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What Are the Best Medications For Anxiety Disorders? A three-prong strategy is commonly recommended to treat anxiety disorders: psychotherapy, exercise and medication. Antidepressants are the first option for treating anxiety. Newer medications that have less risk of suicide and less abrasive side effects, such as mirtazapine and nefazodone, are more palatable than antidepressants that are older, such as tCAs and monoamine oxidase inhibitors (MAOIs). Most people can manage their anxiety symptoms by taking medications that decrease the fear signals in the brain. These include SSRIs or SNRIs. Benzodiazepines These drugs work by facilitating the binding of the inhibitory neurotransmitter GABA and various receptors within the central nervous system. They are regarded as safer and less harmful CNS depressant as compared to their predecessors – barbiturates. They are utilized as anxiolytics (anxiety medications), in conjunction with hypnotics (sleep medicines) and anticonvulsants to treat seizure disorders. They are typically prescribed in small doses and are less likely to cause delirium or anticholinergic toxicity as older drugs. However there are significant dangers and side effects that must be considered prior to taking these medications. For instance, the long-term use of benzodiazepines may impair memory and trigger withdrawal symptoms, particularly when the drug is taken in conjunction with other CNS depressants like alcohol or opioids. Some people may also find that it reduces the effectiveness of antidepressants. Geriatrics and children should not take benzodiazepines. They should not take these medications if they suffer from medical comorbidities such as depression. They are available in various dosages and formulations and possess different pharmacological properties. They differ in the speed at which they work and how long they last, and their adverse effects. The longer-acting benzodiazepines such as chlordiazepoxide, clorazepate, clo and diazepam are typically used for anxiety, insomnia and seizures. The most frequent benzodiazepine adverse effects include constipation, dry mouth, fatigue, and blurred vision. There are also headaches, nausea and weight loss. These are minor side effects and typically disappear after a few weeks of use. Benzodiazepines should be tapered rather than abruptly stopped because it could trigger withdrawal symptoms that include insomnia, irritability and anxiety attacks. Other medications that can treat anxiety disorders include SSRIs, serotonin norepinephrine reuptake inhibitors, SNRIs; atypical antidepressants such as mirtazapine and beta-blockers. SSRIs, beta-blockers, and SNRIs work by increasing levels of serotonin and norepinephrine in your brain. This helps to reduce anxiety. Atypical antidepressants use different pathways to increase these chemicals, and also treat other mental health issues such as depression. Beta-blockers, which are commonly heart medications, can also be used in low doses to treat anxiety like stage fright, by blocking the adrenaline rush that causes shaking and a rapid heartbeat. SSRIs The most commonly used medications for anxiety disorders are selective serotonin reuptake inhibitors (SSRIs) and serotonin norepinephrine reuptake inhibitors (SNRIs). These drugs increase levels of serotonin, a neurotransmitter which plays a role in mood. They also increase levels of norepinephrine, another neurotransmitter that affects mood. The most popular SSRIs for anxiety are paroxetine (Paxil) and fluoxetine (Prozac). The SNRIs include citalopram, sertraline and nefazodone. Other medications can help with anxiety symptoms. These include antihistamines (e.g., hydroxyzine) as well as beta and alpha blockers (e.g. propranolol, propranolol, and Clonidine), and benzodiazepines. Antihistamines can be particularly beneficial when you're experiencing panic attacks. They can induce a feeling of drowsiness, which can ease anxiety. They can trigger side effects such as constipation, dry mouth and the feeling of sedation. There are also risks when taken while driving and you could develop an addiction to the medication. Benzodiazepines, which are sedatives, function by increasing the activity of neurotransmitters which transmit signals between brain cells. These medications are prescribed to relax you and get to sleep. They are only intended for short-term use. These medications can become addicting, so only use them under the supervision of a doctor. Tricyclic antidepressants, which are older medications, can also be effective in treating anxiety. They function similarly to SSRIs by increasing the levels of serotonin as well as norepinephrine levels in your body. They are typically started with a small dose, and then gradually increased. Certain medications may cause weight increase and the feeling of sedation. They may cause dry mouth, urinary tract issues and arrhythmias. Monoamine oxidase inhibitors are older antidepressants that have been proven to be effective in treating anxiety. However, they are less common due to their adverse effects, including weight gain and dry mouth. Monoamine oxidase inhibitors also interact with some foods and medications, such as SSRIs, certain birth control pills, cold and allergy medicines, and acetaminophen and ibuprofen. Taking the right medications for anxiety can make you feel more at ease and in control of your life. In addition, it's essential to implement strategies for managing stress. Important steps include avoiding unhealthy food and exercising in a controlled manner, avoiding alcohol and tobacco and removing news articles or readings that may cause anxiety. You can join an anxiety support group to meet others who suffer from similar issues and develop how to cope. Tricyclic antidepressants Tricyclic antidepressants and SSRIs are among the medications that can be used to treat anxiety disorder s. Certain of these drugs can increase the levels of certain brain chemicals, such as serotonin or norepinephrine. These medications can be used on a regular basis or as needed. Some drugs take a few weeks to start working but they can help eliminate anxiety or make it less manageable. However, they will not be effective if the medication is stopped. SSRIs are a popular choice for treating anxiety and they can also be used to help prevent the symptoms from coming back. These include citalopram (Celexa) and escitalopram (Lexapro) fluvoxamine (Fluoxetine) and sertraline (Zoloft). SSRIs are generally safe and have few negative effects. SSRIs can be used in conjunction with other treatments for anxiety such as exercise or psychotherapy. Beta blockers are a different type of medication which can be used to treat anxiety. These medications are typically prescribed for heart conditions but are also effective for anxiety and phobias. They help reduce anxiety symptoms by reducing blood pressure and slowing down the heart rate. The most commonly used beta blockers are propranolol and atenolol. People who suffer from a fear or panic disorder can sometimes benefit from as-needed tranquilizers such as lorazepam or alprazolam. These medications can be taken before a stressful event and can be used to calm anxiety symptoms. They can be habit-forming, therefore it is crucial to only take them when necessary. In general, SSRIs or SNRIs can be utilized as the first line of treatment for anxiety. They are safe, well-tolerated and are effective in randomized controlled trials. However, the idiosyncratic drug characteristics and comorbid conditions of patients should be considered. For instance, a patient with a history of depression may require an increased dose than a person who does not have. Monoamine oxidase (MAOI) is the most effective treatment for anxiety related to performance or social. These medications increase the amount of neurotransmitters that regulate mood, and are often started at low doses and then gradually increased. They can be used as a single or in combination with a benzodiazepine. MAOIs may interact with other medications, including SSRIs and certain birth control pills. They can also interact with acetaminophen Ibuprofen, and cold and allergy medications. Monoamine oxidase inhibitors There are many medications used to treat anxiety disorders . Many are effective for the majority of people. These include benzodiazepines and antidepressants. Benzodiazepines are GABA-A agonists and are useful in the short term to reduce anxiety symptoms. They are also used to reduce seizures, muscle spasms, and hypnotic conditions. However, they are not suitable for long-term use and may cause dependence. Antidepressants however can aid in reducing both anxiety and depression. These medications can take anywhere from four to six weeks to take effect however they are extremely effective for most people. These medications can trigger sexual side effects in some individuals, but these are generally manageable. SSRIs along with SNRIs, boost levels of serotonin and norepinephrine, two important hormones and neurotransmitters that affect mood. These are typically the first-line treatment for many anxiety disorders. They can be taken on a daily basis to control symptoms, or be taken as required. Antidepressants can cause a variety of adverse reactions, including nausea, dry mouth and weight increase. They can also increase the risk of suicidal ideation and suicide, so it is recommended to only take them the time that is needed. Beta-blockers are also an option, as they are traditionally used for heart conditions. Propranolol, also known as Inderal, is often prescribed for the treatment of social anxiety disorder off-label. This is a good option to treat physical symptoms of anxiety such as shaking or high blood pressure. It can also help lower stress hormones, such as norepinephrine and adrenaline that are produced during a high anxiety state. Anticonvulsants, such as gabapentin pregabalin and tiagabine possess GABAergic effects. These drugs are approved by the FDA approval for neuropathic and antidepressant pain. TCAs are also tricyclic antidepressants that increase the levels of serotonin in the brain. They also decrease the activity of monoamine oxidase, which is responsible for breaking down these chemicals. They are also able to reduce the effects of mania and bipolar disorder. These medications can cause a number of side effects including dryness of the mouth and sedation. They may also increase the risk of developing hypotension retention, urinary hesitancy and arrhythmias.