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Meds That Treat Anxiety

Anxiety affects more than 40 million adults in the United States. There are a variety of medications available to treat anxiety.

SSRIs (selective serotonin reuptake inhibitors) and SNRIs (serotonin-norepinephrine reuptake inhibitors), like Zoloft, Prozac, Lexapro and Effexor, work to alleviate anxiety by raising levels of the chemical serotonin in the brain. Contrary to benzodiazepines they're not addictive.

SSRIs

The most popular anxiety medication is selective serotonin reuptake inhibits (SSRIs) comprising citalopram, escitalopram, and fluoxetine. These medications also treat depression and can ease symptoms associated with other anxiety disorders, such as obsessive-compulsive disorder (OCD). It could take up to one month before they begin working.

They help by increasing the levels of certain chemical transmitters that are present in the brain. This includes serotonin, norepinephrine, and dopamine. They are usually the first option for anxiety, but doctors also use other types of antidepressants as well as benzodiazepines.

Another class of antidepressants called serotonin and norepinephrine reuptake inhibitors (SNRIs) such as duloxetine (Cymbalta) and venlafaxine (Effexor) are used to treat anxiety. They operate a bit differently from SSRIs in that they reduce the reabsorption of norepinephrine and serotonin, though at lower levels than SSRIs. These medications take a lengthy time to take effect and are more expensive than SSRIs.

Tricyclic antidepressants (TCAs) such as imipramine (Tofranil), can be effective in treating some anxiety disorders, notably GAD. However their drowsiness as well as other adverse effects make them less popular. Monoamine oxidase inhibitors (MAOIs) are a different kind of antidepressant that can be used to treat anxiety. However, their dietary restrictions and high risk of toxicity restrict their use.

Benzodiazepines are frequently used to combat anxiety and panic attacks in the short-term like when you wait for SSRIs or SNRIs to begin working. These medications can trigger addiction tolerance, sedation, and tolerance as well as withdrawal symptoms such as a depression, anxiety, and delirium. Benzodiazepines are commonly found in alprazolam as well as clonazepam and lorazepam.

Therapy is an essential part of any treatment plan for anxiety. It assists you to better understand your symptoms and their reasons. Many people discover that medication and therapy help them to cope. Certain studies have demonstrated that cognitive behavioral therapy can be just as effective as medications for anxiety. Talk to your doctor about your options and what might be best for you.

Benzodiazepines

Benzodiazepines have a calming effect that reduces anxiety and relaxes muscles that are tense. They also reduce symptoms of bodily arousal due to fear (like heart rate, trembling and trembling) and help promote sleep.

They work by binding inhibitory neurons, for example GABA or gamma aminobutryic acid at receptors in the central nervous system. They enhance GABA's effects by facilitating the inhibitory effects of GABA on other neurotransmitters, and reducing the number of messages that are sent to the amygdala. This is a region of the brain that evaluates threats and creates a sense of fear.

These medications are typically employed for short periods of time for instance, during an attack of panic or a severe anxiety attack. They can help relieve symptoms in 30 to 60 minutes. Benzodiazepines are, in contrast to SSRIs aren't able to remain in the body for a long time. They are fast-acting and often take effect in just a couple of hours, making them suitable for situations in which immediate relief is required (like during an airplane flight or before an address in public).

They can be addictive, so people are generally only prescribed them for up to 4 weeks at one time. After that, they also lose their effectiveness.

One of the reasons why benzodiazepines became so popular is that they worked and had minimal side effects when compared to their predecessors, like meprobamate and barbiturates. They have a quick onset of action and are very effective as anxiolytics (anti-anxiety), sedatives, anticonvulsants, as well as for muscle relaxants.

Benzos are often blamed for the negative attitudes towards anxiety that emerged in the 1970s and 1980s, which included the stigmatization of anxiety and the perception that benzodiazepine treatment resistant anxiety causes physical dependence. However, they continue to play an important role in the treatment of anxiety disorders, particularly when used in conjunction with psychosocial interventions like cognitive behavioral therapy and interpersonal therapy.

Benzos can interact with other drugs and cause unwanted side-effects, such as drowsiness or confusion. It is recommended to inform your doctor about any prescription, nonprescription, or herbal medication you are currently taking or are planning to take. Check the British National Formulary A to Z list of interactions with medications to find out which medications are safe with benzodiazepines.

Antidepressants

Antidepressants can be effective in treating anxiety and other mental conditions. According to the Anxiety and Depression Association of America, antidepressants -- like SSRIs and serotonin-norepinephrine reuptake inhibitors (SNRIs) -- can help reduce chronic anxiety disorder, obsessive-compulsive disorder (OCD), panic disorders and generalized anxiety disorder (GAD). The FDA has approved antidepressants for other health issues, such as bipolar disorder, eating disorders and certain types of pain.

Most doctors recommend SSRIs as the first line treatment for anxiety, but these medications may not be appropriate for everyone. If these antidepressants don't work the doctor might suggest an older version known as a tetracyclic, or tricyclic antidepressant. These include amitriptyline or nortriptyline as well as clomipramine. These antidepressants are less common but are still readily available. You can also ask your physician to prescribe the sedating antidepressant trazodone(Desyrel), at lower doses in case you are experiencing anxiety or sleep problems.

Other antidepressants that could help are the nefazodone (Ferdinand) and duloxetine (Cymbalta). They are also available in generic forms. If they do not work, your doctor may suggest the antidepressant that is sedating, mirtazapine (Remeron) or the antipsychotics quetiapine and olanzapine.

Beta blockers are used to treat other anxiety disorders. They reduce blood pressure and heart rate by blocking adrenaline. These medications aren't typically used to treat anxiety by themselves, but they can be effective if used in conjunction with psychotherapy.

Psychological therapy can help you overcome negative thoughts and behaviours that cause anxiety. It can help you control your anxiety and learn coping skills. Based on the severity of your situation exposure therapy or cognitive behavioral therapy could be suggested. Cognitive behavioural therapy teaches you to challenge negative and fearful thoughts and to overcome your aversion to situations that cause anxiety. Exposure therapy involves gradually increasing the intensity of anxiety-provoking situations until you are able to manage the stressors. This can be done in a single session or in small groups. In both instances, results will take time to manifest. Some people find that the combination of medication and psychotherapy is the best treatment for generalized anxiety option. Some people find that taking medication alone is enough to manage symptoms. Inform your doctor about how to treat anxiety and stress you manage your symptoms.

Other Medications

Although benzodiazepines and antidepressants are the most commonly prescribed medications to treat anxiety, other drugs can help alleviate your symptoms too. Antihistamines and beta blockers are sometimes prescribed to relieve anxiety.

These drugs correct an imbalance in your brain's chemical balance and can help alleviate symptoms by reducing or blocking the signals that can cause anxiety and stress. But, they're not the only solution. You'll require a variety of methods to control anxiety, such as exercises as well as relaxation techniques, and psychological therapy.

Your doctor may first prescribe one of the "first choice" anxiety medications, which are SSRIs and SNRIs. According to research, these medications are the most effective in treating anxiety disorders. The most commonly used SSRIs include sertraline (Zoloft) as well as the fluoxetine (Prozac) and Citropram (Celexa), and shop.ororo.co.kr escitalopram (Lexapro). These medications may have minor side effects, such as insomnia or nausea, however they typically disappear within 4-8 weeks. They are not addictive, and they do not increase the risk of suicidal thoughts.

The benzodiazepines, alprazolam (Xanax) and clonazepam (Klonopin) and diazepoxide (Valium) provide immediate relief from panic attacks and anxiety however they can also cause side effects, including dizziness, drowsiness and coordination issues, as well as dependence. These medications are less well-known than older barbiturates but are equally effective.

Antihistamines like Vistaril (hydroxyzine) were originally developed to relieve allergies. However they can also be used to alleviate anxiety symptoms. Hydroxyzine can have a calming affect by blocking histamine receptors. It is not a controlled drug, so it does not have the same addiction risks as benzodiazepines.

Another kind of medication that can help with anxiety is a class called anticonvulsants. They've been proven to reduce anxiety by affecting the release and production of dopamine and serotonin. These medications can be used as part of an integrated therapy or to treat anxiety in the short term. Your doctor will assess your health history and symptoms to determine if these medications are suitable for you. They will also discuss the length of time you'll need to take these medications and any side effects that may occur. inpatient anxiety treatment medications are only available on prescription, which means you'll need to see a psychiatrist to get them.