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Meds That Treat Anxiety
Anxiety is among the most frequent mental health issues, affecting 40 million adults in the United States. It is extremely treatable, and there are 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. Contrary to benzodiazepines they're not addictive.
SSRIs
The most common anxiety medication is selective serotonin inhibits (SSRIs) which include citalopram, escitalopram, and fluoxetine. These medications can also be used to treat depression as well as relieve symptoms of anxiety disorders like obsessive compulsive disorder. They may take up to a month before they begin working.
These drugs increase the production of certain chemical messengers within the brain, including serotonin and norepinephrine. They are usually the first option for anxiety, however doctors may also prescribe other kinds of antidepressants as well as benzodiazepines.
Another class of antidepressants, known as serotonin and norepinephrine-reuptake inhibitors (SNRIs) like duloxetine (Cymbalta) and venlafaxine (Effexor), are also used to treat anxiety. They function a bit differently than SSRIs because they reduce the reabsorption rate of norepinephrine and serotonin, although at lower levels than SSRIs. They may take some time to start taking effects, and also tend to be more expensive than SSRIs.
Tricyclic antidepressants (TCAs) such as imipramine (Tofranil) are effective in treating some anxiety disorders, particularly GAD. However their drowsiness and other adverse reactions make them less well-known. Monoamine oxide inhibitors (MAOIs) are another kind of antidepressant used to treat anxiety. However, their strict dietary restrictions and the risk of toxicity limit their usage.
Benzodiazepines can be used to treat panic attacks and anxiety in the short-term, while waiting for SSRIs and SNRIs. These medications can cause tolerance and addiction, sedation and apathy, and withdrawal reactions that can cause rebound depression, anxiety, and even delusions. The most commonly used benzodiazepines are alprazolam (Xanax) as well as clonazepam (Klonopin) and lorazepam (Ativan).
Therapy is an important part of a treatment plan for anxiety because it allows you to learn more about your symptoms and their reasons. Many people find that medication and therapy help them to cope. In fact, some studies suggest that cognitive therapy is as effective as medication for anxiety. Speak to your doctor to find out what's best for you.
generalized anxiety treatment www.iampsychiatry.com create an calming effect, reduce anxiety and relax muscles that are tense. They also reduce symptoms of bodily arousal due to fear (like heart rate, trembling and shaking) and promote sleep.
The way they function is through binding to inhibitory neurotransmitters such as gamma-aminobutryic acid or GABA and interacting with receptors in the central nervous system. They boost the effects of GABA by facilitating the inhibitory effects of GABA on other neurotransmitters and by reducing the volume of messages sent to amygdala. It is a part of the brain which assesses threats and creates a sense of fear.
These medications are typically taken for short durations like an attack of panic or a severe anxiety episode. They can help relieve symptoms in 30 to 60 minutes. Benzodiazepines are different from SSRIs don't stay in the body for long. They're quick-acting and typically perform in just a few hours, making them suitable for situations where you require quick relief (like during a flight or prior to giving an event in public).
They can be addictive, so people are generally only prescribed them for a maximum of 4 weeks at one time. After that period they cease to be effective.
One of the main reasons benzodiazepines are so popular is that they are efficient and have fewer adverse effects when compared to their predecessors such as barbiturates and meprobamate. They have a rapid start of action and are very effective as anxiolytics (anti-anxiety) as well as sedatives and anticonvulsants, as well as for muscle relaxants.
Benzos have been blamed for the negative attitudes towards anxiety that developed in the 1970s and 1980s. This included the trivialization of the disorder and the perception that benzodiazepine treatment can lead to physical dependence. Despite this the fact that benzodiazepines play a major role in the treatment for anxiety disorders, particularly when they are combined with psychosocial interventions, such as cognitive behavioral therapy and other interpersonal therapies.
Benzos can interact with other medications and cause unwanted side-effects, such as drowsiness or confusion. It is essential to inform your doctor be aware of any other prescription, non-prescription, or herbal medication you're currently contemplating or are taking. You can find out which medications are safe to take with benzodiazepines by looking up the British National Formulary A-Z list of drug interactions.
Antidepressants
Antidepressants are effective in treating anxiety and mental illnesses. 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 to treat other health conditions, such as eating disorders, bipolar disorder, and certain types of pain.
Most doctors prescribe SSRIs as a first-line treatment for anxiety, however these drugs may not be effective for all people. If these antidepressants don't work doctors may suggest an older type known as a tetracyclic or tricyclic antidepressant. These include amitriptyline or nortriptyline and clomipramine. These antidepressants are not as popular but are still available. You may also ask your physician to prescribe the sedating antidepressant, trazodone(Desyrel) in lower doses in case you are experiencing sleep issues or anxiety.
Nefazodone, a.k.a Ferdinand (Cymbalta) and duloxetine can also be beneficial. These medications are also available in generic forms. If they aren't working, your physician may suggest the tranquilizing antidepressant mirtazapine (Remeron) or the antipsychotics quetiapine or olanzapine.
Other medications for anxiety disorders include beta blockers that reduce the heart rate and blood pressure by blocking the actions of adrenaline. These medications are not typically used to treat anxiety alone, but they can be effective if used in conjunction with psychotherapy.
Psychological therapy can help you overcome negative thoughts and behaviours that contribute to your anxiety. It can help you manage your anxiety and develop how to cope. Depending on the severity of your problem exposure therapy or cognitive behavioral therapy might be recommended. Cognitive behavioural therapy helps you develop the ability to confront negative, fearful thoughts and overcome the fear of situations that cause anxiety. The process involves increasing the anxiety provoking situations until they become manageable. It can be performed either in a group, or by yourself. In both instances it takes time to show results. Some people believe that a combination of psychotherapy and medication is the best choice. Some people discover that medications alone are sufficient to treat their symptoms. It's important to tell your doctor about the things you're doing to manage your symptoms.
Other Medications

Other drugs can also aid in relieving your symptoms. Beta blockers and antihistamines are often prescribed to alleviate anxiety.
These drugs can correct an imbalance in your brain chemicals and can alleviate symptoms by reducing or blocking the signals that cause you anxiety and stress. They are not a panacea. You'll still have to do other things to reduce your anxiety, like exercises, relaxation techniques, and psychotherapy.
SSRIs or SNRIs are the first choice of anxiety medications that your doctor can prescribe. According to research, these medications are the most effective in treating anxiety disorders. Common SSRIs include sertraline (Zoloft) and fluoxetine (Prozac) and Citropram (Celexa), and escitalopram (Lexapro). These medications may cause minor side effects, such as nausea and insomnia, but they usually disappear within 4-8 weeks. They aren't addictive, and they don't increase the risk of suicidal thoughts.
The benzodiazepines alprazolam (Xanax) and clonazepam (Klonopin) and diazepoxide (Valium) provide immediate relief from anxiety and panic attacks However, they can cause adverse effects, such as drowsiness, dizziness, memory and coordination issues, as well as dependence. They're less well-known over the more traditional barbiturates however, they're equally effective.
Antihistamines like Vistaril (hydroxyzine) were originally developed to relieve allergies. However they can also be used to ease anxiety symptoms. Hydroxyzine block histamine receptors within the brain and can cause a calming effect. It is not a controlled substance and doesn't have the same addiction risks as benzodiazepines.
Anticonvulsants are a different type of medication which can help with anxiety. They have been shown to reduce anxiety by interfering in the production and release of dopamine and sérotonin. They may be prescribed in conjunction with other medicines or as a short-term treatment for anxiety. Your doctor will assess your health history and symptoms to determine if these drugs are appropriate for you. They will discuss the length of time you'll need to take these medications and any side effects that may occur. Anxiety medications can only be purchased on prescription, which means you'll have to see a psychiatrist before you can get these medications.