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Meds That Treat Anxiety

Anxiety is among the most common mental health issues which affects more than 40 million people 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. They're not addictive, unlike benzodiazepines.

SSRIs

The most popular anxiety medication is selective serotonin reuptake inhibits (SSRIs) which include citalopram, escitalopram, and fluoxetine. These medications can also help with depression, and can help relieve symptoms associated with other anxiety disorders, such as obsessive-compulsive disorder (OCD). It could take up to a month before they begin working.

These drugs increase the amount of certain chemical messengers within the brain, including serotonin and norepinephrine. They're typically the first treatment option for anxiety, though doctors may also prescribe other kinds of antidepressants and benzodiazepines.

Another class of antidepressants called serotonin and norepinephrine-reuptake inhibitors (SNRIs) such as duloxetine (Cymbalta) and venlafaxine (Effexor), are also used to treat anxiety. They are a bit different from SSRIs because they decrease norepinephrine, but at a lower rate than SSRIs. These medicines can take a while to begin taking effect, and they also are more expensive than SSRIs.

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

Benzodiazepines are often used to treat panic attacks and anxiety in the short term, such as when waiting for SSRIs or SNRIs to take effect. These medications can cause tolerance and addiction, sedation and apathy as well as withdrawal reactions that can cause rebound depression, anxiety and even delusions. Benzodiazepines are typically found in alprazolam as well as clonazepam and lorazepam.

Therapy is an important part of an anxiety treatment plan as it can help you learn more about your symptoms and the causes. Many people discover that both therapy and medication aid them cope with anxiety. Some studies suggest that cognitive behavioral therapy is as effective as medications for anxiety. Talk to your doctor about your options and determine what could be the best choice for you.

Benzodiazepines

Benzodiazepines create a calming effect, decrease anxiety and relax tense muscles. They also reduce symptoms of bodily arousal due to fear (like heart rate and shaking) and encourage sleep.

They work by binding to inhibitory neurons, such as GABA or gamma aminobutryic acid, at receptors within the central nervous system. They boost the effects of GABA by facilitating the inhibitory effect of GABA on other neurotransmitters and by reducing the volume of messages sent to the amygdala. This is a part of the brain which assesses the threat and triggers a feeling of fear.

These drugs can be used for short durations for instance, when a panic attack occurs or if you are experiencing extreme anxiety. They may ease symptoms within 30 to 90 minutes of taking them. Benzodiazepines, unlike SSRIs do not stay in the body for long. They are fast-acting and often perform in just a few hours, making them ideal for situations in which quick relief is needed (like during an airplane flight or before a public presentation).

They are addictive, which is why people are usually prescribed them for a maximum of 4 weeks at one time. After that time they also lose their effectiveness.

One of the main reasons why benzodiazepines are so popular is because they are safe and have minimal negative effects compared to predecessors like barbiturates and meprobamate. They have a quick time to begin their action and are very useful as anxiolytics (anti-anxiety), sedatives and anticonvulsants, as well as for muscle relaxants.

Benzos were blamed for the negative attitudes towards anxiety that were developed in the 1970s and 1980s, including the minimization of the disorder, as well as the belief that benzodiazepine treatment lead to physical dependence. However the fact that benzodiazepines play a significant part in the treatment of anxiety disorders, particularly when they are combined with psychosocial interventions like cognitive behavioral therapy and other interpersonal therapies.

Benzos can interact with other medications and trigger unwanted side effects, such as drowsiness or confusion. It's important to let your doctor be aware of any other prescription, non-prescription or how To treat anxiety without drugs herbal medication you're contemplating or are taking. You can find out which medications are safe how To treat anxiety without drugs take with benzodiazepines through the British National Formulary A-Z list of 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 conditions, such as bipolar disorder, eating disorders, and certain types of pain.

SSRIs are usually prescribed as a first-line treatment for anxiety by doctors, however they may not work for all people. If these antidepressants don't work doctors may suggest an older version called a tetracyclic or tricyclic antidepressant. These include amitriptyline and nortriptyline, clomipramine, trimipramine, dothiepin, doxepin or imipramine. These antidepressants aren't as common but still readily available. Your doctor may also prescribe the sedating antidepressant Trazodone (Desyrel) in lower doses to treat anxiety or insomnia.

Other antidepressants that could help are nefazodone (Ferdinand) and duloxetine (Cymbalta). They're also available in generic form. If they do not work, your doctor might suggest a tranquilizing antidepressant mirtazapine (Remeron) or the antipsychotics quetiapine and olanzapine.

Medications for other anxiety disorders include beta blockers, which reduce the blood pressure and heart rate by blocking the action of adrenaline. These drugs aren't usually used to treat anxiety on their own however they can be beneficial when paired with psychological therapy.

Psychotherapy can assist you to change negative thoughts and behavior that can cause anxiety. It can help you to control your anxiety, and develop coping skills. Depending on the severity of your problem, exposure therapy or cognitive behavior therapy may be recommended. Cognitive behavioural therapy can help you overcome negative, fearful thoughts and overcome the fear of situations that cause anxiety. Exposure therapy involves increasing the anxiety provoking situations until they become manageable. It can be done either individually or in a small group. In both instances, the results can take a while to show. Some people find that a combination of medication and psychotherapy is the best treatment for anxiety option. Some people find that medication alone is enough to manage symptoms. It's important to tell your doctor about the things you're doing to control your symptoms.

Other Medicines

Other medications can aid in relieving your symptoms. Antihistamines and beta blockers are sometimes prescribed to relieve anxiety.

These drugs can help you ease your symptoms, by reducing or blocking the signals that cause anxiety and stress and anxiety treatment. However, they'ren't the only solution. You'll still need to do things to reduce anxiety, such as exercises as well as relaxation techniques, and psychotherapy.

Your doctor may first prescribe one of the "first first" anxiety medication, which includes SSRIs and SNRIs. These are the most effective medicines to treat anxiety disorders, according to research studies. SSRIs are usually found in sertraline (Zoloft), Citropram, fluoxetine, and escitalopram. These medications may have mild adverse effects, like insomnia or nausea, however they usually subside within 4-8 weeks. They are not addictive, and they don't increase the risk of suicidal ideas.

The benzodiazepines such as alprazolam diazepoxide, and clonazepam (Valium) offer immediate relief from panic and anxiety attacks. However, they could cause adverse effects, including drowsiness and dizziness. They can also cause problems with coordination and memory, and how to treat anxiety without drugs even dependence. They're less well-known than the older barbiturates, however, they're equally effective.

Antihistamines like Vistaril (hydroxyzine) were originally developed to relieve allergies. However they also serve to reduce anxiety symptoms. Hydroxyzine block histamine receptors within the brain and can cause the body to relax. It is not a controlled drug and 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 found to decrease anxiety by interfering in the production and release dopamine and sérotonin. These medications can be prescribed as a part of an integrated therapy or to treat anxiety in the short-term. Your doctor will assess your health history and symptoms to determine if these drugs are suitable for you. They will also discuss the length of time you'll need these medicines and any potential adverse effects that could occur. Anxiety medications are only available by prescription, and a psychiatrist will be required to prescribe it.