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Meds That Treat Anxiety

Anxiety affects 40 million adults in the United States. It's highly treatable, with various types of medication available.

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. They're not addictive, unlike benzodiazepines.

SSRIs

The most popular anxiety medications are selective serotonin reuptake inhibitors (SSRIs), such as citalopram (Celexa), escitalopram (Lexapro) and fluoxetine (Prozac). These medications can also be used to treat depression and relieve symptoms of anxiety disorders like obsessive compulsive disorder. It could take up to a month for them to begin to work.

They help by increasing the levels of certain chemical transmitters in the brain. This includes serotonin, norepinephrine, and dopamine. These medications are typically the first choice to treat anxiety, but doctors can prescribe other forms of antidepressants or benzodiazepines.

Another class of antidepressants, known as 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, as they also reduce the reabsorption rate of norepinephrine and serotonin, but at lower levels than SSRIs. These medicines may take a few days to begin taking effect, and they also are more expensive than SSRIs.

Tricyclic antidepressants (TCAs) like imipramine (Tofranil), are effective in treating certain anxiety disorders, particularly GAD. Their drowsiness, and other side effects make them less popular. Monoamine oxidase inhibitors (MAOIs) are another type of antidepressant used to treat anxiety. However, their dietary restrictions and the risk of toxicity restrict their use.

Benzodiazepines can be used to combat panic attacks and anxiety in the short-term, while waiting for SSRIs and SNRIs. These medications can cause tolerance addiction, sedation as well as withdrawal reactions that may cause depression, anxiety and even delirium. Common benzodiazepines include alprazolam (Xanax) and Clonazepam (Klonopin) and lorazepam (Ativan).

Therapy is a crucial component of an anxiety treatment for anxiety and depression near me plan as it can help you learn more about your symptoms and the root causes. Many people discover that medication and therapy help them to cope. Certain studies have proven that cognitive behavioral therapy is as effective as medication for anxiety. Talk with your doctor about your options and which is the best option for you.

Benzodiazepines

Benzodiazepines have a calming affect, reduce anxiety and relax muscles that are tight. They also relieve symptoms of fear-related bodily stimulation (like heart rate or trembling), and promote sleep.

The way they function is by binding to inhibitory neurotransmitters such as gamma-aminobutryic acid or GABA, at receptors in the central nervous system. They increase the effects of GABA by facilitating its inhibitory effect on other neurotransmitters, and reducing the amount of messages that are that are sent to the amygdala. a region of the brain that detects threats and creates the sensation of fear.

These medications are sometimes taken for short durations like panic attacks or an anxiety episodes. They can relieve symptoms within 30 to 60 minutes. Contrary to SSRIs which are a long-lasting medication, benzodiazepines do not stay in the body for long. They are fast acting and can be effective in a matter of hours. This makes them suitable for situations where quick relief is required (such as on an airplane or before giving a presentation in public).

They are addictive, and people are usually prescribed them for a maximum of 4 weeks at a time. They also lose effectiveness after a certain period of time.

One of the reasons why benzodiazepines are so popular is that they are efficient and have few side effects compared to their predecessors like barbiturates and meprobamate. They have a rapid start of action and are extremely effective as anxiolytics (anti-anxiety), sedatives and anticonvulsants and as muscle relaxants.

Benzos were blamed for the negative attitudes towards anxiety that developed during the 1970s and 80s which included the reduction of the disorder and the perception that benzodiazepine treatments lead to physical dependence. However they play a crucial role in the treatment of anxiety disorders, particularly in conjunction with psychosocial interventions, such as cognitive behavioral therapy and interpersonal therapy.

Benzos can interact with other medications and cause unwanted side-effects, like drowsiness or confusion. It is important to inform your doctor be aware of any other prescription, non-prescription, or herbal medicines you are contemplating or are taking. You can find out which medications are safe to use with benzodiazepines through the British National Formulary A-Z list of drug interactions.

Antidepressants

Antidepressants can help ease anxiety and other mental health 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 several antidepressants to treat other ailments, too, such as eating disorders, some types of pain, and bipolar disorder.

Most doctors recommend SSRIs as the first-line treatment for anxiety, but these medications might not be appropriate for everyone. If they don't work doctors might look at the more traditional antidepressant, known as a tricyclic or tetracyclic antidepressant. This includes amitriptyline, nortriptyline, clomipramine and trimipramine, dothiepin, doxepin or imipramine. They're less popular than the newer antidepressants, yet they're still available. Your doctor can also prescribe the sedating antidepressant Trazodone (Desyrel) in lower doses for anxiety or sleep.

Nefazodone, also known as Ferdinand (Cymbalta) and duloxetine can also be beneficial. These medications are also available in generic form. If they don't help, your doctor may try the antipsychotics quetiapine or olanzapine or the sedative antidepressant Mirtazapine.

Beta blockers are used to treat other anxiety disorders. They reduce heart rate and blood pressure by blocking adrenaline. These drugs aren't commonly used to treat anxiety on their own however they can be helpful when paired with psychological therapy.

Psychotherapy can assist you to alter negative thoughts and behaviors meds that treat depression and anxiety cause anxiety. It can help you control your anxiety and learn strategies for coping. Based on the severity of your condition exposure therapy or cognitive behavioral therapy could be suggested. Cognitive behavioral therapy teaches you to challenge fears and thoughts that are harmful, and overcome your fear of situations that trigger anxiety. Exposure therapy involves gradually increasing the intensity of anxiety-inducing situations until you are able to handle them. This can be done in a single session or in smaller groups. In both instances, results can take a while to show. Some people believe that the combination of medication and psychotherapy is the best choice. Some people discover that medications alone are enough to manage their symptoms. It is important to inform your doctor what you're doing to control your symptoms.

Other Medicines

Although benzodiazepines and antidepressants are the most frequently prescribed medications to treat anxiety, other medications can ease your symptoms too. Beta blockers, antihistamines, and buspirone are often prescribed to ease anxiety.

These drugs correct an imbalance in the brain's chemicals and can ease your symptoms by lowering or blocking the signals that trigger anxiety and stress. However, they'ren't a cure all. You will still require a variety of methods to control anxiety, such as physical exercise relaxation techniques, relaxation techniques and psychological therapy.

Your doctor could first prescribe one of the "first choice" anxiety medications, which are SSRIs and SNRIs. According to research, these medications are the most effective for treating anxiety disorders. The most commonly used SSRIs include sertraline (Zoloft) as well as the fluoxetine (Prozac), Citropram (Celexa) and escitalopram (Lexapro). These drugs may cause minor side effects, like nausea or insomnia, but they typically disappear within 4-8 weeks. They aren't addictive, and they do not increase the likelihood of suicidal thoughts.

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

Antihistamines, such as Vistaril (hydroxyzine) were created to treat allergies however, they're also used to ease anxiety symptoms. Hydroxyzine block histamine receptors within the brain and can cause an energizing effect. It's not a controlled substance which means it doesn't carry the same risks of addiction as benzodiazepines.

Another type of medication that may help with anxiety is a class called anticonvulsants, which have been proven to reduce anxiety by affecting the production and release of serotonin and dopamine. These medications may be prescribed as part of an integrated therapy or to treat anxiety in the short term. Your doctor will assess your medical history and symptoms to determine if these drugs are appropriate for you. They'll also talk about how to treat anxiety naturally long you should take them and any possible negative side effects. Anxiety medication is only available by prescription, and it is necessary how to treat anxiety after surgery see a psychiatrist to prescribe it.