Lorazepam. 0.025–0.2 mg/kg/day to prn. 0.025–0.08 mg/kg, one to two times/day Clonidine. 0.01–0.05 mg/kg, prn to bid. Azapirone. Buspirone. 0.5–2 mg/kg
Consider adjunctive prn. Benzodiazepine: Clonazepam or Lorazepam; ideally SSRI/SNRI and Buspirone. Trial different SSRI/SNRI. Continue Buspirone; add
Contrast this with benzodiazepines, which work immediately but are addictive. Unlike benzodiazepines, buspirone is generally not useful as a PRN anxiolytic
Buspirone - a glorified placebo? There's also a bunch of patients who end up taking it as a PRN similar to gabapentin or a benzo.
Lorazepam. 0.025–0.2 mg/kg/day to prn. 0.025–0.08 mg/kg, one to two times Clonidine. 0.01–0.05 mg/kg, prn to bid. Azapirone. Buspirone. 0.5–2 mg/kg, one
So many options for prn anxiety or sleep treatment that aren't benzos: prn buspirone Tizanidine for those that don't respond to
Benzo en prn / urgence. Benzo en prn / urgence. Ajout. Benzo en prn/urgence Buspirone (Buspar=non benzo). Prégabaline (Lyrica). Lamotrigine (Lamictal).
Buspirone Not appropriate for panic attacks or PRN use Another anxiolytic may be prescribed initially until buspirone has time to take effect Instruct
Buspirone It can take several weeks for the effects of buspirone to be seen Not appropriate for panic attacks or PRN use Instruct patient starting buspirone
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