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Meds That Treat Anxiety

Anxiety affects more than 40 million adults in the United States. A variety of medications are available to treat it.

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. Unlike benzodiazepines, they're not addictive.

SSRIs

The most commonly used anxiety medication is selective serotonin reuptake inhibits (SSRIs), including citalopram, escitalopram, and fluoxetine. These medications are also used to treat depression and alleviate symptoms of other anxiety disorders, such as obsessive compulsive disorder. It can take up to one month for them to begin working.

These drugs work by boosting the amount of certain chemical messengers in the brain, including serotonin and norepinephrine. These medications are typically the first option to treat anxiety, though doctors may also prescribe other kinds of antidepressants, also known as 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 are a bit different from SSRIs as they reduce norepinephrine, however at a lower level than SSRIs. These medicines take a long time to work and are more expensive than SSRIs.

Tricyclic antidepressants, like imipramine Tofranil can be effective for treating anxiety disorders. However, their drowsiness and other adverse effects are what make them less popular. Monoamine oxide inhibitors (MAOIs) are another kind of antidepressant that can be used medicine to treat Anxiety and depression treat anxiety. They are a high risk of toxicity and dietary restrictions restrict their use.

Benzodiazepines are frequently used to treat panic attacks and anxiety in the short term like when you wait for SSRIs or SNRIs to begin working. These drugs can lead to dependence to tolerance, sedation, and dependence, as well as withdrawal symptoms such a rebound anxiety, depression, and delirium. The most commonly used benzodiazepines are alprazolam (Xanax), clonazepam (Klonopin) and lorazepam (Ativan).

Therapy is a crucial component of any treatment plan for anxiety. It aids you in better know your symptoms and their reasons. Many people discover that medication and therapy both aid in coping. Certain studies have demonstrated that cognitive behavioral therapy is just as effective as medications for anxiety. Talk to your doctor to find out what's best for you.

Benzodiazepines

Benzodiazepines can have a calming effect that reduces anxiety and relaxes tense muscle. They also alleviate symptoms of bodily stress related to fear (like heart rate, trembling or shaking), and promote sleep.

They work by binding inhibitory neurons, like GABA or gamma aminobutryic acids at receptors in the central nervous system. They boost the effects of GABA by facilitating the inhibitory effect of GABA on other neurotransmitters, and reducing the number of messages sent to amygdala. It is a part of the brain that evaluates the threat and triggers a feeling of fear.

These drugs can be used for short periods of time like when panic attacks occur or if you're experiencing severe anxiety. They can relieve symptoms within 30 to 60 minutes. Benzodiazepines are different from SSRIs aren't able to remain in the body for a long time. They're quick-acting and can be effective within a couple of hours. This makes them perfect for situations where rapid relief is required (such as during a flight or prior to presenting in public).

They are addictive, which is why people are generally only prescribed them for up to four weeks at a time. After that period they also become less effective.

One of the reasons why benzodiazepines became so popular is they were efficient and had few side effects when compared to their predecessors, like meprobamate and barbiturates. They are safe and have a rapid onset, and can be employed as anxiolytics to decrease anxiety. They can also be used as sedatives, anticonvulsants, and muscle relaxants.

Benzos have been blamed for the negative perceptions of anxiety that emerged in the 1970s and 1980s, including the trivialization of the disorder and the belief that benzodiazepine homeopathic treatment for anxiety leads to physical dependence. Yet however, benzodiazepines still play a major role in the treatment for anxiety disorders, especially when they are combined with psychosocial interventions such as cognitive behavioral therapy and interpersonal therapies.

Benzos can interact with other medications, causing undesirable side effects, like drowsiness or confusion. It is recommended to inform your doctor about any prescription, nonprescription or herbal medication you currently take or are planning to take. You can find out which medications are safe to use with benzodiazepines by looking up the British National Formulary A-Z list of drug interactions.

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 many antidepressants for other health conditions, too, such as eating disorders, certain types of pain and bipolar disorder.

Most doctors recommend SSRIs as the first line holistic treatment for anxiety for anxiety, however these drugs may not be appropriate for everyone. If they don't work doctors might try the older type of antidepressant known as a tricyclic or tetracyclic antidepressant. These include amitriptyline and nortriptyline, clomipramine and dothiepin, doxepin, trimipramine or imipramine. These antidepressants are less common but still accessible. Your doctor can prescribe the antidepressant that sedates, Trazodone (Desyrel) in lower doses for anxiety or sleep.

Other antidepressants that may help include Nefazodone (Ferdinand) and duloxetine (Cymbalta). These drugs are also available in generic form. If they don't 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 lower heart rate and blood pressure by blocking adrenaline. These medications aren't typically used to treat anxiety by themselves however they can be beneficial when paired with psychotherapy.

Psychological therapy can help you change negative thoughts and behaviors that contribute to your anxiety. It can help you learn to control your anxiety, and develop coping strategies. Based on the severity of your condition exposure therapy or cognitive behavioral therapy might be recommended. Cognitive behavioural therapy helps you overcome negative thoughts, fearful thoughts and to overcome the fear of situations that cause anxiety. Exposure therapy is the process of increasing the level of anxiety-inducing situations until they become manageable. It can be carried out in a group or on your own. In both instances, the results take time to appear. Some people find that a combination of psychotherapy and medication is the best choice. Others find that medication alone is sufficient to control their symptoms. It's crucial to tell your doctor about the things you're doing to control your symptoms.

Other Medications

Other medications can also help relieve your symptoms. Antihistamines and beta blockers are sometimes prescribed to relieve anxiety.

These drugs correct an imbalance in your brain chemicals and can help alleviate symptoms by reducing or blocking signals that trigger anxiety and stress. But, they're not the only solution. You'll still have to do other things to reduce anxiety, such as physical exercise as well as relaxation techniques and psychotherapy.

Your doctor might first prescribe one of the "first first" anxiety medication, which includes SSRIs and SNRIs. These are the most effective medications to treat anxiety disorders, according to research studies. The most common SSRIs include sertraline (Zoloft) as well as fluoxetine (Prozac) and Citropram (Celexa), and escitalopram (Lexapro). These medications might have minor side effects, like nausea or insomnia, but they typically disappear within 4-8 weeks. Contrary to benzodiazepines they're not addictive and won't increase your risk of having suicidal thoughts.

The benzodiazepines, alprazolam (Xanax) as well as clonazepam (Klonopin) and diazepoxide (Valium) provide immediate relief from panic attacks and anxiety however they can also cause adverse effects, such as dizziness, drowsiness, memory and coordination issues, and dependence. They're not as popular than the barbiturates of the past, however, they're equally efficient.

Antihistamines like Vistaril (hydroxyzine) are developed to relieve allergies however, they're also used to ease anxiety symptoms. Hydroxyzine block histamine receptors within the brain and may cause an energizing effect. It is not a controlled drug and doesn't have the same addiction risks as benzodiazepines.

Another kind of medication that can help with anxiety is a class of medications known as anticonvulsants. They have been shown to ease anxiety by interfering with the release and production of serotonin and dopamine. They can be prescribed in conjunction with other drugs or as a temporary treatment alternative treatments for anxiety anxiety. Your doctor will review your medical history and symptoms to determine if these medications are suitable for you. They will discuss the length of time you'll need to take these medications and any negative side effects that might occur. Anxiety medication is only available on prescription, and it is necessary to see a psychiatrist to prescribe it.