Home' Australian Pharmacist : February 2013 Contents Australian Pharmacist February 2013 I © Pharmaceutical Society of Australia Ltd.
KNOWLEDGE IN PRACTICE
Additional reference: Rowney J, Hermida T, Malone D. Anxiety
Disorders. The Cleveland Clinic Center for Continuing Education,
2011. At: http://tinyurl.com/apv32021a
Which of the following statements
about anxiety disorders is MOST
a) Angie is a 16-year-old girl who has
experienced almost daily symptoms
of anxiety, restlessness, tension and
feeling ‘on edge’ for the past seven
months. She has stopped playing
tennis and hockey (at which she
previously excelled) because she is
worried about getting injured, has
been studying during weekends and
until the early hours of each morning
for her exams in eight months’ time,
which she is convinced that she is
going to fail (although she has always
been an A-grade student), and has
stopped cooking a weekly dinner
for her family (an activity which she
previously enjoyed) because she is
worried that she will break something
or burn herself. A suitable treatment
regimen for her is diazepam 5 mg
three times a day.
b) Bill is a 70-year-old man who
experienced a panic attack for the
first time last week. He is worried that
he is ’going crazy’ and has avoided
leaving the house since then in case it
happens again. A suitable treatment
regimen for him is to begin cognitive
behavioural therapy (CBT) and then,
if that does not provide sufficient
benefit, commence citalopram 10
mg daily, increasing gradually to
40 mg daily.
c) Chloe is a 14-year-old girl who
repeatedly washes her hands for
prolonged periods of time with soap
and hot water, causing significant
skin damage. She explains that she is
concerned about infections from ’bugs’
and is not able to resist the desire to
do this despite the distress it causes
her. A suitable treatment regimen is
for her to begin CBT and then, if that
does not provide sufficient benefit,
commence sertraline 50 mg daily,
gradually increasing to a maximum of
200 mg daily if required.
d) Dylan is a 23-year-old student who
has experienced recurrent significant
anxiety, with profuse sweating
and shaking of the legs and hands,
associated with public speaking. He is
about to graduate and, despite his
profession typically requiring it, has
avoided applying for employment
which involves any public speaking.
A suitable treatment regimen is for him
to begin CBT, and then if that does not
provide sufficient benefit, commence
fluvoxamine 100 mg daily.
Question 1. Anxiety
Knowledge in practice
To answer Knowledge in practice
Answers for Knowledge in practice
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The challenge of applying what you
learn to pharmacy practice!
Knowledge in practice is designed
to be difficult and aims to make you
apply information from articles in this
month’s Australian Pharmacist and other
suggested reading to the questions
below, just as you would for a client/
patient. This section is not meant to
be easy. There are no simple clear-cut
answers to the questions. The standard
references listed below may be of use
when answering the questions.
1. Sansom L (ed). Australian Pharmaceutical Formulary
and Handbook, 22nd Ed. Canberra: Pharmaceutical
Society of Australia, 2012.
2. Rossi S (ed). Australian Medicines Handbook.
Adelaide: Australian Medicines Handbook Pty Ltd;
3. National Prescribing Service [online]. At: www.nps.
4. Merck Manual of Diagnosis and Therapy [online].
5. Product information – available from various
sources, e.g. MIMS, APP Guide or online on
6. Royal College of Pathologists of Australasia. RCPA
Manual [online]. At: www.rcpamanual.edu.au
7. Therapeutic Guidelines Series. eTG complete [CD-
ROM]. Melbourne: Therapeutic Guidelines Limited.
Lat: -16o 30’ 6.4008”
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The pharmacy management
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involved in a management
role in community pharmacy
or supply products and
services to the industry.
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