An update on the pharmacological treatment of anxiety and related disorders

South African Family Practice

 
 
Field Value
 
Title An update on the pharmacological treatment of anxiety and related disorders
 
Creator Outhoff, K.
 
Subject — anxiety disorders; obsessive-compulsive disorder; post-traumatic stress disorder; anxiolytics
Description The anxiety disorders, obsessive compulsive disorder (OCD) and post-traumatic stress disorder (PTSD) are common and debilitating, often coexist with medical and psychiatric conditions, and usually require long-term treatment. Effective anxiolytic drugs include the selective serotonin reuptake inhibitors (SSRIs) and the serotonin and noradrenaline reuptake inhibitors (SNRIs), which are the preferred agents in primary care. Patients who fail to respond adequately to these may benefit from second-line tricyclic antidepressants (TCAs) or monoamine oxidase inhibitors (MAOIs). Alternative antidepressants include agomelatine and mirtazapine. Benzodiazepines, the anti-epileptic agent, pregabalin, and atypical antipsychotics are generally reserved for specialist use. The 5-HT1A agonist, buspirone, and the antihistamine, hydroxyzine, may also be useful, although the evidence for their efficacy covers a very narrow spectrum. This review describes the pharmacology of these anxiolytics and provides updated evidence for their use in the anxiety and related disorders.
 
Publisher AOSIS
 
Contributor
Date 2016-11-02
 
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article —
Format application/pdf
Identifier 10.4102/safp.v58i5.4561
 
Source South African Family Practice; Vol 58, No 5 (2016): September/October; 50-56 2078-6204 2078-6190
 
Language eng
 
Relation
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:

https://safpj.co.za/index.php/safpj/article/view/4561/5426
 
Coverage — — —
Rights Copyright (c) 2016 K. Outhoff https://creativecommons.org/licenses/by/4.0
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