A client who is a recovering alcoholic has been diagnosed as having panic attacks. The psychiatrist
mentions plans to treat the client with daily doses of medication.
Of the medications listed below, for
which drug should the nurse plan client teaching?
a. Paroxetine (Paxil)
b. Alprazolam (Xanax)
c. Chlorpromazine (Thorazine)
d. Propranolol (Inderal)
ANS: A
Selective serotonin reuptake inhibitors are first-line drugs for the treatment of panic disorder. Both
paroxetine and sertraline are approved by the Food and Drug Administration for treatment of panic
disorder. Selective serotonin reuptake inhibitors are nonaddicting and have a relatively low
incidence of unpleasant side effects. Also useful are tricyclic antidepressants, such as imipramine,
which are more useful than the benzodiazepines because they are nonaddicting. Option B:
Alprazolam is a benzodiazepine and would not be the drug of choice for a client who has a problem
of chemical dependency. Option C: Chlorpromazine is a neuroleptic and not useful for treating panic
disorder. Propranolol is more often used in the treatment of social phobias.
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