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Meds That Treat Anxiety

Anxiety is one of the most common mental health problems, affecting 40 million adults in the United States. It's extremely 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. Unlike benzodiazepines, they're not addictive.

SSRIs

The most common anxiety medication is selective serotonin reuptake inhibitors (SSRIs), such as citalopram (Celexa), escitalopram (Lexapro) and fluoxetine (Prozac). These medications are also used to treat depression as well as relieve symptoms of anxiety treatment without drugs disorders, such as obsessive compulsive disorder. It could take up to a month to start working.

They help by increasing the levels of certain chemical transmitters in the brain. This includes serotonin, norepinephrine and dopamine. They're typically the first treatment option for anxiety, but doctors also use other types of antidepressants and benzodiazepines.

Antidepressants like duloxetine (Cymbalta), and venlafaxine, (Effexor) are also used to treat anxiety. They function a bit differently than SSRIs because they reduce the reabsorption of norepinephrine as well as serotonin, though at lower levels than SSRIs. These medications take a lengthy time to take effect and are more expensive than SSRIs.

Tricyclic antidepressants like imipramine Tofranil are effective in treating anxiety disorders. However their drowsiness and other adverse effects make them less well-known. Another form of antidepressant is monoamine oxide inhibitors (MAOIs) are also able to be used to combat anxiety. They are a high risk of toxicity and the restriction on dietary intake limit their use.

Benzodiazepines can be used combat panic attacks and anxiety in the short-term, while waiting for SSRIs and SNRIs. These drugs can trigger tolerance and addiction, sedation and apathy as well as withdrawal reactions that include rebound anxiety, depression and anxiety treatment near me and even delusions. Benzodiazepines can be found in alprazolam, clonazepam, as well as lorazepam.

Therapy is a crucial component of any treatment for anxiety. It aids you in better know your symptoms and their root causes. Many people discover that both therapy and medication aid them cope with anxiety. Some studies have shown that cognitive behavioral therapy is just as effective as medications for anxiety. Talk with your physician about your options and which could be the best choice for you.

Benzodiazepines

Benzodiazepines have a calming affect they reduce anxiety and relax muscles that are tight. They also reduce symptoms of fear-related bodily arousal (like heart rate and shaking) and promote sleep.

They work by binding to inhibitory neurons, like GABA or gamma aminobutryic acids, at receptors within the central nervous system. They increase the effects of GABA by increasing its inhibitory effects on other neurotransmitters while reducing the number of messages that are transmitted to the amygdala, an area of the brain that assesses threats and produces the feeling of fear.

These medications can be utilized for short durations of time, such as when panic attacks occur or if you're experiencing severe anxiety. They can relieve symptoms within 30 to 60 minutes. Unlike SSRIs, benzodiazepines don't remain in the body for a long time. They're fast-acting and can work within a couple of hours. This makes them suitable for situations where quick relief is required (such as on an airplane or before a presentation in public).

They can be addictive, so it is recommended to only prescribe them for a maximum of 4 weeks at each time. They also lose their effectiveness after a period of time.

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

Benzos were blamed for negative attitudes towards anxiety that developed in the 1970s and 1980s and included the denial of the disorder, as well as the perception that benzodiazepine therapies can lead to physical dependence. Yet, benzodiazepines continue to play a crucial part in the treatment of anxiety disorders, particularly when they are combined with psychosocial interventions like cognitive behavioral therapy or interpersonal therapies.

Benzos may interact with other medications and cause undesirable side effects such as drowsiness and disorientation. It is recommended to inform your doctor about any prescription, nonprescription or herbal medicines you currently use or plan to take. Go through the British National Formulary A to Z list of medication interactions to determine which medications are safe when taken with benzodiazepines.

Antidepressants

Antidepressants are effective in treating anxiety and other mental disorders. 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 eating disorders, bipolar disorder and certain kinds of pain.

Most doctors recommend SSRIs as the first-line treatment for anxiety, however these drugs may not be effective for all people. If these antidepressants aren't working the doctor might suggest an older version called a tetracyclic or tricyclic antidepressant. These include amitriptyline and nortriptyline, clomipramine and trimipramine, doxepin and dothiepin or imipramine. They're less popular than the newer antidepressants but are still available. Your doctor may also prescribe the sedating antidepressant trazodone (Desyrel) at lower doses to treat anxiety or insomnia.

Nefazodone, also referred to as Ferdinand (Cymbalta) and duloxetine are also useful. They are also available in generic form. If they don't work, your doctor may suggest the tranquilizing antidepressant mirtazapine (Remeron) or the antipsychotics olanzapine and quetiapine.

Beta blockers are used to treat anxiety disorders. They reduce heart rate and blood pressure by blocking adrenaline. These drugs aren't usually used to treat anxiety by themselves however they can be helpful when used in conjunction with psychological therapy.

Psychological therapy can help you to change negative thoughts and behavior patterns that can cause anxiety. It can help you learn to control your anxiety, and develop coping skills. Depending on your condition, you might undergo cognitive behavioural therapy or exposure therapy. Cognitive behavioural therapy can help you overcome negative thoughts, fears and the fear of situations that trigger anxiety. Exposure therapy involves gradually increasing the level of anxiety-provoking situations until you are able to handle them. This can be done individually or in a small group. In both cases, results can take a while to show. A combination of medications and psychological therapy is the best choice for some people. Others discover that medications alone are enough to manage their symptoms. Tell your doctor how you manage your symptoms.

Other Medical Treatments

Other medications can aid in relieving your symptoms. Antihistamines, beta blockers, and buspirone are all prescribed to alleviate anxiety.

These medications can help ease your symptoms, by reducing or blocking the signals that trigger stress and fear. But, they're not a cure all. You'll still have to do other things to reduce your anxiety, including physical exercise or relaxation techniques, as well as psychotherapy.

Your doctor might initially prescribe one of the "first first" anxiety medications, which are SSRIs and SNRIs. They are the most effective medicines for treating anxiety disorders according to research studies. SSRIs are typically found in sertraline (Zoloft) and Citropram, fluoxetine, and escitalopram. These medications might have mild side effects, such as insomnia or nausea, however they typically subside within 4-8 weeks. Unlike the benzodiazepines, they're not addictive and don't increase the risk of suicidal ideas.

The benzodiazepines, alprazolam, clonazepam, and diazepoxide, (Valium) are a quick relief from anxiety and panic attacks. However, they can cause side effects, such as dizziness and drowsiness. They can also cause memory and coordination issues, and may even cause dependence. These are less popular than older barbiturates, however they are equally effective.

Antihistamines, such as Vistaril (hydroxyzine) were developed to relieve allergies, but they're also sometimes employed to alleviate anxiety symptoms. Hydroxyzine has a calming effect because it blocks histamine receptors. It's not a controlled substance, so it doesn't have the same risks of addiction as benzodiazepines.

Anticonvulsants are an additional type of medication which can help with anxiety. They have been found pills to treat anxiety reduce anxiety through inhibiting the production of and release of dopamine and sérotonin. These medications are often prescribed as part of a combination therapy or used to treat anxiety in the short term. Your doctor will examine your health history and symptoms to determine if these medications are right for you. They will discuss the length of time you should take these medicines and any potential side effects that may occur. Anxiety medications are only available on prescription, and you'll need a psychiatrist to prescribe it.