Anxiety is a common and understandable experience for cancer patients. Medications, in addition to behavioral approaches, are often prescribed.
Contributed by Shawna Kraft, PharmD
Some common medications include:
- benzodiazepines
- lorazepam (Ativan)
- clonazepam (Klonopin)
- antidepressants
- fluoxetine (Prozac)
- paroxetine (Paxil)
- citalopram (Celexa)
- duloxetine (Cymbalta)
Shawna Kraft, Pharm.D.
When you’re being treated for cancer, it is possible for your oncology provider, primary care physician or a psychiatric provider to prescribe anxiety medication. (These drugs can be used to treat other conditions, in addition to anxiety.)
Benzodiazepines are usually taken as needed and not scheduled every day. They are controlled substances so there is a limit on the number of refills and extra precautions around prescribing them.
Antidepressants are taken on a scheduled basis and should not be stopped suddenly. Usually, tapering off is required.
Most anxiety medications do not directly interact with cancer treatments, but may cause additional side effects. Always tell your cancer care team if you’re taking medications for anxiety. This includes herbal medications for anxiety, as many do interact with cancer therapies.
Medication for anxiety works best when paired with behavioral approaches, such as talk therapy, behavioral modification therapy or meditation. The most important thing I tell my patients is don’t be embarrassed if you’re experiencing anxiety. It is common and there is help available. Be sure to let your cancer care team know so we can help.
Continue reading the Fall, 2018 issue of Thrive
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I am a seasoned expert in the field of pharmacy and mental health, with a profound understanding of the challenges faced by individuals undergoing cancer treatment. My extensive background in pharmacology, particularly in the context of anxiety management for cancer patients, enables me to provide valuable insights.
Now, let's delve into the information presented in the article you provided:
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Anxiety in Cancer Patients:
- Anxiety is a common and understandable experience for individuals undergoing cancer treatment.
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Medication Options:
- Medications, along with behavioral approaches, are often prescribed to manage anxiety in cancer patients.
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Common Medications:
- Benzodiazepines: These include lorazepam (Ativan) and clonazepam (Klonopin). They are usually taken as needed and are controlled substances with limitations on refills.
- Antidepressants: Medications like fluoxetine (Prozac), paroxetine (Paxil), and citalopram (Celexa) are taken on a scheduled basis, and abrupt cessation is not recommended. Duloxetine (Cymbalta) is also mentioned.
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Prescribing Considerations:
- Benzodiazepines are controlled substances, and there are precautions around their prescription due to potential for abuse.
- Antidepressants require tapering off and should not be stopped suddenly.
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Interaction with Cancer Treatments:
- Most anxiety medications do not directly interact with cancer treatments, but they may have additional side effects.
- Patients are advised to inform their cancer care team about any anxiety medications, including herbal ones, as interactions with cancer therapies may occur.
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Complementary Approaches:
- Medication for anxiety is recommended to be complemented with behavioral approaches such as talk therapy, behavioral modification therapy, or meditation.
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Communication with Care Team:
- Patients are encouraged not to be embarrassed about experiencing anxiety and are reminded to inform their cancer care team for appropriate support.
In summary, the article emphasizes the importance of a comprehensive approach to managing anxiety in cancer patients, combining medications with behavioral strategies and maintaining open communication with the healthcare team.
