Pharmacotherapy Casebook: A Patient-Focused Approach, 10E (Pharmacy) by Terry L. Schwinghammer
Author:Terry L. Schwinghammer [Schwinghammer, Terry L.]
Language: eng
Format: azw3
Publisher: McGraw-Hill Education
Published: 2017-06-22T04:00:00+00:00
CLINICAL PEARL
With effective pharmacotherapy available for the acute and long-term therapy of GAD, the treatment goal for anxiety is remission. Many patients exhibit treatment response but still have anxiety symptoms and social and functional impairment. Remission is a more rigorous treatment goal that requires a HAM-A score of ≤7 or reduction of at least 70% in baseline levels of symptoms.
REFERENCES
1. Hamilton M. Hamilton Anxiety Scale. In: Guy W, ed. ECDEU Assessment Manual for Psychopharmacology. Rockville, MD, U.S. Department of Health, Education, Welfare, 1976:193–198.
2. Baldwin DS, Anderson IM, Nutt DJ, et al. Evidence-based pharmacological treatment of anxiety disorders, post-traumatic stress disorder and obsessive–compulsive disorder: a re-vision of the 2005 guidelines from the British Association for Pharmacology. J Psychopharmacol 2014;28:403–439.
3. Davidson JR, Zhang W, Connor KM, et al. A psychopharmacological treatment algorithm for generalized anxiety disorder (GAD). J Psychopharmacol 2010;24:3–26.
4. Zhang Y, Huang G, Yang S, Liang W, Zhang L, Wang C. Duloxetine in treating generalized anxiety disorder in adults: a meta-analysis of published randomized, double-blind, placebo-controlled trials. Asia Pac Psychiatry 2015. doi:10.1111/appy.12203.
5. Bandelow B, Sher L, Bunevicius R, et al. Guidelines for the pharmacological treatment of anxiety disorders, obsessive–compulsive disorder and posttraumatic stress disorder in primary care. Int J Psychiatry Clin Pract 2012;16:77–84.
6. Frampton JE. Pregabalin: a review of its use in adults with generalized anxiety disorder. CNS Drugs 2014;28:835–854.
7. Maneeton N, Maneeton B, Woottiluk P, et al. Quetiapine monotherapy in acute treatment of generalized anxiety disorder: a systematic review and meta-analysis of randomized controlled trials. Drug Des Devel Ther 2016;10:259–276.
8. Sarris J, LaPorte E, Schweitzer I. Kava: a comprehensive review of efficacy, safety, and psychopharmacology. Aust N Z J Psychiatry 2011;45:27–35.
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