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What Are the Best Medications For Anxiety Disorders? A three-prong approach is often recommended to treat anxiety disorders including exercise, psychotherapy and medication. Antidepressants are the most popular treatment for anxiety. Newer medications, such as mirtazapine or nefazodone, that have a lower risk of suicide and have fewer adverse side effects are more palatable by patients than antidepressants that are older like tCAs or monoamine oxidase inhibitors (MAOIs). Most people can manage their anxiety symptoms with medications that reduce the anxiety signals in the brain. These include SNRIs and SSRIs. Benzodiazepines These drugs work by facilitating the binding between the inhibitory neurotransmitter GABA and a variety of receptors in the central nervous system. They are considered to be a more safe and less toxic class of CNS depressants than their predecessors barbiturates. They are used to treat seizures as anxiolytics and anticonvulsants. They are prescribed in small doses, and are less likely than other drugs to cause toxic effects on anticholinergic receptors or delirium. Before using them, it is important to evaluate the potential risks and adverse effects. 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 such as opioids or alcohol. It may also decrease the effectiveness of antidepressants for certain people. Benzodiazepines should not be used in elderly patients or children and should not be used in conjunction with medical comorbidities like depression. They are available in different strengths and formulations, and possess different pharmacological properties. They differ in their effectiveness, duration, and side effects. The benzodiazepines with longer-acting effects, such as chlordiazepoxide (Librium), clorazepate (Tranxene) and Clobazam (Onfi) and diazepam (Valium) are used to treat insomnia and anxiety, and alprazolam (Xanax) and 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 some of the most common side effects of benzodiazepines. Certain people may also experience nausea, headaches, and weight loss. These effects are not severe and usually go away with continued use. Benzodiazepines must be tapered rather than stopped abruptly since it may cause withdrawal symptoms such as insomnia, irritability and anxiety attacks. SSRIs (serotonin-norepinephrine reuptake inhibitors) and SNRIs (serotonin-norepinephrine stimulators of reuptake) Atypical antidepressants, such as beta blockers, mirtazapine and others are also effective in treating anxiety disorders. SSRIs and SNRIs work to increase the levels of serotonin as well as norepinephrine in your brain, which can help decrease anxiety. Atypical antidepressants work through different ways to increase these chemicals. They can also treat other mental health conditions such as depression. Beta-blockers are also traditionally heart-related medications, but they can be used in low doses to treat anxiety, such as stage fright, by blocking the adrenaline rush which causes shakes and rapid heart rate. SSRIs The most commonly prescribed drugs for anxiety disorder s are selective serotonin reuptake inhibitors (SSRIs) and serotonin norepinephrine reuptake inhibitors (SNRIs). These drugs increase the levels of serotonin, the neurotransmitter that influences mood. They also increase levels of norepinephrine which is another neurotransmitter that influences mood. Paroxetine and fluoxetine are the most popular SSRIs used to combat anxiety. The SNRIs include citalopram (Celexa) sertraline (Zoloft) and Nefazodone (Serzone). There are other medicines that may help with anxiety symptoms. They include antihistamines (e.g., hydroxyzine) alpha and beta blockers (e.g. propranolol, propranolol, and Clonidine), and benzodiazepines. Antihistamines can be particularly beneficial in the event of a panic attack. They can induce a feeling of drowsiness, which can ease anxiety. However, they may cause negative effects, such as constipation, dry mouth and sedation. You could also be at risk if you use these drugs while driving. Benzodiazepines are sedatives which work by increasing the activity certain neurotransmitters that transmit signals between brain cell. These medications can help you relax and sleep, and are usually only prescribed for short-term use. They can be habit-forming and must be taken only under a doctor's supervision. Tricyclic antidepressants (which are older medications, can be effective in treating anxiety. These medications work similar to SSRIs and increase the levels of serotonin, norepinephrine and other chemicals in your body that affect mood. These medications are typically initially taken at a low dose and increased gradually. Certain medications can cause weight gain and sedation, dry mouth and urinary tract issues and arrhythmias. Monoamine oxidase inhibitors are older antidepressants that have proven to be effective in treating anxiety. However they are not as popular due to their adverse effects, including weight gain and dry mouth. Monoamine oxidase inhibitors can also interact with certain food items and medications, such as SSRIs, certain birth control pills as well as cold and allergy medications, and acetaminophen and ibuprofen. You can feel more relaxed and in control of your life by taking best medication for your anxiety. It is also important to master stress management techniques. The most important steps are eating healthy food and exercising in a controlled manner, avoiding alcohol and tobacco, and removing news stories or readings that could trigger anxiety. Joining an anxiety support group will allow you to meet other people who share similar struggles and teach you coping techniques. Tricyclic antidepressants SSRIs and tricyclic antidepressants are among the medications that are used to treat anxiety disorders. Certain of these medications can increase the amount of certain brain chemicals, such as serotonin or norepinephrine. These medications can be taken on a regular basis or as required. Some drugs take a few weeks to start working, but they can eliminate anxiety or make it easier to manage. They will not work, however, when you stop taking the medication. SSRIs can be used to treat anxiety and also help to prevent symptoms from recurring. They include citalopram (Celexa) and escitalopram (Lexapro) and fluvoxamine (Fluoxetine) and sertraline (Zoloft). SSRIs have few side-effects and generally safe. SSRIs may be combined with other treatments for anxiety such as psychotherapy or exercise. Beta blockers are another type of medication which can be used for anxiety. These drugs are prescribed primarily for heart issues, but can also be beneficial for anxiety and phobias. They can reduce anxiety-related symptoms by cutting blood pressure and slowing down the heart rate. Propranolol and atenolol are the most frequently prescribed beta blockers. People who suffer from panic disorder or a phobia can benefit from sedatives taken as needed, such as lorazepam. These medications can be used prior to a stressful event and help to reduce the symptoms of anxiety. They can also become habit-forming therefore only take them when necessary. In generalized anxiety disorder and SNRIs are considered to be the first-line treatment for anxiety. They are well tolerated, safe and effective in controlled studies that are randomized. It is crucial to take into consideration the unique characteristics of the drug and co-morbidities among patients. A patient with a depression history may require more medication than someone without. The most effective treatment for social phobia or anxiety is a monoamine oxidase inhibitor (MAOI). These medications increase the amount of neurotransmitters that regulate mood, and are often started at low doses and then slowly increased. They can be taken alone or in combination with a benzodiazepine. Many medications, such as SSRIs, birth control pills, acetaminophen and Ibuprofen, cold or allergy medications, as well as herbal supplements can interact with MAOIs Therefore, it is crucial to discuss your options for medication with your doctor. Monoamine oxidase inhibitors Many medications are used to treat anxiety disorders and are effective for a variety of people. They include antidepressants and benzodiazepines. Benzodiazepines act as GABA-A agonists and are useful in the short run to reduce anxiety symptoms. They can also be utilized to decrease seizures, muscle spasms, and hypnotic disorders. Benzodiazepines are addictive and are not recommended for long-term use. Antidepressants however, can help to reduce depression and anxiety. These drugs can take as long as six weeks to start working however, they are extremely effective for the majority of people. Some people can suffer sexual side effects when using these medications, however they are generally manageable. SSRIs along with SNRIs, boost levels of norepinephrine and serotonin, two important hormones and neurotransmitters that affect mood. They are typically the first line treatment for anxiety disorders in general. They can be taken regularly to manage symptoms or as needed. Antidepressants can cause a variety of adverse reactions, including nausea, dry mouth and weight increase. They also increase your chances of experiencing suicidal thoughts, therefore, they should only be used as long as is necessary. Beta-blockers are also a possibility, as they are traditionally used to treat heart problems. They are typically prescribed off-label for social anxiety disorders, like propranolol (Inderal). This medication is a fantastic option for relieving physical symptoms of anxiety such as shaking or high blood pressure. It also helps reduce stress hormones, such as norepinephrine and adrenaline that are produced in the state of anxiety. Anticonvulsants such as gabapentin, pregabalin, and tiagabine exhibit GABAergic effects. These medications are FDA approved for neuropathic pain and can also be effective as an antidepressant in some individuals. TCAs are also tricyclic antidepressants which increase 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 help reduce the effects of mania and bipolar disorder. These medications can cause various adverse reactions, including weight gain, dry mouth and sedation. They may also increase your risk of developing hypotension and urinary hesitancy, as well as retention and arrhythmias.