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What Are the Best Medications For Anxiety Disorders?Treatment for anxiety disorders is usually a three-pronged approach: medication, psychotherapy and exercise. The first choice for treating anxiety are antidepressants. Newer drugs, like mirtazapine and nefazodone that have a lower risk of suicide and fewer adverse side effects are more palatable by patients than older antidepressants like tCAs or monoamine oxidase inhibitors (MAOIs).The majority of people manage their anxiety symptoms with medications that reduce the fear signals in the brain. These include SSRIs or SNRIs.BenzodiazepinesThese drugs function by facilitating binding between the inhibitory neurotransmitter GABA and various receptors within the central nervous system. They are considered to be a more safe and less toxic category of CNS depressants than their predecessors, the barbiturates. I Am Psychiatry are used to treat seizures as anxiolytics and anticonvulsants. They are usually prescribed in small doses and are less likely to cause delirium or anticholinergic toxicities than older drugs. However there are significant risks and side effects that need to be assessed before taking these medications. For instance, prolonged use of benzodiazepine can cause memory impairment or cause withdrawal symptoms. This is especially the case when combined with other CNS depressants such as alcohol or opioids. It also may reduce the effectiveness of antidepressants for certain people. Benzodiazepines should not be used in elderly patients or children and should be avoided with medical conditions like depression.They are available in different strengths and formulations, and they have different pharmacological characteristics. They differ in the speed at which they perform and last, as well as the length of time they last, as well as their side effects. The benzodiazepines that have a longer acting effect, such as chlordiazepoxide, clorazepate, clo and diazepam are typically used to treat insomnia, anxiety and seizures.The most frequent benzodiazepine side effects are constipation, dry mouth, fatigue, and blurred vision. Some people may also feel headaches, nausea and weight loss. However, these side effects are generally minor and go away with continued use. It is preferential to gradually lower the dose of benzodiazepines rather then stopping abruptly as they can trigger withdrawal symptoms such as anxiety and insomnia.Other medications that can help with anxiety disorders include SSRIs, serotonin-norepinephrine reuptake inhibitors, SNRIs; atypical antidepressants such as mirtazapine and beta-blockers. SSRIs, beta-blockers and SNRIs function by increasing the levels of serotonin and norepinephrine within your brain. This can help reduce anxiety. Atypical antidepressants work through various pathways to increase the levels of these chemicals, and also treat other mental health issues such as depression. Beta-blockers, which are typically heart medications, can be used in small doses to treat anxiety, like stage fright by blocking the adrenaline rush, which causes heartbeats to be rapid and shakey.SSRIsThe 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 - an important neurotransmitter that affects mood. They also increase levels of norepinephrine, another neurotransmitter which affects mood. The most well-known SSRIs for anxiety include paroxetine (Paxil) and fluoxetine (Prozac). SNRIs include citalopram (Celexa) and sertraline (Zoloft) and Nefazodone (Serzone).There are other medications that can ease anxiety symptoms. Antihistamines and beta-blockers, alpha and beta (e.g. propranolol or clonidine), benzodiazepines, and many more are available. Antihistamines are especially useful during panic attacks because they can trigger a state of drowsiness that can alleviate anxiety. However, they may cause adverse effects such as dry mouth, constipation and sedation. They can also have risks if taken while driving, and you may develop a tolerance to the drug.Benzodiazepines are sedatives which work by increasing the activity certain neurotransmitters which send signals between brain cell. These drugs are prescribed to help you relax and fall asleep. They are intended for short-term use. They can be habit-forming therefore they should only be taken under the supervision of a physician.Tricyclic antidepressants also work in treating anxiety. These medications work similar to SSRIs and increase the levels of serotonin, norepinephrine and other chemicals within your body that affect mood. They are usually started at a low dose and gradually increased. Some of these medications can cause weight growth and the feeling of sedation. They can cause dry mouth, urinary tract problems, and arrhythmias.Monoamine oxidase inhibitors are the oldest antidepressants that have been proven to be effective at treating anxiety. However they are not as popular because of their side negative effects, like weight gain and dry mouth. Monoamine oxidase inhibitors can be negatively interacting with certain medications and foods. They include SSRIs as well as some birth control pills. They may also be affected by cold and allergy medications, acetaminophen, as well as Ibuprofen.Taking the right medications for your anxiety can help you feel more at ease and in control of your life. In addition, it's essential to implement strategies for managing stress. Avoiding unhealthy foods and exercise as well as avoiding tobacco and alcohol and avoiding watching or reading news reports that cause anxiety are all essential steps. You can also join an anxiety support group to meet other people with similar issues and learn strategies for dealing with anxiety.Tricyclic antidepressantsTricyclic antidepressants and SSRIs are among the medications that can be used to treat anxiety disorders. Certain of these medications increase the levels of certain brain chemicals, such as serotonin and norepinephrine. These medications can be taken on a regular basis or as required. Some require a few weeks to start working, but can completely get rid of anxiety, or make it more manageable. They will not be effective when you stop taking the medication.SSRIs can be used to treat anxiety and also prevent symptoms from returning. These include citalopram, escitalopram, fluvoxamine and sertraline. SSRIs are generally safe and have few adverse effects. SSRIs can be used in conjunction with other treatments for anxiety such as exercise or psychotherapy.Another type of medication that could be used to treat anxiety is beta blockers. These medications are typically prescribed for heart conditions but can also be helpful in treating anxiety and anxiety-related fears. They reduce anxiety symptoms by decreasing blood pressure and reducing the heart rate. The most commonly used beta blockers are propranolol as well as atenolol.People suffering from a phobia or a panic disorder can sometimes benefit from tranquilizers such as lorazepam or alprazolam. These medications can be taken before an event that is stressful and work quickly to calm the symptoms of anxiety. They can also become habit-forming therefore only take them if absolutely necessary.In general the SSRIs and SNRIs can be considered to be the first-line treatment for anxiety. They are well tolerated, safe and effective in controlled studies that are randomized. However, the idiosyncratic characteristics of drugs and the comorbidities of patients should be considered. For instance, a patient with a history of depression may require a higher dose than someone who does not have.The most effective treatment for social phobia or performance anxiety is a monoamine oxidase inhibiter (MAOI). These medications increase the amount of neurotransmitters that control mood, and are typically initially administered at low doses, and then gradually increased. They can be taken alone or in conjunction with benzodiazepine. MAOIs can interact with many medications, including SSRIs and certain birth control pills. They can also interact with acetaminophen ibuprofen and cold and allergy medicine.Monoamine oxidase inhibitorsMany medications are used to treat anxiety disorders and they work well for many people. This includes benzodiazepines as well as antidepressants. These are GABA-A receptor agonists that can be used to relieve anxiety symptoms in the short-term. They are also helpful in reducing seizures, muscle spasms and hypnotic state. However, benzodiazepines are not suitable for long-term use and may result in dependence. Antidepressants can decrease anxiety and depression. These medications can take up to six weeks to begin working however they are efficient for the majority of people. These medications can trigger sexual side effects in some people, but these are generally manageable.SSRIs, as well as SNRIs, boost levels of norepinephrine and serotonin, two important hormones and neurotransmitters that affect mood. These are typically the first-line treatments for most anxiety disorders. They can be used daily to treat symptoms or when required. Antidepressants may cause nausea, dry mouth, and weight gain. They can also increase the likelihood of suicidal thoughts and suicide, so it is recommended to only take them as long as is necessary.Beta-blockers can also be a choice because they are typically employed to treat heart ailments. Propranolol, or Inderal, is often prescribed for the treatment of social anxiety disorder off-label. This medication is a great choice to relieve the physical symptoms of anxiety, like shaking and high blood pressure. It also helps reduce stress hormones, such as norepinephrine and adrenaline, which are present in a state of anxiety.Anticonvulsants, like pregabalin, gabapentin and tiagabine, have GABAergic properties. These drugs have FDA approval for neuropathic and antidepressant pain.Tricyclic antidepressants (TCAs) are a different medication that increases levels of serotonin and norepinephrine in the brain. They also inhibit the activity of monoamine oxide, which is responsible for breaking down these chemicals. They can also be used to reduce the symptoms of bipolar disorder and mania. These medications can cause various adverse reactions, including dry mouth, weight gain and sedation. These drugs can also increase the risk of arrhythmias and hypotension.