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Meds That Treat Anxiety

Anxiety affects more than 40 million adults in the United States. It's extremely treatable with various types of medication 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 aren't addictive, unlike benzodiazepines.

SSRIs

The most popular anxiety medication is selective serotonin reuptake inhibits (SSRIs) which include citalopram, escitalopram, and fluoxetine. These drugs are also used to treat depression as well as relieve symptoms of anxiety disorders, such as obsessive compulsive disorder. It can take up to one month for them to begin working.

These drugs help by increasing the levels of certain chemical transmitters in the brain. This includes serotonin, norepinephrine, and dopamine. They're usually the first treatment option for anxiety, but doctors may also prescribe other kinds of antidepressants and benzodiazepines.

Another class of antidepressants called serotonin and norepinephrine reuptake inhibitors (SNRIs) like duloxetine (Cymbalta) and venlafaxine (Effexor), are also used to treat anxiety. They operate a bit differently than SSRIs because they reduce the reabsorption rate of norepinephrine and serotonin, but at lower levels than SSRIs. These medicines take a long time to take effect and are more expensive than SSRIs.

Tricyclic antidepressants like imipramine Tofranil are effective for treating anxiety disorders. Their drowsiness, as well as other side effects, make them less popular. Monoamine oxidase inhibitors (MAOIs) are another kind of antidepressant that can be used to treat anxiety. Their high toxicity risk and restrictions on diets restrict their use.

Benzodiazepines can be used treat panic attacks and anxiety in the short-term while waiting for SSRIs and SNRIs. These medications can trigger dependence to tolerance, sedation, and dependence as well as withdrawal symptoms such a depression, anxiety treatment without drugs, and delirium. Benzodiazepines can be found in alprazolam, clonazepam, and lorazepam.

Therapy is an important part of an anxiety treatment plan because it allows you to understand your symptoms and the causes. Many people discover that both therapy and medication aid to manage anxiety. Some studies suggest that cognitive behavior therapy is as effective as medications for anticipatory anxiety treatment. Consult your physician to find out what's right for you.

Benzodiazepines

Benzodiazepines have a calming affect, reduce anxiety and relax muscles that are tight. They also alleviate symptoms of bodily stimulation related to fear (like heart rate or trembling) and encourage sleep.

They work by binding inhibitory neurons, like GABA or gamma aminobutryic acids, at receptors within the central nervous system. They enhance the effects of GABA by increasing its inhibitory effects on other neurotransmitters and decreasing the number of messages sent to the amygdala, a region of the brain which detects threats and gives the sensation of fear.

These medications are sometimes employed for short periods of time, such as during a panic attack or severe anxiety attack. They can help relieve symptoms in 30 to 60 minutes. Benzodiazepines, unlike SSRIs do not stay in the body long. They're quick-acting and can work within a couple of hours. This makes them suitable for situations when rapid relief is required (such for instance, on an airplane or prior to presenting in public).

They are addictive, and people are usually prescribed them for up to 4 weeks at each time. They also lose effectiveness after a period of time.

One of the main reasons benzodiazepines are so popular is that they are safe and have few adverse effects when compared to their predecessors, such as barbiturates or meprobamate. They are safe and have a rapid onset, and can be used as anxiolytics in order to reduce anxiety. They can also be employed as sedatives, anticonvulsants and muscle relaxants.

Benzos have been blamed for the negative attitudes toward anxiety that emerged in the 1970s and 1980s. This included the stigmatization of anxiety and the belief that benzodiazepine treatment causes physical dependence. However they still play a crucial role in the treatment of social anxiety disorder treatment disorders, specifically when used in conjunction with psychosocial interventions, such as cognitive behavioral therapy and interpersonal therapy.

Benzos can interact with other drugs and cause undesirable side-effects such as drowsiness or confusion. You should tell your doctor about any prescription, nonprescription, or herbal medication you are currently taking or are planning to take. Go through the British National Formulary A to Z list of interactions with medications to find out what medications are safe with benzodiazepines.

Antidepressants

Antidepressants can 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 many antidepressants to treat other conditions, too, such as eating disorders, certain kinds of pain and bipolar disorder.

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

Other antidepressants that may help are the nefazodone (Ferdinand) and duloxetine (Cymbalta). They're also available in generic forms. If they aren't working, your physician may suggest the tranquilizing antidepressant mirtazapine (Remeron) or the antipsychotics quetiapine and olanzapine.

Beta blockers are used to treat anxiety disorders. They reduce heart rate and blood pressure by blocking adrenaline. These drugs aren't commonly used for anxiety alone however they can be beneficial when used in conjunction with psychological therapy.

Psychotherapy can help you change negative thoughts and behavior that contribute towards your anxiety. It can teach you to manage your anxiety and teach you how to cope. Depending on the severity of your situation, exposure therapy or cognitive behavior therapy could be suggested. Cognitive behavioral therapy helps you to confront fears and thoughts that are harmful, and to overcome your aversion to situations which trigger anxiety. Exposure therapy is the process of increasing the level of anxiety provoking situations until they become manageable. It can be done either individually or in smaller groups. In both instances it takes time to demonstrate results. A combination of medications and psychological therapy is the best treatment for generalised anxiety disorder option for certain people. Some people discover that medications alone are sufficient to treat their symptoms. Inform your doctor about how you manage your symptoms.

Other Medications

Although benzodiazepines and antidepressants are the most frequently prescribed treatment for anxiety, other drugs can help alleviate your symptoms too. Antihistamines and beta blockers are sometimes prescribed to relieve anxiety.

These medications correct an imbalance in your brain's chemical balance and can help alleviate symptoms by reducing or blocking the signals that can cause stress and fear. They're not a cure-all. You'll still have to take steps to reduce anxiety, such as exercises, relaxation techniques and psychotherapy.

SSRIs or SNRIs are the first choice of anxiety medication that your doctor can prescribe. According to research, these drugs are the most effective for treating anxiety disorders. SSRIs are usually found in sertraline (Zoloft), fluoxetine, citalopram, and escitalopram. These drugs may cause mild anxiety treatment side effects, like insomnia or nausea, however they typically subside within 4-8 weeks. In contrast to benzodiazepines, these are not addictive and won't increase your risk of having suicidal thoughts.

The benzodiazepines, such as alprazolam, diazepoxide, and clonazepam (Valium) are a quick relief from anxiety and panic attacks. However, they may cause side effects such as drowsiness and dizziness. They may also cause problems with coordination and memory and may even cause dependence. They're not as popular over the more traditional barbiturates however, they're equally effective.

Antihistamines, like Vistaril (hydroxyzine) were designed to help with allergies however, they're also used to ease anxiety symptoms. Hydroxyzine has a calming affect by blocking histamine receptors. It's not a controlled substance and therefore doesn't carry the same addiction risks as benzodiazepines.

Anticonvulsants are an additional kind of medication that can aid in reducing anxiety. They have been found to reduce anxiety by interfering in the production and release of dopamine as well as sérotonin. They might be prescribed in combination with other medicines or as a short-term Non Drug Treatment For Anxiety for anxiety. Your doctor will review your medical history and symptoms to determine if these drugs are suitable for you. They'll also discuss how long you should take them for and any potential side effects. Anxiety medication is only available on prescription, so you'll have to see a psychiatrist to get them.