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What Are the Best Medications For Anxiety Disorders? Treatment of anxiety disorders is usually an approach that combines medication, psychotherapy and exercise. The first choice for treating anxiety are antidepressants. Newer medications that have a lower suicide risk and easier adverse effects, such as mirtazapine and nefazodone are better tolerated than older antidepressants like tCAs and monoamine oxidase inhibitors (MAOIs). The majority of people manage their anxiety by taking medications that decrease fear signals in the brain. These include SSRIs and SNRIs. Benzodiazepines They work by helping to bind the inhibitory neurotransmitter GABA at a variety of receptors throughout the central nervous system. They are regarded as a safer and less toxic category of CNS depressants than their predecessors, the barbiturates. They are used to treat seizure disorders as anxiolytics and anticonvulsants. They are typically prescribed in small doses and are less likely to cause delirium or anticholinergic toxicity than older medications. However there are significant risks and adverse effects that should be evaluated before taking them. For instance, the long-term use of benzodiazepines could cause impairment to memory and trigger withdrawal symptoms, particularly if the drug is used in conjunction with other CNS depressants like opioids or alcohol. Some people may also find that it diminishes the effectiveness of antidepressants. Children and elderly people should not take benzodiazepines. They should not take them if they have medical comorbidities such as depression. They come in different dosages and formulations and possess different pharmacological properties. They vary in how quickly they perform and how long they last, and also their adverse effects. The benzodiazepines with longer-acting effects like chlordiazepoxide (Librium), clorazepate (Tranxene) as well as Clobazam (Onfi) and diazepam (Valium) are used for anxiety and insomnia, while alprazolam (Xanax) and the lorazepam (Ativan) and midazolam (Versed) are used to induce anesthesia as well as for seizures and other seizure disorders. Constipation, fatigue and blurred vision are among the most frequent side effects of benzodiazepines. Some people may also suffer from headaches, nausea, and weight loss. These side effects are mild and typically disappear after a few weeks of use. Benzodiazepines must be tapered rather than stopped abruptly because it could trigger withdrawal symptoms that include anxiety, insomnia, and anxiety attacks. Other medications that help with anxiety disorders include SSRIs, serotonin norepinephrine reuptake inhibitors; SNRIs; atypical antidepressants such as mirtazapine, and beta-blockers. SSRIs and SNRIs increase the levels of serotonin and norepinephrine in your brain, which help reduce anxiety. Atypical antidepressants utilize different pathways to increase the levels of these chemicals, and also treat other mental health conditions such as depression. Beta-blockers, commonly heart medications, can also be used in small doses to treat anxiety, such as stage fright, by reducing the adrenaline rush, which causes shaking and a rapid heartbeat. SSRIs The most popular medications used to treat 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 affects mood. The most popular SSRIs for anxiety include paroxetine (Paxil) and fluoxetine (Prozac). SNRIs are citalopram, sertraline, and nefazodone. Other medications can help with anxiety symptoms. Antihistamines and beta-blockers, alpha and beta (e.g. propranolol or Clonidine) along with benzodiazepines and many more are available. Antihistamines can be especially helpful when you are experiencing anxiety attacks. They can trigger a sleepiness that can help reduce anxiety. However, they may cause side effects like dry mouth, constipation and sedation. Also, you could be at risk if take these drugs while driving. Benzodiazepines which are sedatives work by enhancing the activity of certain neurotransmitters that send signals between brain cells. These drugs are prescribed to relax you and fall asleep. They are only intended to be used for short-term use. They can cause dependence, so they must be taken only under the supervision of a physician. Tricyclic antidepressants can also be effective in treating anxiety. They function similarly to SSRIs, increasing the levels of serotonin and norepinephrine in your body. The majority of these medicines are taken in small doses and increased gradually. Certain medicines may cause weight gain and sedation, dry mouth and urinary tract problems, and arrhythmias. Monoamine oxidase inhibitors are the oldest antidepressants that have proven to be effective at treating anxiety. However, they are less common because of their side effects, such as weight gain and dry mouth. Monoamine oxidase inhibitors may also interact negatively with certain medications and foods. These include SSRIs and certain birth control pills. They could also be affected by allergy and cold medication, acetaminophen and ibuprofen. The right medication for anxiety can make you feel more calm and in control of your life. It is also crucial to master stress management techniques. Important steps include eating healthy food and exercising, avoiding tobacco and alcohol and removing any news stories or readings that may cause anxiety. Joining an anxiety support group can help you connect with others who share similar struggles and teach you coping techniques. Tricyclic antidepressants A variety of medications are able to combat anxiety disorders, such as benzodiazepines, SSRIs, and tricyclic antidepressants. Certain medications boost the levels of certain brain chemicals such as serotonin or norepinephrine. These medications can be taken on a regular basis or as needed. Some medications take a couple of weeks to take effect, but they can eliminate anxiety or make it easier to manage. They will not be effective when you stop taking the medication. SSRIs can be used to treat anxiety and stop symptoms from recurring. These include citalopram and escitalopram, fluvoxamine and sertraline. SSRIs have few side-effects and generally are safe. SSRIs are often used in conjunction with other treatments for anxiety such as exercise or psychotherapy. Beta blockers are a different kind of medication that can be used to treat anxiety. These medications are typically prescribed for heart conditions but are also effective in treating anxiety and phobias. They help reduce anxiety symptoms by reducing heart rate and reducing blood pressure. The most frequently used beta blockers are propranolol as well as atenolol. People with a phobia or a panic disorder can sometimes benefit from tranquilizers such as lorazepam or alprazolam. These medications can be used prior to a stressful event and work quickly to calm the symptoms of anxiety. These medications can become habit-forming so only use them when necessary. In general, SSRIs and SNRIs can be used as first-line medication to treat anxiety. They are safe, well-tolerated and are effective in controlled studies that are randomized. It is important to consider the peculiar characteristics of the medication and comorbidities in patients. A patient with a depression history might require an increased dose than a person who is not depressed. The most effective treatment for a social phobia or performance anxiety is a monoamine oxidase inhibitor (MAOI). These drugs increase the amount of neurotransmitters that regulate mood. They are usually started at a low dose and then gradually increased. They can be taken alone or in combination with benzodiazepine. Many medications, such as SSRIs, birth control pills, acetaminophen, Ibuprofen, cold or allergy medicines, and herbal supplements, may interact with MAOIs Therefore, it is essential to discuss your medication options with your physician. disorders anxiety are used to treat anxiety disorders and are effective for a variety of people. These include benzodiazepines and antidepressants. Benzodiazepines act as GABA-A agonists and can be beneficial in the short term to reduce anxiety symptoms. They are also helpful in decreasing muscle spasms, seizures and hypnotic state. They can be addictive and are not recommended for long-term use. Antidepressants can help reduce anxiety and depression. These medications can take up to six weeks before they begin to work however, they are extremely efficient for the majority people. Certain people may have sexual side effects from these medications, but they're usually manageable. SSRIs and SNRIs, raise levels of serotonin and norepinephrine two essential hormones and neurotransmitters that influence mood. They are usually the first-line treatment options for most anxiety disorders. They can be taken daily to manage symptoms, or be taken as needed. Antidepressants may cause dry mouth, nausea and weight gain. They may also increase your 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 ailments. They are typically prescribed off-label for social anxiety disorders, such as propranolol (Inderal). This medication is a good choice to relieve the physical symptoms of anxiety, such as shaking and high blood pressure. It can also reduce stress hormones like norepinephrine and adrenaline that are present in a state of anxiety. Anticonvulsants, like pregabalin, gabapentin and tiagabine, have GABAergic properties. These drugs have FDA approval for neuropathic pain and antidepressant pain. TCAs are also tricyclic antidepressants that increase the levels of serotonin in the brain. They also inhibit the activity of monoamine oxide, which is responsible for breaking down these chemicals. They can also be used to reduce the effects of mania and bipolar disorder. These medications can cause numerous side effects including weight gain, dryness of the mouth, and sedation. They may also increase your risk of hypotension and urinary hesitancy, as well as retention and arrhythmias.