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What Are the Best Medications For Anxiety Disorders? A three-prong strategy is commonly suggested for treating anxiety disorders which include exercise, psychotherapy and medication. The first choice for treating anxiety are antidepressants. Newer medications that have a lower suicide risk and less abrasive side effects, such as mirtazapine and nefazodone are more well-tolerated than antidepressants that are older, such as tCAs and monoamine inhibitors of oxidase (MAOIs). Most people can manage their anxiety symptoms by taking medications that reduce anxiety signals in the brain. This includes SNRIs and SSRIs. Benzodiazepines These drugs work by helping to bind the inhibitory neurotransmitter GABA to various receptors throughout the central nervous system. They are regarded as a safer, less toxic CNS depressant than their predecessors, the barbiturates. They are used to treat seizures as anxiolytics and anticonvulsants. They are usually prescribed in small doses and are less likely to cause delirium or anticholinergic toxicity than older medications. However there are generalized anxiety disorder and side effects that must be considered prior to taking these medications. For instance, the long-term use of benzodiazepines may impair memory and cause withdrawal symptoms, especially when the drug is used with other CNS depressants, such as opioids or alcohol. There are also those who find that it reduces the effectiveness of antidepressants. Benzodiazepines should not be used in elderly patients or children and should not be used in conjunction with medical conditions such as depression. They come in different formulations and potencies and have a variety of pharmacological properties. They differ in their effectiveness in terms of duration, duration, and adverse effects. The longer-acting benzodiazepines, such as chlordiazepoxide (Librium) as well as clorazepate (Tranxene) as well as clobazam (Onfi) and diazepam (Valium) are prescribed to treat insomnia and anxiety, while alprazolam (Xanax) as well as Lorazepam (Ativan) and midazolam (Versed) are used to induce anesthesia and for seizures and other seizures disorders. The most common benzodiazepine side effects are constipation, dry mouth, fatigue and blurred vision. Some sufferers also experience headaches, nausea, and weight loss. These are minor side effects and usually go away with continued use. It is better to lower the dose of benzodiazepines rather then stopping them abruptly, as they can trigger withdrawal symptoms, such as irritability and difficulty sleeping. Other medications that can help with anxiety disorders include SSRIs, serotonin and norepinephrine reuptake inhibitors, SNRIs; antidepressants that are not typical, such as mirtazapine, and beta-blockers. SSRIs and SNRIs work to increase the levels of serotonin as well as norepinephrine in your brain, which help decrease anxiety. Atypical antidepressants increase these chemicals through various pathways and are able to treat other mental disorders like depression. Beta-blockers, commonly heart medications, may also be used in low doses to treat anxiety, such as stage fright, by blocking the adrenaline rush that causes heartbeats to be rapid and shakey. SSRIs The most commonly prescribed drugs for anxiety disorders are selective serotonin reuptake inhibitors (SSRIs) and serotonin norepinephrine reuptake inhibitors (SNRIs). These medications increase levels of serotonin, a neurotransmitter that plays a role in mood. They also increase levels of norepinephrine which is another neurotransmitter which affects mood. Paroxetine and Fluoxetine are the most well-known SSRIs used to treat anxiety. These SSRIs include citalopram and sertraline and nefazodone. Other medications can ease anxiety symptoms. Antihistamines and beta-blockers, alpha and beta (e.g. propranolol and Clonidine) along with benzodiazepines and many more are available. Antihistamines can be especially helpful when you're experiencing a panic attack. They can cause drowsiness which can reduce anxiety. However, they can have negative effects, such as dry mouth, constipation and sedation. Also, you could be at risk if use them while driving. Benzodiazepines, which are sedatives, function by enhancing the activity of neurotransmitters which transmit signals between brain cells. These medications are prescribed to relax you and sleep. They are only meant for short-term usage. These drugs can be addictive, so you should only take them under the supervision of a doctor. Tricyclic antidepressants can also be effective in treating anxiety. These drugs function similar to SSRIs, increasing the levels of serotonin as well as norepinephrine within your body. These medications are typically started at a small dose and then increased gradually. Certain medications can cause weight increase, sedation, dry mouth and urinary tract problems, as well as arrhythmias. Monoamine oxidase inhibiters are older antidepressants that have been proven to be effective in treating anxiety. However they are not as common due to their adverse effects, such as weight gain and dry mouth. Monoamine oxidase inhibitors also interact with certain food items and medications, such as SSRIs, some birth control pills, cold and allergy medicines, and acetaminophen and ibuprofen. You will feel more relaxed and in charge of your life by taking the appropriate medication for anxiety. It is also essential to master techniques for managing stress. The most important steps are abstaining from unhealthy food and exercise, avoiding tobacco and alcohol and removing news articles or readings that can trigger anxiety. Joining an anxiety support group will allow you to meet other people with similar problems and help you learn coping strategies. Tricyclic antidepressants A variety of medications can help combat anxiety disorders, such as SSRIs, benzodiazepines, and tricyclic antidepressants. Certain of these medications can increase the amount of certain brain chemicals such as serotonin or norepinephrine. These drugs can be taken regularly or as needed. Some drugs take a few weeks to start working, but they can eliminate anxiety or make it more manageable. They won't work in the event that you stop taking the medication. SSRIs can be used to treat anxiety and also stop symptoms from recurring. They include citalopram (Celexa) and the escitalopram (Lexapro) and fluvoxamine (Fluoxetine) and sertraline (Zoloft). SSRIs have no adverse effects and are generally safe. SSRIs can be used in conjunction with other treatments for anxiety, like exercise or psychotherapy. Another type of medication that can be used to combat anxiety is a beta blocker. These drugs are prescribed primarily for heart problems, but they are also effective for anxiety and fears. They help reduce anxiety symptoms by slowing the heart rate and reducing blood pressure. The most frequently used beta blockers are propranolol as well as atenolol. People with panic disorder or a phobia may benefit from sedatives when needed, like lorazepam. These medications can be taken prior to an event that is stressful and can be used to reduce anxiety symptoms. These medications can become habit-forming so only use them as needed. In general, SSRIs or SNRIs are often used as first-line medications to treat anxiety. They are well-tolerated as well as safe and effective in controlled, randomized studies. However, the unique drug characteristics and comorbid conditions of patients must be considered. For instance, a patient who has a history of depression may require more medication than someone who does not have. The most effective treatment for social phobia or performance anxiety is a monoamine oxidase inhibiter (MAOI). These drugs increase the number of neurotransmitters that control mood, and are often initially administered at low doses, and gradually increased. They can be taken either as a single or in combination with the combination of benzodiazepine. A variety of medications, including SSRIs, birth control pills, acetaminophen and Ibuprofen, cold or allergy medicines, and herbal supplements can interact with MAOIs, so it is important to discuss your options for medication with your physician. Monoamine oxidase inhibitors There are a myriad of medications used to treat anxiety disorders, and many work well for most people. This includes benzodiazepines as well as antidepressants. These are GABA-A receptor agonists which can be employed to alleviate anxiety symptoms in the short-term. They can also be utilized to decrease muscle spasms, seizures, and hypnotic disorders. Benzodiazepines can be addictive and should not be used for long-term use. Antidepressants, on the other hand can aid in reducing depression and anxiety. These medications can take up to six weeks to begin working, but they are very effective for the majority of people. These medications can cause sexual side effects for some individuals, but these are generally manageable. SSRIs, as well as SNRIs, raise levels of norepinephrine and serotonin, two important neurotransmitters and hormones that affect mood. These are usually the first-line treatment for the majority of anxiety disorders. They can be taken regularly to treat symptoms or when needed. Antidepressants can cause nausea, dry mouth, and weight gain. They may also increase the likelihood of having suicidal thoughts therefore they should only be used as long as is necessary. Beta-blockers are also an option, as they are traditionally used for heart conditions. They are frequently prescribed off-label to treat social anxiety disorders, such as propranolol (Inderal). This medication is a great choice to ease the physical symptoms of anxiety, such as shaking and high blood pressure. It can also help to reduce stress hormones such as adrenaline and norepinephrine, which are present in a anxiety state. Anticonvulsants like gabapentin, pregabalin and tiagabine have GABAergic effects. These medications are FDA approved for the treatment of neuropathic pain and can also be effective as an antidepressant for certain people. Tricyclic antidepressants (TCAs) are a different type of medication that increases levels of serotonin as well as norepinephrine in the brain. They also inhibit the activity of monoamine oxidese, responsible for breaking down these chemicals. They are also able to reduce the effects of bipolar disorder. These medications can trigger various side effects, such as weight gain, dry mouth and sedation. They may also increase the risk of hypotension, urinary hesitancy or retention and arrhythmias.