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What Are the Best Medications For Anxiety Disorders? Treatment of anxiety disorders usually involves an approach that combines medication, psychotherapy and exercise. Antidepressants are the most popular choice of medication for anxiety. Newer medications that have lower suicide risk and less abrasive side effects, such as nefazodone and mirtazapine, are better tolerated than antidepressants that are older, such as tCAs and monoamine oxide inhibitors (MAOIs). Most people can manage their anxiety symptoms by taking medications to reduce the fear signals in the brain. This includes SNRIs and SSRIs. Benzodiazepines They work by facilitating the binding between the inhibitory neurotransmitter GABA and a variety of receptors in the central nervous system. They are considered to be a more safe and less toxic class of CNS depressants than their predecessors, the barbiturates. They are used to treat seizure disorders as anxiolytics and anticonvulsants. They are typically prescribed in low doses and are less likely to cause delirium or anticholinergic toxicities than older medications. Before consuming these drugs, it is crucial to consider the risks and side effects. For example, chronic use of benzodiazepines can cause impairment to memory and trigger withdrawal symptoms, particularly when the drug is used in conjunction with other CNS depressants such as opioids or alcohol. It can also reduce the effectiveness of antidepressants in certain people. Geriatrics and children should not take benzodiazepines. They should also stay clear of these medications if they suffer from medical comorbidities such as depression. They come in different forms and potencies, and have different pharmacological properties. They differ in how fast they work, how long they last, and their negative effects. Generally, the longer-acting benzodiazepines like chlordiazepoxide (Librium), Clorazepate (Tranxene) as well as Clobazam (Onfi) and diazepam (Valium), are used 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 commonly reported benzodiazepine-related side effects are constipation, dry mouth, fatigue, and blurred vision. Some people also experience nausea, headaches and weight loss. These side effects are mild and usually disappear with continued use. It is preferential to gradually taper off benzodiazepines than stop abruptly as they can cause withdrawal symptoms, such as anxiety and insomnia. Other medications that can help with anxiety disorders include SSRIs, serotonin norepinephrine reuptake inhibitors, SNRIs; atypical antidepressants such as mirtazapine and beta-blockers. SSRIs and SNRIs work to increase the levels of serotonin and norepinephrine in your brain, which can help decrease anxiety. Atypical antidepressants work through different pathways to increase the levels of these chemicals, and can also treat other mental health issues like depression. Beta-blockers, commonly heart medications, can be used in low doses to treat anxiety, such as stage fright, by blocking the adrenaline rush, which causes shaking and a rapid heartbeat. SSRIs The most common medications used to treat anxiety disorder s are selective serotonin reuptake inhibitions (SSRIs) and serotonin-norepinephrine reuptake inhibitors (SNRIs). These drugs boost the levels of serotonin – an important neurotransmitter that affects mood. They also increase levels of norepinephrine, a different neurotransmitter which affects mood. The most well-known SSRIs for anxiety include paroxetine (Paxil) and fluoxetine (Prozac). SNRIs include citalopram (Celexa) and sertraline (Zoloft) and Nefazodone (Serzone). There are other medicines that can ease anxiety symptoms. Antihistamines, beta-blockers and alpha (e.g. propranolol and clonidine) along with benzodiazepines and others are available. Antihistamines can be especially helpful when you're experiencing a panic attack. They can induce a drowsiness which can reduce anxiety. They can cause adverse reactions like constipation, dry mouth and sedation. You can also be at risk if take them while driving. Benzodiazepines, which are sedatives, function by enhancing the activity of neurotransmitters which transmit signals between brain cells. These medications can help you relax and sleep, but are usually prescribed for short-term usage. These medications can become addicting, so only take them under the supervision of a medical professional. Tricyclic antidepressants (which are older medications, can also be effective in treating anxiety. These medications act similar to SSRIs and increase the levels of serotonin as well as norepinephrine in your body. These medications are typically initially taken at a low dose and gradually increased. Certain of these medications can cause weight increase and the feeling of sedation. They can also cause dry mouth, urinary tract issues, and arrhythmias. Monoamine oxidase inhibitors are also older antidepressants that have been proven to be effective in treating anxiety, but they aren't widely used because of side effects such as weight gain, dry mouth and sedation. Monoamine oxidase inhibitors also interact with some foods and medications, such as SSRIs, some birth control pills as well as cold and allergy medications, and acetaminophen and ibuprofen. Taking the right medications for your anxiety can help you feel more calm and in control of your life. It is also essential to learn stress management techniques. Avoiding unhealthy food and exercise as well as avoiding tobacco and alcohol, and eliminating watching or reading news reports that can cause anxiety are important steps. You can join a support group for anxiety to meet other people with similar issues and develop how to cope. Tricyclic antidepressants SSRIs and tricyclic antidepressants are among the medications that are used to treat anxiety disorders. Some of these drugs boost the levels of certain brain chemicals such as serotonin and norepinephrine. These medications can be taken as often or as required. Certain drugs require a few weeks to take effect, but they can eliminate anxiety or make it easier to manage. They won't be effective if you stop taking the medication. SSRIs are a well-known option to treat anxiety, and they can also assist in preventing symptoms from coming back. These include citalopram and fluvoxamine, escitalopram and sertraline. SSRIs have minimal side-effects and are generally safe. SSRIs are often used in conjunction with other treatments for anxiety, like exercise or psychotherapy. Beta blockers are a different type of medication which can be used for anxiety. These medications are typically prescribed for heart conditions but are also effective in treating anxiety and phobias. They reduce anxiety symptoms by reducing blood pressure and slowing down the heart rate. The most commonly used beta blockers are propranolol and atenolol. People who suffer from a fear or a panic disorder can occasionally benefit from sedatives like lorazepam or alprazolam. These drugs can be used before a stressful event and work quickly to ease anxiety symptoms. They can also become habit-forming so only use them when necessary. In general, SSRIs and SNRIs can be utilized as first-line medication to treat anxiety. They are safe, well-tolerated, and are effective in controlled studies that are randomized. It is crucial to take into consideration the peculiar characteristics of the medication and co-morbidities among patients. Patients with a depression history may need more medication than someone without. The most effective treatment for social phobia or performance anxiety is a monoamine oxidase inhibitor (MAOI). These medications increase the quantity of neurotransmitters that regulate mood. They are typically started at a low dosage and gradually increased. They can be taken by themselves or in conjunction with a benzodiazepine. Many medications, such as SSRIs, some birth control pills, acetaminophen and ibuprofen, cold and allergy medications, as well as herbal supplements, may interact with MAOIs Therefore, it is crucial to discuss your medication options with your doctor. Monoamine oxidase inhibitors Many medications are used to treat anxiety disorders and are effective for a variety of people. This includes benzodiazepines as well as antidepressants. These are GABA-A receptor agonists that can be used to relieve anxiety symptoms in the short-term. They can also be used to treat muscle spasms, seizures, and hypnotic disorders. However, benzodiazepines aren't suitable for long-term use and may result in dependence. Antidepressants, on the other hand can aid in reducing depression and anxiety. These medications may take four to six weeks to take effect, but they are very effective for the majority of people. These medications can trigger sexual side effects in some people, but these are usually manageable. SSRIs along with SNRIs, boost levels of norepinephrine and serotonin two essential hormones and neurotransmitters that affect mood. They are typically the first line treatment for the majority of anxiety disorders. They can be taken regularly to manage symptoms or when needed. Antidepressants can cause a myriad of adverse effects, such as nausea, dry mouth and weight gain. They may also increase the risk of suicidal thoughts, therefore, they should only be used the time that is needed. Another option is beta-blockers, which are traditionally used to treat heart problems. Propranolol or Inderal is frequently prescribed for the treatment of social anxiety disorder off-label. This medication is a good choice to relieve the physical symptoms of anxiety, including shaking and high blood pressure. It can also help to lower stress hormones, such as adrenaline and norepinephrine, which are produced during a high anxiety state. Anticonvulsants, like gabapentin, pregabalin, and tiagabine are all derived from GABAergic properties. These medications are approved by the FDA approval for neuropathic pain and antidepressant pain. Tricyclic antidepressants, also known as TCAs are a different type of medication that boosts the levels of serotonin and norepinephrine within the brain. They also decrease the activity of monoamine oxidase, which is responsible for breaking down these chemicals. They can also be used to reduce the symptoms of bipolar disorder and mania. These medications can cause a number of side consequences, such as weight gain, dry mouth, and sedation. They can also increase the risk of hypotension, urinary hesitancy or retention and arrhythmias.