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What Are the Best Medications For Anxiety Disorders? Treatment for anxiety disorder s is usually a three-pronged approach: psychotherapy, medication and exercise. The first choice for treating anxiety are antidepressants. Newer medications, such as mirtazapine or nefazodone, that have a lower risk of suicide, and less adverse effects, are more well-tolerated by patients than antidepressants that are older, such as tCAs or monoamine oxidase inhibitors (MAOIs). The majority of people manage their anxiety symptoms by taking medications that decrease the fear signals in the brain. These include SSRIs or SNRIs. Benzodiazepines These drugs act by facilitating the binding of the inhibitory neurotransmitter GABA to various receptors throughout the central nervous system. They are regarded as a safer, less toxic CNS depressant as compared to their predecessors – barbiturates. They are used as anxiolytics (anxiety medications), hypnotics (sleep medicines) and anticonvulsants to treat seizures. They are prescribed in low doses and are less likely than other drugs to cause anticholinergic toxicities, or delirium. However there are significant risks and adverse effects that should be evaluated before taking these drugs. For instance, long-term use of benzodiazepines may impair memory and trigger withdrawal symptoms, particularly if the drug is taken in conjunction alongside other CNS depressants such as alcohol or opioids. There are also those who find that it reduces the effectiveness of antidepressants. Children and elderly people should not take benzodiazepines. They should also avoid taking them if they have medical conditions like depression. They are available in different dosages and formulations, and possess different pharmacological properties. They differ in their effectiveness in terms of duration, duration, and adverse effects. The benzodiazepines that have a longer acting effect, such as chlordiazepoxide, clorazepate, clobazam, and diazepam are generally used to treat insomnia, anxiety, and seizures. Constipation, fatigue, and blurred vision are the most frequent adverse effects of benzodiazepines. There are also headaches, nausea and weight loss. However, these effects are usually mild and go away with continued use. It is preferential to gradually taper off benzodiazepines than stop abruptly as they can cause withdrawal symptoms, such as insomnia and irritability. Other medications that can help with anxiety disorders include SSRIs, serotonin norepinephrine reuptake inhibitors, SNRIs; atypical antidepressants such as mirtazapine; and beta-blockers. SSRIs, beta-blockers, and SNRIs work by increasing the levels norepinephrine and serotonin in your brain. This helps reduce anxiety. Atypical antidepressants increase these chemicals through various pathways and are able to treat other mental disorders, such as depression. Lastly, beta-blockers are traditionally heart medications, but they can be used in lower doses to treat anxiety, such as stage fright, by reducing the adrenaline rush which causes shakes and rapid heart rate. SSRIs The most commonly prescribed drugs for anxiety disorders are selective serotonin reuptake inhibitors (SSRIs) and serotonin norepinephrine reuptake inhibitors (SNRIs). These drugs increase levels of serotonin, a neurotransmitter that is involved in mood. They also increase levels of norepinephrine which is another neurotransmitter that influences mood. Paroxetine and fluoxetine are two of the most well-known SSRIs used to combat anxiety. SNRIs include citalopram (Celexa) sertraline (Zoloft) and Nefazodone (Serzone). Other medications can also help with anxiety symptoms. Antihistamines and beta-blockers, alpha and beta (e.g. propranolol, Clonidine) along with benzodiazepines and others are all available. Antihistamines can be especially helpful in the event of a panic attack. They can cause drowsiness which can reduce anxiety. However, they can have side effects like constipation, dry mouth, and sedation. There are also dangers if taken while driving, and you can develop a tolerance to the drug. Benzodiazepines which are sedatives, work by increasing the activity of neurotransmitters which transmit signals between brain cells. These medications can aid in relaxation and sleep, and are usually only prescribed for short-term use. They can also be habit-forming and should only be taken under the supervision of a doctor. Tricyclic antidepressants (which are older drugs, can be effective in treating anxiety. These drugs function similar to SSRIs, increasing the levels of serotonin as well as norepinephrine in your body. They are typically taken at a low dose and gradually increased. Certain medications can cause weight increase as well as dry mouth, sedation and urinary tract issues, and arrhythmias. Monoamine oxidase inhibitors are older antidepressants which have been proven to be effective in treating anxiety, however, they are not widely prescribed due to side effects such as weight gain, dry mouth and sedation. Monoamine oxidase inhibitors may also interact with some foods and medications, such as SSRIs, 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 best medication for your anxiety. It is also essential to master techniques for managing stress. Avoiding unhealthy foods and exercise in addition to avoiding smoking and drinking alcohol and avoiding watching or reading news stories that cause anxiety are important steps. You can also join a support group for anxiety to meet others who suffer from similar issues and develop coping skills. Tricyclic antidepressants A variety of medications are able to treat anxiety disorders, including benzodiazepines, SSRIs, and tricyclic antidepressants. Certain of these drugs can increase the levels of specific brain chemicals such as serotonin and norepinephrine. These medications can be taken on a regular basis or as required. Some take some time to begin working, but they are able to get rid of anxiety, or make it easier to manage. However, they won't be effective if the medication is stopped. SSRIs can be used to treat anxiety, and prevent symptoms from returning. These include citalopram, fluvoxamine, escitalopram and sertraline. SSRIs are generally safe and have few side effects. SSRIs can be used in conjunction with other treatments for anxiety, like exercise or psychotherapy. Another kind of medication that could be used to combat anxiety is beta blockers. These medications are typically prescribed for heart conditions but they can also be helpful for those suffering from anxiety and fears. They reduce anxiety symptoms by reducing blood pressure and slowing down the heart rate. Propranolol and atenolol are the most frequently prescribed beta blockers. People who suffer from a fear or a panic disorder can sometimes benefit from as-needed sedatives like lorazepam or alprazolam. These drugs can be used prior to a stressful event and can be used to ease anxiety symptoms. They can also become habit-forming so only use them as needed. In general, SSRIs and SNRIs are considered to be the first-line treatment for anxiety. They are well tolerated as well as safe and effective in randomized controlled studies. It is crucial to take into consideration the unique characteristics of the drug as well as co-morbidities among patients. For instance, a patient who has a history of depression may require 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 amount of neurotransmitters that regulate mood, and are usually initially administered at low doses, and gradually increased. They can be taken either as a single or in combination with the benzodiazepine. Many medications, such as SSRIs, some birth control pills, acetaminophen, Ibuprofen, cold or allergy medicines, and herbal supplements, can interact with MAOIs, so it is essential to discuss your treatment options with your doctor. Monoamine oxidase inhibitors There are a variety of treatments for anxiety disorder s. Many work well for the majority of people. They include antidepressants and benzodiazepines. The benzodiazepines are GABA receptor agonists that can be used to reduce anxiety symptoms in the short-term. They are also helpful in reducing seizures, muscle spasms and hypnotic states. However, benzodiazepines aren't suitable for long-term use and can result in dependence. Antidepressants, on the other hand can aid in reducing both anxiety and depression. These medications can take anywhere from four to six weeks to begin working, but they are very efficient for the majority of people. These drugs can cause sexual side effects for some people, but these are generally manageable. SSRIs and SNRIs increase levels of serotonin as well as norepinephrine. two important hormones and neurotransmitters that affect mood. They are usually the first-line treatment for many anxiety disorders. They can be taken regularly to treat symptoms or as needed. Antidepressants can trigger a range of side effects, including nausea, dry mouth and weight gain. They can also increase your risk of suicidal thoughts, therefore, they should only be used for the time that is needed. Beta-blockers are also a possibility since they are commonly used for heart conditions. Propranolol or Inderal, is often prescribed for social anxiety disorder off-label. This medication is a great choice to ease the physical symptoms of anxiety, such as shaking and high blood pressure. It also helps reduce stress hormones, such as adrenaline and norepinephrine that are present in a state of anxiety. Anticonvulsants, such as gabapentin pregabalin and tiagabine possess GABAergic effects. These medications are FDA approved for neuropathic pain and can be effective as an antidepressant in certain people. TCAs are also tricyclic antidepressants, which boost the levels of serotonin within the brain. They also inhibit the activity of monoamine oxidese, responsible for breaking these chemicals down. They are able to alleviate symptoms of bipolar disorder and mania. These medications can cause several adverse effects, including dry mouth, and sedation. These drugs can also increase the risk of hypotension and arrhythmias.