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Meds That Treat Anxiety

Anxiety affects more than 40 million adults in the United States. There are a variety of medications available to treat anxiety.

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. They're not addictive, as are benzodiazepines.

SSRIs

The most commonly used anxiety medications are selective serotonin-reuptake inhibitors (SSRIs) like citalopram (Celexa), escitalopram (Lexapro) and fluoxetine (Prozac). These medications can also treat depression, and they can help relieve the symptoms of anxiety disorders, such as obsessive-compulsive disorder (OCD). It could take up to a month before they begin to work.

These drugs work by boosting the levels of certain chemical messengers in the brain, including serotonin and norepinephrine. They're typically the first treatment option for anxiety, however doctors also use other types of antidepressants and benzodiazepines.

Antidepressants such as duloxetine, (Cymbalta), and venlafaxine, (Effexor) are also used for anxiety. They are a bit different from SSRIs since they reduce norepinephrine, but at a lower rate than SSRIs. These medications may take some time to take effect, and they also tend to be more expensive than SSRIs.

Tricyclic antidepressants, such as imipramine Tofranil, can be effective in treating anxiety without medication anxiety disorders. Their drowsiness, as well as other adverse effects are what is the treatment for anxiety disorder make them less well-liked. Monoamine oxide inhibitors (MAOIs) are another type of antidepressant that can be used to combat anxiety. Their high toxicity risk and dietary restrictions make them unsuitable for use.

Benzodiazepines are frequently used to combat anxiety and panic attacks in the short-term, such as when waiting for SSRIs or SNRIs to kick in. These drugs can trigger tolerance and addiction, sedation and apathy and withdrawal reactions that may cause depression, anxiety and even delusions. The most commonly used benzodiazepines are alprazolam (Xanax), Clonazepam (Klonopin) and lorazepam (Ativan).

Therapy is a vital part of any anxiety treatment plan. It helps you to better know your symptoms and their reasons. Many people find that medication and therapy both aid in coping. Some studies suggest that cognitive therapy is as effective as medication for anxiety. Talk to your doctor about your options and which might be best for you.

Benzodiazepines

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

They work by binding to inhibitory neurons, for example GABA or gamma aminobutryic acid and bind to receptors in the central nervous system. They enhance the effects of GABA by increasing its inhibitory effects on other neurotransmitters while reducing the amount of messages that are that are sent to the amygdala. which is the brain's region that detects threats and creates the feeling of fear.

These medications can be used for short durations of time like when you experience a panic attack or when you experience severe anxiety. They may ease symptoms within 30 to 90 minutes after taking them. Benzodiazepines, unlike SSRIs don't stay in the body for a long time. They are fast acting and can work within a couple of hours. This makes them ideal for situations where immediate relief is needed (such for instance, during a flight or before giving a presentation in public).

They are addictive, which is why people are usually prescribed them for up to 4 weeks at one time. After that they also cease to be effective.

One of the main reasons benzodiazepines are so popular is that they are effective and have fewer negative effects compared to predecessors, such as barbiturates or meprobamate. They have a rapid onset of action and are extremely 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 emerged in the 1970s and 1980s. This included the stigmatization of situational anxiety treatment - try this out - and the perception that benzodiazepine treatment can lead to physical dependence. Despite this they play a significant role in the treatment of anxiety disorders, especially when used in conjunction with psychosocial interventions like cognitive behavioral therapy and interpersonal therapy.

Benzos can interact with other medications and cause undesirable side effects, such as drowsiness and disorientation. It is important to inform your doctor be aware of any other prescription, non-prescription, or herbal medicines you're currently contemplating or are taking. You can determine which medications are safe to take with benzodiazepines through the British National Formulary A-Z list for medication interactions.

Antidepressants

Antidepressants can reduce anxiety and other mental health problems. 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 issues, such as eating disorders, bipolar disorder and certain kinds of pain.

SSRIs are usually prescribed as a first-line treatment for anxiety by doctors, however they may not work for everyone. If the antidepressants do not work, the doctor may try an older version called a tetracyclic or tricyclic antidepressant. These include amitriptyline and nortriptyline, as well as clomipramine. These antidepressants are less common but are still accessible. You may also ask your doctor to prescribe the sedating antidepressant trazodone(Desyrel) in lower doses if you are experiencing anxiety or sleep problems.

Nefazodone, a.k.a Ferdinand (Cymbalta) and duloxetine may also be useful. These medications are also available in generic form. If they aren't helping your doctor, you can try the antipsychotics quetiapine and olanzapine or the tranquilizing antidepressant Mirtazapine.

Beta blockers are used to treat other anxiety disorders. They lower heart rate and blood pressure by blocking adrenaline. These drugs aren't commonly used to treat anxiety on their own however they can be beneficial when used in conjunction with psychotherapy.

Psychotherapy can help you change negative thoughts and behavior that can cause anxiety. It can teach you to manage your anxiety and develop strategies for coping. Based on the severity of your situation, exposure therapy or cognitive behavioral therapy may be recommended. Cognitive behavioural therapy teaches you to challenge negative and fearful thoughts and overcome your fear of situations that trigger anxiety. Exposure therapy is the process of increasing the intensity of anxiety-inducing situations until they are manageable. It can be performed either in a group, or by yourself. In both instances, the results can take a while to show. A combination of medication and psychological therapy is the best choice for certain people. Some people find that medication alone is sufficient to treat symptoms. Discuss with your doctor how to treat anxiety disorder naturally you manage your symptoms.

Other Medications

Other drugs can also help alleviate your symptoms. Antihistamines, beta blockers, and buspirone are all prescribed to ease anxiety.

These medications can help alleviate your symptoms by reducing or blocking the signals that trigger stress and fear. However, they're not an all-in-one solution. You'll need to do things to control anxiety, like physical exercise relaxation techniques, relaxation techniques and psychological therapy.

SSRIs or SNRIs are the first choice of anxiety medication that your doctor may prescribe. According to research, these medications are the most effective for treating anxiety disorders. SSRIs are usually found in sertraline (Zoloft) as well as Citropram, fluoxetine, and escitalopram. These medications might have minor side effects, like insomnia or nausea, but they typically disappear within 4-8 weeks. Contrary to benzodiazepines they're not addictive and won't increase the risk of suicidal thoughts.

The benzodiazepines alprazolam (Xanax) as well as clonazepam (Klonopin) and diazepoxide (Valium) provide immediate relief from anxiety and panic attacks However, they can cause negative effects such as dizziness, drowsiness and coordination problems, and dependence. They're not as popular than the older barbiturates, however, they're equally effective.

Antihistamines, such as Vistaril (hydroxyzine) were initially developed to relieve allergies. However they also serve to alleviate anxiety symptoms. Hydroxyzine blocks histamine receptors in the brain and may cause an energizing effect. It's not a controlled substance, so it doesn't have the same risks of addiction as benzodiazepines.

Anticonvulsants are another type of medication which can aid in reducing anxiety. They have been shown to reduce anxiety by inhibiting the production of and release of dopamine as well as sérotonin. These medications are often prescribed as part of a combination therapy or to treat anxiety in the short term. Your doctor will assess your medical history and symptoms to determine if these drugs are appropriate for you. They will also discuss the duration of time you should take these medicines and any potential side effects that may occur. Anxiety medications are only available on prescription, which means you'll need to see a psychiatrist to get them.