A patient who has been taking a benzodiazepine for panic attacks is to be started on buspirone (BuSpar). Which instruction should the nurse provide?
a. "Take decreasing doses of the benzodiazepine for several days until the buspirone becomes effective."
b. "Stop taking the benzodiazepines immediately. Wait 2 days, and then start the buspirone."
c. "You should take buspirone only once a day. More frequent dosing can cause dependency."
d. "Tolerance to buspirone may develop in about a month, requiring larger doses to be prescribed."
A
Two factors suggest that the patient should take tapering doses of benzodiazepine while beginning buspirone therapy. Benzodiazepines should be tapered gradually for discontinuation to avoid withdrawal. Buspirone takes 7 to 10 days to begin to exert its therapeutic effect. The other statements about buspirone are incorrect.
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