant diseases. Low yield. 


Ataractics is a catch-all class of anxiety drugs. It refers to any anxiety drug that isn't a benzo or barb. Overall they are mild and well tolerated.





DO NOT PRESCRIBE DAILY BENZOS!