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Alternative Medicine for Panic Attacks

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Case Study A Choice of Sedative

Mrs. Jones celebrated her 71st birthday by taking her grandchildren to the park. She fell while pushing the merry-go-round and broke her wrist. She has no pain now but is too uncomfortable with the cast to sleep well. She has tried soothing music, reading, and relaxing techniques but is still unable to sleep. She has requested a sleeping pill. Based on knowledge of psychotropic drugs in elderly patients, what medication would be an appropriate choice?

Answer: Benzodiazepines are effective for short-term use as sedative-hypnotics. Long-acting types with active metabolites, such as diazepam, would normally be expected to have a prolonged half-life. The half-life would be even more prolonged in Mrs. Jones because of the increase in body fat and decreased renal excretion that are typical for persons of her age. After several weeks of administration, daytime confusion may occur in this patient and may put her at risk for a fall and another serious injury. A short-acting benzodiazepine with inactive metabolites, such as oxazepam, could provide the desired effect with minimal adverse effects.

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Do Not Panic

Do Not Panic

This guide Don't Panic has tips and additional information on what you should do when you are experiencing an anxiety or panic attack. With so much going on in the world today with taking care of your family, working full time, dealing with office politics and other things, you could experience a serious meltdown. All of these things could at one point cause you to stress out and snap.

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