PMID: 41327Oct 27, 1979

The treatment of anxiety states by drugs and other means

South African Medical Journal = Suid-Afrikaanse Tydskrif Vir Geneeskunde
W Linford Rees


The place of pharmacotherapy, behaviour therapy and biofeedback techniques in the general strategy of treating anxiety states is critically discussed. The dangers and disadvantages of barbiturates are described and the value and limitations of other drugs are considered. Beta-adrenergic receptor blocking drugs have a limited but valuable role in some patients, neuroleptics have a strictly limited place in treatment, and the role of antidepressants of various kinds is considered when anxiety is part of a depressive illness. The benzodiazepines are the most important group of drugs available for the treatment of anxiety states. The differences between various benzodiazepines are presented, with particular reference to their onset of action, half-life and the relevance of active metabolites of some of these drugs. A knowledge of the pharmacokinetics of the benzodiazepine drugs is of practical importance to the clinician. Emphasis is placed on the doctor-patient relationship and psychotherpeutic management in which drugs and other treatment serve as tactical aids in the general strategy of care.

Related Concepts

Antipsychotic Effect
Biological Feedback
Benzodiazepine [EPC]
ADRB2 gene
Antipsychotic Agents
Barbiturates Measurement
RIMA (Reversible Inhibitor of Monoamine Oxidase A)

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