Psychiatry

Generalised Anxiety Disorder (GAD)

گھبراہٹ / بے چینی

Palpitations and shortness of breath off and on with loss of sleep and fear of the future; examination is unremarkable. Refer to a consultant psychiatrist.

ICD-10: —
Source: OPD handbook p.167
Status: Draft

Not yet reviewed by a clinician. Check doses and brands against current national guidelines before use.

Symptoms

Palpitations and shortness of breath, off and on
Loss of sleep
Fear of the future

Diagnosis

Examination unremarkable

Treatment

Step 1 of 4

1. Short course anxiolytic with taper (as written)

Tab Sambro 3 mg (bromazepam): ½ tablet morning and evening for 15 days, then a reduced schedule for 1 week, then ½ tablet at night for 1 week (the middle line is hard to read)

Prescription

BromazepamBenzodiazepine (anxiolytic)

Dose½+½ for 15 days; reduced schedule for 1 week; ½ at night for 1 week

Brand Tab Sambro 3 mg

Also sold as Sambro, Lexotanil, Relaxin

Benzodiazepine; short tapering course only

Caution: Dependence risk; the book uses a short tapering course and refers to a psychiatrist

Step 2 of 4

2. Beta-blocker for physical symptoms

Prescription

PropranololBeta blocker

Dose1+1 (morning, evening)

Brand Tab Inderal 10 mg 1 month

Step 3 of 4

3. Supplement

Prescription

Multivitamin + ZincSupplement

Dose1 daily (Urdu note: with milk, for two weeks)

Brand Cap Polybion Z

Step 4 of 4

4. Referral

Refer to a consultant psychiatrist