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Meds That Treat Anxiety

Anxiety affects more than 40 million adults in the United States. It is extremely treatable, and there are 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 popular anxiety medication is selective serotonin reuptake inhibits (SSRIs), including citalopram, escitalopram, and fluoxetine. These medications can also be used to treat depression and alleviate symptoms of anxiety disorders like obsessive compulsive disorder. They can take up to a month for them to begin working.

These drugs increase the amount of certain chemical messengers within the brain, including serotonin and norepinephrine. They're usually the first treatment option for anxiety treatment center, but doctors also use other types of antidepressants and benzodiazepines.

Antidepressants, such as duloxetine (Cymbalta) and venlafaxine, (Effexor) are also used for male anxiety treatment. They differ from SSRIs because they decrease norepinephrine, however at a lower rate than SSRIs. They can take a while to start taking effect, and they also tend to be more expensive than SSRIs.

Tricyclic antidepressants, like imipramine Tofranil are effective in treating anxiety disorders. However their drowsiness as well as other adverse reactions make them less popular. Monoamine oxidase inhibitors (MAOIs) are a different kind of antidepressant that can be used to combat anxiety. Their high functioning anxiety treatment toxicity risk and the restriction on dietary intake limit their use.

Benzodiazepines can be used to treat panic attacks and natural anxiety treatments in the short-term, while waiting for SSRIs and SNRIs. These medications can trigger dependence to tolerance, sedation, and dependence and withdrawal symptoms such a rebound anxiety, depression, and delirium. Benzodiazepines are commonly found in alprazolam, clonazepam, and lorazepam.

Therapy is an essential component of an anxiety treatment plan because it allows you to understand your symptoms and the causes. Many people find that both therapy and medication can help them cope with anxiety. Certain studies have demonstrated that cognitive behavioral therapy is just as effective as medication for anxiety. Speak to your doctor to find out what's best for you.

Benzodiazepines

Benzodiazepines can have a calming effect, reduce anxiety and relax muscles that are tense. They also ease symptoms of fear-related bodily stimulation (like heart racing or trembling) and help promote sleep.

They work by binding inhibitory neurons, like GABA or gamma aminobutryic acids at receptors in the central nervous system. They enhance GABA's effects by facilitating the inhibitory effects of GABA on other neurotransmitters and reducing the number of messages sent to the amygdala. It is a part of the brain that is able to detect the threat and triggers a feeling of anxiety.

These medications are typically employed for short periods of time, such as during a panic attack or severe anxiety episodes. They can relieve symptoms within 30 to 60 minutes. In contrast to SSRIs they don't stay in the body for very long. They are fast-acting and often take effect in just a couple of hours, making them suitable for situations when immediate relief is required (like during a flight or before giving a public presentation).

They are addictive, and people are generally only prescribed them for a maximum of 4 weeks at a time. After that time they become less effective.

One of the reasons why the benzodiazepines became so well-known is that they were effective and had minimal side effects when compared to their predecessors, like meprobamate and barbiturates. They are effective and have a rapid start, and can be used as anxiolytics in order to reduce anxiety. They can also be employed as sedatives, anticonvulsants, and muscle relaxants.

Benzos are often blamed for the negative attitudes toward anxiety that developed in the 1970s and 1980s, which included the denial of the disorder and the belief that benzodiazepine treatment can lead to physical dependence. However, benzodiazepines continue to play a significant part in the treatment resistant anxiety of anxiety disorders, particularly when they are combined with psychosocial interventions such as cognitive behavioral therapy or interpersonal therapies.

Benzos may 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 contemplating or are taking. Go through the British National Formulary A to Z list of medication interactions to determine which medications are safe with benzodiazepines.

Antidepressants

Antidepressants are effective in treating anxiety and mental illnesses. 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 to treat other conditions, too, such as eating disorders, certain types of pain and bipolar disorder.

Most doctors recommend SSRIs as a first-line treatment for anxiety, but these drugs may not be appropriate for everyone. If the antidepressants do not work the doctor might suggest an older form of medication 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 accessible. You can also ask your doctor to prescribe the sedating antidepressant trazodone(Desyrel) at lower doses if you're experiencing anxiety or sleep problems.

Nefazodone, also known as Ferdinand (Cymbalta) and duloxetine may also be helpful. They are also available in generic forms. If they don't work, your doctor can try the tranquilizing antidepressant mirtazapine (Remeron) or the antipsychotics quetiapine or olanzapine.

Beta blockers are used to treat other anxiety 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 helpful when paired with psychological therapy.

Psychotherapy can help you change negative thoughts and behavior that cause anxiety. It can help you to manage your anxiety and develop coping strategies. Depending on your situation, you may undergo exposure or cognitive behavioural therapy. Cognitive behavioural therapy teaches you to challenge negative and fearful thoughts and overcome your fear of situations which trigger anxiety. Exposure therapy involves gradually increasing the intensity of anxiety-inducing situations until are able to handle them. This can be done in a single session or in a small group. In both cases, results will take time to manifest. Some people believe that the combination of psychotherapy and medication is the best choice. However, others find that meds alone are sufficient to control their symptoms. Inform your doctor about how you manage your symptoms.

Other Medications

While antidepressants and benzodiazepines are the most common treatment for anxiety, other medications can help ease your symptoms as well. Antihistamines and beta blockers are often prescribed to ease anxiety.

These medications can help ease your symptoms, by reducing or blocking signals that trigger stress and fear. They're not a cure-all. You'll need to continue doing other things to reduce your anxiety, like exercises as well as relaxation techniques and psychotherapy.

Your doctor could initially prescribe one of the "first choice" anxiety medication, which includes SSRIs and SNRIs. These are the most effective drugs for treating anxiety disorders, according to research studies. The most commonly used SSRIs include sertraline (Zoloft), the fluoxetine (Prozac), citalopram (Celexa) and escitalopram (Lexapro). These drugs may cause minor side effects, like insomnia or nausea, however they usually subside within 4-8 weeks. They aren't addictive, and they do not increase the likelihood of suicidal ideas.

The benzodiazepines such as alprazolam clonazepam, and diazepoxide, (Valium) offer immediate relief from anxiety and panic attacks. However, they could cause adverse effects, including drowsiness and dizziness. They can also cause memory and coordination issues, and even dependence. They're a less popular choice than the older barbiturates, but are just as effective.

Antihistamines, such as Vistaril (hydroxyzine) were originally created to treat allergies. However they also serve to alleviate anxiety symptoms. Hydroxyzine blocks the histamine receptors in the brain and can cause the body to relax. It's not a controlled substance which means it doesn't carry the same dangers of addiction as benzodiazepines.

Anticonvulsants are a different kind of medication that can be used to treat anxiety. They have been found to decrease anxiety by inhibiting the production of and release of dopamine as well as sérotonin. They can be prescribed in conjunction with other medicines or as a short-term treatment for anxiety. Your doctor will assess your symptoms and health history to determine whether these medications are appropriate for you. They will also discuss the length of time you should take these medications as well as any possible negative side effects that might occur. Anxiety medications are only available through prescription, and it is necessary to see a psychiatrist to prescribe it.