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Meds That Treat Anxiety

Anxiety affects 40 million people in the United States. It's extremely treatable with 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. They're not addictive, as are benzodiazepines.

SSRIs

The most commonly used anxiety medication is selective serotonin inhibits (SSRIs) which include citalopram, escitalopram, and fluoxetine. These drugs can also be used to treat depression as well as relieve symptoms of other driving anxiety treatment disorders like obsessive compulsive disorder. They may take up to a month for them to start working.

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

Antidepressants such as duloxetine, (Cymbalta), and venlafaxine, (Effexor) are also used to treat anxiety. They are a bit different from SSRIs since they reduce norepinephrine, but at a lower level than SSRIs. These medications take a long time to work and are more expensive than SSRIs.

Tricyclic antidepressants, such as imipramine Tofranil can be effective in treating anxiety disorders. Their drowsiness, and other side effects are what make them less well-liked. Another type of antidepressant, monoamine oxidase inhibitors (MAOIs), can also be used to treat anxiety. They are a high risk of toxicity and the restriction on dietary intake limit their use.

Benzodiazepines are frequently used to treat panic attacks and anxiety in the short-term for instance, when waiting for SSRIs or SNRIs to take effect. These drugs can lead to addiction tolerance, sedation, and tolerance and withdrawal symptoms like a rebound anxiety, depression, and delirium. The most common benzodiazepines are alprazolam (Xanax) and clonazepam (Klonopin) and lorazepam (Ativan).

Therapy is an essential component of an anxiety treatment plan, as it helps you discover more about the symptoms and the root causes. Many people find that medication and therapy both aid in coping. In fact, some studies suggest that cognitive behavior therapy is just as effective as anxiety medications. Talk with your physician about your options and what could be the best choice for you.

Benzodiazepines

Benzodiazepines have a calming effect, decrease anxiety and relax muscles. They also alleviate symptoms of bodily arousal due to fear (like heart racing and shaking) and help promote sleep.

They work by binding to inhibitory neurons, like GABA or gamma aminobutryic acids and bind to receptors in the central nervous system. They increase the effects of GABA by increasing its inhibitory effects on other neurotransmitters while reducing the number of messages that are sent to the amygdala. which is the brain's region that assesses threats and produces the sensation of fear.

These medications can be utilized for short durations of time for instance, when you experience a panic attack or if you're experiencing severe anxiety. They may help relieve the symptoms within 30 to 90 minutes after taking them. Unlike SSRIs, benzodiazepines don't remain in the body for long. They're quick-acting and typically work in a matter of hours, making them ideal for situations where you require quick relief (like during a flight or before giving an event in public).

They are addictive, and it is recommended to only prescribe them for up to four weeks at each time. After that period they also become less effective.

One of the main reasons why benzodiazepines are so popular is because they are effective and have minimal negative effects compared to predecessors, such as barbiturates or meprobamate. They have a rapid time to begin their action and are very effective as anxiolytics (anti-anxiety) as well as sedatives and anticonvulsants, as well as for muscle relaxants.

Benzos were blamed for negative attitudes towards Anxiety panic attack treatment that were developed in the 1970s and 80s and included the denial of the disorder, and the perception that benzodiazepine treatments lead to physical dependence. Despite this they still play a crucial role in the treatment of anxiety disorders, specifically in conjunction with psychosocial interventions such as cognitive behavioral therapy and interpersonal therapy.

Benzos can interact with other medications and cause unwanted side-effects, such as drowsiness or confusion. It is important to inform your doctor be aware of any other prescription, non-prescription, or herbal medications you're currently considering or taking. Go through the British National Formulary A to Z list of interactions with medications to determine which medications are safe with benzodiazepines.

Antidepressants

Antidepressants can be effective in treating anxiety and other mental conditions. 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 antidepressants for other health conditions, such as eating disorders, bipolar disorder and certain kinds of pain.

SSRIs are usually prescribed as a first-line treatment for anxiety by doctors, however they might not be effective for all people. If these antidepressants don't work, the doctor may try an older version known as a tetracyclic, or tricyclic antidepressant. These include amitriptyline and nortriptyline, clomipramine, trimipramine, dothiepin, doxepin or imipramine. These antidepressants are less common but still readily available. You may ask your doctor to prescribe the sedating antidepressant trazodone(Desyrel), at lower doses if you are experiencing sleep issues or anxiety.

Other antidepressants that can aid are nefazodone (Ferdinand) and duloxetine (Cymbalta). They're also available in generic forms. If they aren't helping your doctor, you can try the antipsychotics quetiapine or olanzapine or the sedative antidepressant Mirtazapine.

Other medications for anxiety disorders include beta blockers, which reduce the blood pressure and heart rate by blocking the actions of adrenaline. These medications aren't typically used to treat anxiety on their own however they can be helpful when used in conjunction with psychological therapy.

Psychotherapy can help you to change negative thoughts and behaviors that cause anxiety. It can help you manage your anxiety and teach you coping skills. Based on the severity of your situation exposure therapy or cognitive behavioral therapy might be recommended. Cognitive behavioural therapy helps you overcome negative thoughts, fears and the fear of situations that cause anxiety. Exposure therapy involves gradually increasing the intensity of anxiety-provoking situations until you are able to manage the stressors. It can be done either in a group, or by yourself. In both instances, the results take time to appear. A combination of medications and psychological therapy is the best drug to treat anxiety option for some individuals. Some people find that taking medication alone is enough to control symptoms. Inform your doctor about how anxiety is treated you manage your symptoms.

Other Medical Treatments

While antidepressants and benzodiazepines are the most frequently prescribed medications to treat anxiety treatment elderly, other medications can help alleviate 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 alleviate your symptoms by reducing or blocking the signals that trigger stress and fear. They're not a panacea. You'll require a variety of methods to reduce anxiety, like physical exercise, relaxation techniques and psychological therapy.

Your doctor may first prescribe one of the "first first" anxiety attack treatment medication, which includes SSRIs and SNRIs. According to research, these drugs are the most effective for treating anxiety disorders. SSRIs are commonly found in sertraline (Zoloft) as well as the fluoxetine, citalopram and escitalopram. These medications can cause mild side effects such as insomnia and nausea, however these usually subside in 4-8 weeks. In contrast to benzodiazepines, these are not addictive and don't increase your risk for suicidal thoughts.

The benzodiazepines such as alprazolam diazepoxide, and clonazepam (Valium) are a quick relief from anxiety and panic attacks. However, they could cause side effects, such as drowsiness and dizziness. They can also trigger problems with coordination and memory and even dependence. They're less well-known than the barbiturates of the past, however, they're equally efficient.

Antihistamines, like Vistaril (hydroxyzine) were created to treat allergies however, they're also used to reduce anxiety symptoms. Hydroxyzine may have a relaxing affect by blocking histamine receptors. It is not a controlled drug, so it does not have the same risk of addiction as benzodiazepines.

Anticonvulsants are an additional kind of medication that can aid in reducing anxiety. They have been found to reduce anxiety through inhibiting the production of and release of dopamine and sérotonin. These medications can be prescribed as part of a combination therapy or to treat anxiety in the short-term. Your doctor will examine your symptoms and health history to determine if these medications are suitable for you. They will also discuss the duration of time you'll need to take these medicines and any potential adverse effects that could occur. Anxiety medications can only be purchased with a prescription, so you'll need to see a psychiatrist to get them.