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Meds That Treat Anxiety

Anxiety is among the most common mental health problems that affects 40 million adults in the United States. It is extremely treatable, and there are many types of medications 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. In contrast to benzodiazepines, they're addictive.

SSRIs

The most commonly used anxiety medication is selective serotonin inhibits (SSRIs) comprising citalopram, escitalopram, and fluoxetine. These medications also help with depression, and can ease the symptoms of anxiety disorders, like obsessive-compulsive disorder (OCD). They can take up to a month to begin to work.

These medications are effective by increasing the quantity of certain chemical transmitters in the brain. This includes serotonin, norepinephrine and dopamine. These drugs are usually the first choice to treat anxiety, but doctors can also prescribe other types of antidepressants and benzodiazepines.

Antidepressants like duloxetine (Cymbalta) and venlafaxine, (Effexor) are also used to treat anxiety. They work a little differently than SSRIs in that they reduce the reabsorption of norepinephrine as well as serotonin, but at lower levels than SSRIs. They may take a few days to begin taking effects, and they tend to be more expensive than SSRIs.

Tricyclic antidepressants, like imipramine Tofranil, can be effective in treating anxiety disorders. Their drowsiness, as well as other adverse effects are what make them less well-liked. Another type of antidepressant, monoamine oxidase inhibitors (MAOIs), can also be used to combat anxiety. However, their dietary restrictions and high risk of toxicity limit their usage.

Benzodiazepines can be used to treat anxiety and panic attacks in the short-term, while waiting for SSRIs and SNRIs. These medications can cause addiction to tolerance, sedation, and dependence as well as withdrawal symptoms such as a rebound anxiety, depression, and delirium. The most common benzodiazepines are alprazolam (Xanax) and Clonazepam (Klonopin) and lorazepam (Ativan).

Therapy is an important part of an anxiety treatment plan as it can help you understand your symptoms and the causes. Many people find that both therapy and medication aid to manage anxiety. In fact, some studies suggest that cognitive behavior therapy works just as well as medication for anxiety treatment elderly. Talk with your doctor about your options and determine what is the best option for you.

Benzodiazepines

Benzodiazepines have a calming effect, decrease anxiety and relax muscles that are tense. They also alleviate symptoms of bodily stress related to fear (like heart rate, trembling or shaking) and help promote sleep.

The way they function is through binding to inhibitory neurotransmitters like gamma-aminobutryic acids or GABA which is a receptor in the central nervous system. They increase the effects of GABA by facilitating the inhibitory effects of GABA on other neurotransmitters, and decreasing the amount of messages sent to amygdala. This is a region of the brain which assesses threats and produces a feeling of anxiety.

These medications can be utilized for short durations for instance, when a panic attack occurs or when you experience severe anxiety. They may ease symptoms within 30 to 90 minutes after taking them. In contrast to SSRIs, benzodiazepines don't remain in the body for a long time. They're quick-acting and can work in a matter of hours. This makes them perfect for situations in which rapid relief is required (such for instance, during an airplane ride or before giving a presentation in public).

They are addictive, and it is recommended to only prescribe them for up to four weeks at each time. After that period they become less effective.

One of the main reasons benzodiazepines are so popular is because they are effective and have few side effects compared to their predecessors such as barbiturates and meprobamate. They are fast in the start of action and are very useful as anxiolytics (anti-anxiety), sedatives and anticonvulsants and as 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 treatment causes physical dependence. Despite this they play an important role in the treatment of anxiety disorders, especially when used in combination with psychosocial interventions such as cognitive behavioral therapy and interpersonal therapy.

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

Antidepressants

Antidepressants are 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 social anxiety disorder treatment disorder, obsessive-compulsive disorder (OCD), panic disorders and generalized anxiety disorder (GAD). The FDA has approved antidepressants to treat other health issues, such as eating disorders, bipolar disorder and certain types of pain.

Most doctors recommend SSRIs as the first-line treatment 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 tricyclic or tetracyclic antidepressants. They include amitriptyline, nortriptyline and clomipramine. These antidepressants are not as popular but still available. You may also ask your doctor to prescribe the sedating antidepressant trazodone(Desyrel), at lower doses if you're experiencing sleep issues or anxiety.

Nefazodone, a.k.a Ferdinand (Cymbalta), and duloxetine can also be beneficial. They're also available in generic forms. If they aren't working, your physician might suggest a sedating antidepressant mirtazapine (Remeron) or the antipsychotics quetiapine or olanzapine.

Medications for other anxiety disorders include beta blockers, which reduce the heart rate and blood pressure by blocking the action of adrenaline. These drugs aren't commonly used for anxiety alone however they can be helpful when combined with psychotherapy.

Psychological therapy can help you overcome negative thoughts and behavior patterns that contribute to your anxiety. It can teach you to manage your anxiety nausea treatment and teach you coping skills. Depending on your situation, you may receive cognitive behavioural therapy or exposure therapy. Cognitive behavioural therapy helps you learn to challenge unhelpful thoughts, fears and avoidance of situations that trigger your anxiety. Exposure therapy involves increasing the anxiety-inducing situations until they are manageable. It can be performed in a group or on your own. In both instances, results take time to appear. Some people find that the combination of medication and psychotherapy is the best way to treat anxiety disorder option. Some people find that taking medication alone is sufficient to treat symptoms. It is important to inform your doctor about the things you're doing to control your symptoms.

Other Medical Treatments

Although benzodiazepines and antidepressants are the most commonly prescribed treatment for anxiety treatment non Medication, other medications can help ease your symptoms too. Beta blockers and antihistamines are often prescribed to ease anxiety.

These drugs can help you reduce your symptoms, by reducing or blocking the signals that cause anxiety and stress. However, they're not an all-in-one solution. You'll still have to take steps to manage anxiety, including physical exercise relaxation techniques, relaxation techniques and psychological therapy.

The SSRIs or SNRIs are often the first choice of anxiety medication that your doctor might prescribe. These are the most effective drugs to treat anxiety disorders, according to research studies. SSRIs are usually found in sertraline (Zoloft) as well as Citropram, fluoxetine, and escitalopram. These drugs can cause mild side effects such as insomnia and nausea, but these usually subside in 4-8 weeks. They aren't addictive, and they do not increase the likelihood of suicidal ideas.

The benzodiazepines alprazolam (Xanax) as well as Clonazepam (Klonopin) and diazepoxide (Valium) offer immediate relief from panic attacks and anxiety, but they can have adverse effects, such as dizziness, drowsiness, memory and coordination issues, and dependence. These drugs are less popular than the older barbiturates, but they are equally effective.

Antihistamines, like Vistaril (hydroxyzine) were developed to relieve allergies, but they're also sometimes used to reduce anxiety symptoms. Hydroxyzine has a calming effect because it blocks histamine receptors. It's not a controlled substance which means it doesn't carry the same addiction risks like benzodiazepines.

Anticonvulsants are a different type of medication which can help with anxiety. They have been shown to reduce anxiety through inhibiting the production of and release dopamine and sérotonin. These medications can be used as part of a combination therapy or used to treat anxiety in the short term. Your doctor will examine your symptoms and health history to determine if these drugs are right for you. They'll also discuss the length of time you should be taking them and any potential negative side effects. Anxiety medication is only available on prescription, and a psychiatrist will be required to prescribe it.