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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. Contrary to benzodiazepines they're not addictive.
SSRIs
The most common anxiety medication is selective serotonin inhibits (SSRIs), including citalopram, escitalopram, and fluoxetine. These medications also treat depression, and they can alleviate symptoms associated with other anxiety disorders, including obsessive-compulsive disorder (OCD). It could take up ways to treat anxiety without medication one month for them to begin working.
These medications work by increasing the amount of certain chemical transmitters that are present in the brain. This includes serotonin, norepinephrine, and dopamine. These medications are typically the first option to treat anxiety, but doctors can also prescribe other kinds of antidepressants or benzodiazepines.
Antidepressants, such as duloxetine (Cymbalta), and venlafaxine (Effexor) are also used for anxiety. They differ from SSRIs since they reduce norepinephrine, but at a lower degree than SSRIs. These medicines may take some time to begin taking effects, and also tend how to treat anxiety without drugs be more expensive than SSRIs.
Tricyclic antidepressants (TCAs), such as imipramine (Tofranil), can be effective in treating some anxiety disorders, notably GAD. However their drowsiness as well as other adverse effects make them less popular. Monoamine oxide inhibitors (MAOIs) are another kind of antidepressant that can be used to combat anxiety. However, their dietary restrictions and the risk of toxicity limit their usage.
Benzodiazepines can be used combat panic attacks and anxiety in the short-term, while waiting for SSRIs and SNRIs. These drugs can trigger tolerance, sedation and addiction and withdrawal reactions that may cause depression, anxiety and even delirium. Benzodiazepines are commonly found in alprazolam as well as clonazepam and lorazepam.
Therapy is a crucial component of an anxiety treatment plan, as it helps you discover more about the symptoms and the reasons. Many people find that medication and therapy both help them cope. Some studies have shown that cognitive behavioral therapy is just as effective as anxiety medications. Talk with your physician about your options and what might be best for you.
Benzodiazepines
Benzodiazepines create an calming effect, which can reduce anxiety and relax muscles. They also alleviate symptoms of fear-related bodily stimulation (like heart rate or shaking), and promote sleep.
The way they function is through binding to inhibitory neurotransmitters, such as gamma-aminobutryic acid or GABA, at receptors in 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 that are sent to the amygdala. It is a part of the brain that evaluates threats and creates a sense of fear.
These medications can be used for short durations of time, such as when panic attacks occur or if you're experiencing severe anxiety. They can help ease the symptoms within 30 to 90 minutes after taking them. Unlike SSRIs, benzodiazepines don't remain in the body for very long. They're fast-acting and can be used within a couple of hours. This makes them ideal for situations where rapid relief is required (such as during a flight or before a presentation in public).
Because they can be addictive, people are typically prescribed up to four weeks at a go. After that, they also cease to be effective.
One of the reasons the benzodiazepines became so well-known is that they were effective and had minimal side effects, when compared to their predecessors like barbiturates or meprobamate. They are effective and have a rapid start, and can be used as anxiolytics to reduce anxiety. They can also be employed as sedatives, anticonvulsants and muscle relaxants.
Benzos have been blamed for the negative attitudes towards anxiety that emerged in the 1970s and 1980s, including the trivialization of the disorder and the perception that benzodiazepine treatment causes physical dependence. Despite this, benzodiazepines continue to play a crucial role in the alternative treatment for anxiety and panic attacks of anxiety disorders, particularly when combined with psychosocial interventions, such as cognitive behavioral therapy and other interpersonal therapies.
Benzos can interact with other drugs and cause undesirable side-effects such as drowsiness or confusion. It is essential to inform your doctor know about any other prescription, non-prescription or herbal medicines you're considering or taking. Go through the British National Formulary A to Z list of medication interactions to find out which medications are safe with benzodiazepines.
Antidepressants
Antidepressants can help ease 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 several antidepressants to treat other health conditions, too, such as eating disorders, certain types of pain, and bipolar disorder.
SSRIs are usually prescribed as a first-line treatment for anxiety by doctors, however they might not work for everyone. If they don't work doctors might consider a different type of antidepressant, known as a tricyclic or tetracyclic antidepressant. This includes amitriptyline, nortriptyline, clomipramine, trimipramine, doxepin and dothiepin or imipramine. These antidepressants are less common but still available. You may also ask your doctor to prescribe the sedating antidepressant trazodone(Desyrel) at lower doses if you're experiencing sleep issues or anxiety.
Nefazodone, also known as Ferdinand (Cymbalta) and duloxetine may also be beneficial. These drugs are also available in generic form. If they aren't helping your doctor, you can try the antipsychotics quetiapine and olanzapine or the tranquilizing antidepressant Mirtazapine.
Beta blockers are used to treat other anxiety disorders. They reduce 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 used in conjunction with psychotherapy.
Psychological therapy can help you to change negative thoughts and behaviours that can cause anxiety. It can help you to control your anxiety, and develop coping strategies. Based on the severity of your situation, exposure therapy or cognitive behavioral therapy may be recommended. Cognitive behavioural therapy helps you learn to challenge unhelpful thoughts, fearful thoughts and to overcome the fear of situations that trigger your anxiety. Exposure therapy involves gradually increasing the severity of anxiety-inducing situations until you are able to manage the stressors. This can be done in a single session or in smaller groups. In both instances, results will take time to manifest. A combination of medication and psychotherapy therapy is the best choice for certain people. Some people find that taking 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
While benzodiazepines and antidepressants are the most common treatment for anxiety, other drugs can help ease your symptoms too. Antihistamines, beta blockers, and buspirone are often prescribed to reduce anxiety.
These drugs can correct an imbalance in your brain chemicals and can help ease your symptoms by lowering or blocking signals that trigger stress and fear. They're not a panacea. You'll still need to do other things to control your anxiety, including exercises as well as relaxation techniques and psychological therapy.
Your doctor may first prescribe one of the "first first" anxiety medications, which are SSRIs and SNRIs. They are the most effective medications for treating anxiety disorders according to research studies. Common SSRIs include sertraline (Zoloft) as well as the fluoxetine (Prozac) and Citropram (Celexa), and escitalopram (Lexapro). These medications may cause mild side effects such as insomnia and nausea, however these usually subside in 4-8 weeks. Unlike the benzodiazepines, they're not addictive and don't increase the risk of suicidal ideas.
The benzodiazepines, alprazolam, clonazepam, and diazepoxide, (Valium) are a quick relief from anxiety and panic attacks. However, they could cause side effects such as dizziness and drowsiness. They may also cause memory and coordination issues, and may even cause dependence. They're less well-known than the barbiturates of the past, but they're just as efficient.
Antihistamines, such as Vistaril (hydroxyzine), were created to treat allergies, but they're also sometimes employed to alleviate anxiety symptoms. Hydroxyzine has a calming effect by blocking the histamine receptors. It's not a controlled substance, so it doesn't have the same risks of addiction as benzodiazepines.
Anticonvulsants are an additional type of medication which can help with anxiety. They have been found to reduce anxiety by interfering in the production and release of dopamine as well as sérotonin. They may be prescribed in combination with other medications or as a short-term treatment for anxiety. Your doctor will examine your medical history and symptoms to determine if these drugs are suitable for you. They'll also discuss the length of time you should take them for and any possible adverse effects. Anxiety medications are only available through prescription, and you'll need a psychiatrist to prescribe it.
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