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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. The first-choice medications for anxiety are antidepressants. Newer drugs, like 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 anxiety symptoms by taking medications to reduce the fear signals in the brain. These include SSRIs and SNRIs. Benzodiazepines They work by helping to bind the inhibitory neurotransmitter GABA at various receptors throughout the central nervous system. They are regarded as more secure, less toxic CNS depressant than their predecessors – the barbiturates. They are used to treat seizure disorders, as anticonvulsants and anxiolytics. They are prescribed at low dosages, and are less likely than other drugs to cause anticholinergic toxicities, or delirium. However, there are significant dangers and side effects that must be considered before taking these drugs. For instance, long-term use of benzodiazepines could cause impairment to memory and cause withdrawal symptoms, particularly when the drug is taken in conjunction alongside other CNS depressants, such as alcohol or opioids. Some people may also find that it diminishes the effectiveness of antidepressants. Benzodiazepines should not be used in children or geriatric patients and should be avoided with medical conditions like depression. They are available in a variety of forms and potencies, and have different pharmacological properties. They differ in their effectiveness, duration, and side effects. The longer-acting benzodiazepines such as chlordiazepoxide, clorazepate, clobazam, and diazepam are generally used for anxiety, insomnia and seizures. Constipation, fatigue and blurred vision are the most frequently reported side effects of benzodiazepines. There are also people who feel headaches, nausea and weight loss. However, these side effects are usually mild and disappear after a long period of use. It is more beneficial to taper off benzodiazepines than stop them abruptly, as they can trigger withdrawal symptoms, such as irritability and difficulty sleeping. Other medications that help with anxiety disorders include SSRIs, serotonin norepinephrine reuptake inhibitors; SNRIs; Atypical antidepressants like mirtazapine and beta-blockers. SSRIs and SNRIs increase the levels of serotonin and norepinephrine in your brain, which helps reduce anxiety. Atypical antidepressants utilize various ways to increase these chemicals, and can also treat other mental health issues like depression. Beta-blockers, which are typically heart medications, can also be used in low doses to treat anxiety, like stage fright, by reducing the adrenaline rush, which causes heartbeats to be rapid and shakey. SSRIs The most commonly prescribed drugs for anxiety disorders are selective serotonin reuptake inhibitors (SSRIs) and serotonin norepinephrine reuptake inhibitors (SNRIs). These drugs boost the levels of serotonin – a neurotransmitter which affects mood. They also boost levels of norepinephrine which is another neurotransmitter which affects mood. The most well-known SSRIs for anxiety include paroxetine (Paxil) and fluoxetine (Prozac). SNRIs are citalopram, sertraline and nefazodone. 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 especially helpful in the event of a panic attack. They can cause feeling of drowsiness, which can ease anxiety. However, they may cause negative effects, such as constipation, dry mouth, and sedation. They can also have risks if taken while driving, and you could develop an addiction to the medication. Benzodiazepines which are sedatives, function by enhancing the activity of certain neurotransmitters that send signals between brain cells. These medications can help you relax and sleep, and are usually prescribed for short-term usage. They can be habit-forming therefore they must be taken only under the supervision of a doctor. Tricyclic antidepressants, also known as older medications, can also be effective in treating anxiety. These medications act similar to SSRIs by increasing the levels of serotonin and norepinephrine in your body. These medications are typically initially taken at a low dose and increased gradually. Certain of these medications can cause weight increase and sedation. They can cause dry mouth, urinary tract issues and arrhythmias. Monoamine oxidase inhibitors are older antidepressants which have shown to be effective in treating anxiety. However they are not as common because of their side effects, such as weight gain and dry mouth. Monoamine oxidase inhibitors can affect negatively certain medications and foods. They include SSRIs as well as certain birth control pills. They may also be affected by allergy and cold medication, acetaminophen and Ibuprofen. The right medication to manage anxiety can help you feel more relaxed and in control of your life. Additionally, it is important to practice strategies for managing stress. Avoiding unhealthy foods and exercise, avoiding alcohol and tobacco and avoiding reading or watching news stories that cause anxiety are important steps. You can join an anxiety support group to meet others who suffer from similar problems and to learn coping skills. Tricyclic antidepressants SSRIs and tricyclic antidepressants are among the drugs that can be used to treat anxiety disorders. Certain of these medications increase the levels of specific brain chemicals such as serotonin and norepinephrine. These medications can be taken regularly or as needed. Some require some time to begin working, but they can get rid of anxiety, or make it easier to manage. However, they will not perform if the medication has been removed. SSRIs can be used to treat anxiety and help to prevent symptoms from recurring. They include citalopram, escitalopram, fluvoxamine and sertraline. SSRIs have few side-effects and generally safe. SSRIs can be used in conjunction with other treatments for anxiety like exercise or psychotherapy. Another kind of medication that could be used to combat anxiety is a beta blocker. These medications are typically prescribed for heart problems, but they can also be beneficial in treating anxiety and anxiety-related fears. They can help alleviate the symptoms of anxiety by slowing the heart rate and decreasing blood pressure. The most frequently 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 drugs can be taken before a stressful event and can quickly ease the symptoms of anxiety. These medications can be habit-forming, therefore only take them as needed. In general, SSRIs and SNRIs are often used as the first line of treatment for anxiety. They are safe, well-tolerated, and have good efficacy in controlled studies that are randomized. However, the idiosyncratic characteristics of drugs and the comorbidities of patients must be considered. For instance, a patient who has an underlying depression history may require a higher dose than someone who does not have. The most effective treatment for a social phobia or performance anxiety is a monoamine oxidase inhibitor (MAOI). These drugs increase the number of neurotransmitters that control mood, and are often started at low doses and then slowly increased. They can be used on their own or in combination with benzodiazepine. MAOIs can interact with many medications, including SSRIs as well as some birth control pills. They can also interact with acetaminophen, ibuprofen and cold and allergy medicines. Monoamine oxidase inhibitors There are a myriad of medications used to treat anxiety disorders. A lot of them work well for most people. They include antidepressants and benzodiazepines. The benzodiazepines are GABA receptor agonists which can be employed to alleviate anxiety symptoms in the short-term. They also aid in decreasing muscle spasms, seizures and hypnotic states. However, generalized anxiety disorder are not suitable for long-term use and may cause dependence. Antidepressants can decrease anxiety and depression. These drugs can take as long as six weeks to begin working however, they are extremely efficient for the majority people. Some people may experience sexual side effects with these medications, but they are generally manageable. SSRIs and SNRIs boost levels of serotonin and norepinephrine. These are two important hormones and neurotransmitters that affect mood. They are typically the first line treatment for anxiety disorders in general. They can be used regularly to manage symptoms, or be used when required. Antidepressants can cause a myriad of adverse effects, such as dry mouth, nausea, and weight increase. They also increase your chances of experiencing suicidal thoughts, so they should only be used for the time that is needed. Beta-blockers are also an option since they are commonly used for heart conditions. They are typically prescribed off-label for social anxiety disorder s, such as propranolol (Inderal). This medication is a great option for relieving physical symptoms of anxiety, such as shaking or high blood pressure. It can also help to reduce stress hormones such as norepinephrine and adrenaline, which are produced during a high state of anxiety. Anticonvulsants like gabapentin, pregabalin, and tiagabine are a class of drugs that have GABAergic properties. These drugs are approved by the FDA approval for neuropathic pain and antidepressant pain. Tricyclic antidepressants, or TCAs, are another medication that increases levels of serotonin as well as norepinephrine in the brain. They also reduce the activity of monoamine oxidase which is responsible for breaking down these chemicals. They can also be used to reduce the effects of bipolar disorder. These medications can cause numerous side effects, including dryness of the mouth, and sedation. These medications can also increase the risk of arrhythmias and hypotension.