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Meds That Treat Anxiety

Anxiety affects 40 million people in the United States. It's highly treatable, with 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. Unlike benzodiazepines, they're not addictive.

SSRIs

The most commonly used anxiety medication is selective serotonin inhibits (SSRIs) which include citalopram, escitalopram, and fluoxetine. These medications can also help with depression, and can ease the symptoms of other anxiety disorders, including obsessive-compulsive disorder (OCD). It could take up to a month before they begin working.

These drugs work by boosting the production of certain chemical messengers in the brain, such as serotonin and norepinephrine. These are typically the first choice to treat anxiety without medication anxiety, although doctors may prescribe other forms of antidepressants, also known as benzodiazepines.

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

Tricyclic antidepressants (TCAs), such as imipramine (Tofranil) can be effective in treating certain anxiety disorders, particularly GAD. However their drowsiness and other adverse effects make them less well-known. Another kind of antidepressant, monoamine oxidase inhibitors (MAOIs), can also be used to combat anxiety. They are a high risk of toxicity and restrictions on diets restrict their use.

Benzodiazepines are often used to treat panic attacks and anxiety in the short term like when you wait for SSRIs or SNRIs to kick in. These drugs can lead to addiction tolerance, sedation, and tolerance and withdrawal symptoms such a rebound anxiety, depression and delirium. Benzodiazepines can be found in alprazolam as well as clonazepam and lorazepam.

Therapy is an essential part of any anxiety natural treatment for anxiety plan. It helps you to better understand your symptoms and their root causes. Many people find that both therapy and medication help them manage their anxiety. In fact, some studies suggest that cognitive therapy is as effective as anxiety medications. Talk to your doctor about your options and determine what might be best for you.

Benzodiazepines

Benzodiazepines create an calming effect, which can reduce anxiety and relax tense muscles. They also alleviate symptoms of bodily arousal related to fear (like heart rate and trembling) and help promote sleep.

They work by binding to inhibitory neurons, for example GABA or gamma aminobutryic acids at receptors in the central nervous system. They enhance the effects of GABA by facilitating its inhibitory effect on other neurotransmitters, and reducing the number of messages that are transmitted to the amygdala, which is the brain's region that assesses threats and produces the feeling of fear.

These medications can be utilized for short durations for instance, when you experience a panic attack or if you are experiencing extreme anxiety. They can relieve symptoms within 30 to 60 minutes. Benzodiazepines are, in contrast to SSRIs don't stay in the body long. They are fast acting and can be effective in a matter of hours. This makes them perfect for situations in which rapid relief is required (such for instance, on an airplane or before giving a presentation in public).

Since they are addictive, patients are usually prescribed for up to four weeks at a time. They also lose their effectiveness after a period of time.

One of the main reasons benzodiazepines are so popular is because they are safe and have fewer side effects compared to their predecessors such as barbiturates and meprobamate. They are fast in the onset of action and are very useful as anxiolytics (natural anti anxiety treatment-anxiety), sedatives, anticonvulsants, as well as for muscle relaxants.

Benzos are often blamed for the negative perceptions of anxiety that emerged in the 1970s and 1980s, including the stigmatization of anxiety and the perception that benzodiazepine treatment can lead to physical dependence. However they play a significant role in the treatment of anxiety disorders, particularly when used in conjunction with psychosocial interventions, such as cognitive behavioral therapy and interpersonal therapy.

Benzos can interact with other drugs and cause unwanted side-effects, such as 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 determine which medications are safe to take along with benzodiazepines by looking up the British National Formulary A-Z list of drug interactions.

Antidepressants

Antidepressants can be 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 several antidepressants for other health ailments, too, such as eating disorders, certain kinds of pain and bipolar disorder.

Most doctors recommend SSRIs as the first-line treatment for anxiety, but these medications may not be appropriate for all people. If these antidepressants don't work the doctor might suggest an older type known as a tetracyclic, or tricyclic antidepressant. These include amitriptyline and nortriptyline and clomipramine. These antidepressants aren't as common but are still readily available. Your doctor may also prescribe the antidepressant that sedates, Trazodone (Desyrel) at lower doses for sleep or anxiety.

Nefazodone, a.k.a Ferdinand (Cymbalta) and duloxetine are also beneficial. These medications are also available in generic forms. If they don't work, your doctor may try the antipsychotics quetiapine and Olanzapine or the tranquilizing antidepressant Mirtazapine.

Beta blockers are used to treat anxiety disorder treatment without medication disorders. They lower heart rate and blood pressure by blocking adrenaline. These medications aren't typically used to treat anxiety by themselves however they can be beneficial when combined with psychological therapy.

Psychological therapy can help you overcome negative thoughts and behaviors that can cause anxiety. It can help you manage your anxiety and develop strategies for coping. Based on the severity of your problem, exposure therapy or cognitive behavior therapy could be suggested. Cognitive behavioral therapy helps you to overcome fears and thoughts that are harmful, and overcome your avoidance of situations which trigger anxiety. Exposure therapy is the process of increasing the intensity of anxiety-inducing situations until they can be managed. It can be performed either in a group, or by yourself. In both cases, it takes time to achieve results. Some people find that the combination of medication and psychotherapy is the best option. However, others find that meds alone are sufficient to control their symptoms. Discuss with your doctor how you manage your symptoms.

Other Medical Treatments

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

These medications can help ease your symptoms, by reducing or blocking the signals that trigger anxiety and stress. However, they're not an all-in-one solution. You'll still need to do other things to reduce your anxiety, including physical exercise, relaxation techniques, and psychotherapy.

SSRIs or SNRIs are your first choice of anxiety medication that your doctor may prescribe. According to research, these medications are the most effective in treating anxiety disorders. SSRIs are usually found in sertraline (Zoloft), fluoxetine, citalopram, and escitalopram. These medications can cause minor side effects, such as insomnia and nausea, however these tend to subside within 4-8 weeks. Unlike the benzodiazepines, they're not addictive and won't increase your risk of having suicidal thoughts.

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

Antihistamines like Vistaril (hydroxyzine), were developed to relieve allergies, but they're also sometimes used to reduce anxiety symptoms. Hydroxyzine blocks histamine receptors in the brain and may cause an energizing effect. It is not a controlled substance, so it does not carry the same addiction risks as benzodiazepines.

Another kind of medication that can aid with anxiety is a class of medications known as anticonvulsants. They have been shown to relieve anxiety by affecting the production and release of dopamine and serotonin. They may be prescribed in combination with other medications or as a short-term treatment for anxiety. Your doctor will assess your health history and symptoms to determine if these medicines are suitable for you. They will also discuss the length of time you'll need these medications and any adverse effects that could occur. Anxiety medications are only available on prescription, so you'll need a psychiatrist to prescribe it.