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What Are the Best Medications For Anxiety Disorders? Treatment of anxiety disorders is often an approach that combines medication, psychotherapy and exercise. Antidepressants are the primary option for treating anxiety. Newer drugs with a lower suicide risk and less adverse effects, such as mirtazapine and nefazodone, are more well-tolerated over antidepressants from the past, such as tCAs and monoamine oxide inhibitors (MAOIs). Most people can manage their anxiety by taking medications that reduce fear signals in the brain. These include SNRIs or SSRIs. Benzodiazepines These drugs act by facilitating the binding of the inhibitory neurotransmitter GABA at a variety of receptors throughout the central nervous system. They are considered to be more secure, less toxic CNS depressant than their predecessors, the barbiturates. They are used to treat seizure disorders, as anticonvulsants and anxiolytics. They are prescribed at low doses and are less likely than other drugs to cause toxic effects on anticholinergic receptors or delirium. Before using them, it is essential to assess the risks and side effects. For instance, long-term use of benzodiazepines can cause impairment to memory and cause withdrawal symptoms, particularly when the drug is combined with other CNS depressants, such as opioids or alcohol. It also may reduce the effectiveness of antidepressants in certain people. Children and geriatrics should not take benzodiazepines. They should not take these drugs if they suffer from medical conditions like depression. They are available in various potencies and formulations, and they have distinct pharmacological characteristics. They differ in how fast they perform, how long they last, as well as their adverse effects. The benzodiazepines that have a longer acting effect, such as chlordiazepoxide and clorazepate, as well as, and diazepam are generally used for anxiety, insomnia, and seizures. Constipation, fatigue, and blurred vision are the most frequently reported side effects of benzodiazepines. Some sufferers also experience headaches, nausea, and weight loss. These are minor side effects and usually go away with continued use. Benzodiazepines should be tapered, rather than stopped suddenly, as it can cause withdrawal symptoms such as insomnia, irritability and anxiety attacks. SSRIs (serotonin-norepinephrine reuptake inhibitors), the SNRIs (serotonin-norepinephrine stimulators for reuptake), atypical antidepressants like beta blockers, mirtazapine and others are also effective in treating anxiety disorders. SSRIs and SNRIs increase the levels of serotonin and norepinephrine in your brain, which help reduce anxiety. Atypical antidepressants boost these chemicals through various pathways and are able to treat other mental conditions, such as depression. Beta-blockers are also traditionally heart medications, but they can also be used at low doses to treat performance anxiety, such as stage fright, by reducing the adrenaline rush which causes shaking and a rapid heart rate. SSRIs The most commonly used medications for anxiety disorders are selective serotonin reuptake inhibitors (SSRIs) and serotonin norepinephrine reuptake inhibitors (SNRIs). These drugs boost levels of serotonin, a neurotransmitter which is involved in mood. They also increase levels of norepinephrine, another neurotransmitter that influences mood. The most well-known SSRIs for anxiety include paroxetine (Paxil) and fluoxetine (Prozac). These SSRIs include citalopram and sertraline, and nefazodone. Other medications can ease anxiety symptoms. Antihistamines and beta-blockers, alpha and beta (e.g. propranolol and clonidine), benzodiazepines, and others are available. Antihistamines can be particularly beneficial when you're experiencing anxiety attacks. They can trigger a sleepiness that can help reduce anxiety. However, they can have negative effects, such as dry mouth, constipation and sedation. You can also be at risk if you use them while driving. Benzodiazepines are sedatives which work by increasing the activity of neurotransmitters which send signals between brain cell. These medications can aid in relaxation and sleep, but are typically prescribed for short-term usage. They can cause dependence therefore they must be taken only under a doctor's supervision. Tricyclic antidepressants are also effective in treating anxiety. They function similarly to SSRIs by increasing the levels of serotonin as well as norepinephrine within your body. They are typically taken at a low dosage and gradually increased. Some of these medications can cause weight gain and sedation. They may also cause dry mouth, urinary tract issues and arrhythmias. Monoamine oxidase inhibitors can also be older antidepressants which have been proven to be effective in treating anxiety but they aren't widely used because of side effects like weight gain, dry mouth and sedation. Monoamine oxidase inhibiters can also affect negatively certain medications and foods. These include SSRIs and certain birth control pills. They could also be affected by cold and allergy medications, acetaminophen, as well as Ibuprofen. The right medication for your anxiety can help you feel more at ease and in control of your life. In addition, it is essential to implement techniques for managing stress. Avoiding unhealthy food and exercise as well as avoiding tobacco and alcohol, and eliminating watching or reading news reports that could trigger anxiety are all essential steps. You can join a support group for anxiety to connect with other people who have similar problems and to learn coping skills. Tricyclic antidepressants A variety of medications can help combat anxiety disorders, such as benzodiazepines, SSRIs, and tricyclic antidepressants. Some of these drugs boost the levels of certain brain chemicals such as serotonin and norepinephrine. These drugs can be taken regularly or as needed. Some take several weeks before they begin working, but can completely get rid of anxiety, or make it easier to manage. However, they won't be effective if the medication is removed. SSRIs are a popular choice to treat anxiety, and they can also be used to help prevent the symptoms from recurring. They include citalopram (Celexa) and Escitalopram (Lexapro) and fluvoxamine (Fluoxetine) and sertraline (Zoloft). SSRIs have few side-effects and are generally safe. SSRIs can be used in conjunction with other treatments for anxiety, such as exercise or psychotherapy. Another kind of medication that can be used to combat anxiety is beta blockers. These are usually prescribed for heart conditions, but can be helpful for those suffering from anxiety and anxiety disorders. They help reduce the symptoms of anxiety by slowing the heart rate and reducing blood pressure. Propranolol and Atenolol are the most frequently prescribed beta blockers. People suffering from a phobia or panic disorder can occasionally benefit from sedatives such as lorazepam and alprazolam. These medications can be used before a stressful event and work quickly to calm the symptoms of anxiety. These medications can be habit-forming, therefore only take them if absolutely necessary. In general the SSRIs and SNRIs can be considered first-line medications for anxiety. They are well tolerated, safe and effective in controlled, randomized studies. However, the unique characteristics of the drug and comorbid conditions of patients should be considered. For instance, a person with an underlying depression history may require an increased dose than a person without. Monoamine oxide (MAOI) is the most effective treatment of social anxiety or performance anxiety. These drugs increase the number of neurotransmitters that control mood, and are usually initially administered at low doses, and then gradually increased. They can be taken alone or in conjunction with a benzodiazepine. Many medications, like SSRIs, some birth control pills, acetaminophen, Ibuprofen, cold or allergy medications, as well as herbal supplements, can interact with MAOIs Therefore, it is important to discuss your options for medication with your doctor. Monoamine oxidase inhibitors There are a variety of medications that treat anxiety disorders . Many are effective for the majority of people. They include antidepressants and benzodiazepines. Benzodiazepines are GABA-A agonists and are useful in the short run to ease anxiety symptoms. They also assist in reducing seizures, muscle spasms and hypnotic states. However, they are not suitable for long-term use, and could cause dependence. Antidepressants can reduce anxiety and depression. These medications can take anywhere from four to six weeks to work however they are extremely effective for the majority of people. These medications can trigger sexual side effects in a few individuals, but they are usually manageable. SSRIs and SNRIs, increase levels of serotonin and norepinephrine, two important neurotransmitters and hormones that affect mood. They are often the first-line treatment for the majority of anxiety disorders. They can be taken regularly to manage symptoms or when required. Antidepressants can cause a variety of adverse effects, such as dry mouth, nausea and weight gain. They also increase the risk of suicidal ideation, so you should only use them for as long as is necessary. Beta-blockers can also be a choice since they are commonly used for heart conditions. They are frequently prescribed off-label for social anxiety disorders, like propranolol (Inderal). This medication is an excellent choice to relieve the physical symptoms of anxiety, such as shaking and high blood pressure. It can also help lower stress hormones, such as norepinephrine and adrenaline that are present in a anxiety state. Anticonvulsants like gabapentin, pregabalin and tiagabine possess GABAergic effects. These drugs are FDA approved for treating neuropathic pain and can also be effective as an antidepressant in some people. TCAs are also tricyclic antidepressants, which boost the levels of serotonin within the brain. They also decrease the activity of monoamine oxidese which is responsible for breaking these chemicals down. They can also be used to reduce the effects of bipolar disorder. These drugs can cause many adverse effects, including dry mouth, weight gain and sedation. They can also increase your chances of experiencing hypotension, urinary hesitancy or retention and arrhythmias.