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Medications For Anxiety Disorder and DepressionMany people use medication to manage anxiety, but they're not the only option. Exercise and psychotherapy are effective treatments, too.Some antidepressants work to treat anxiety, as well as SSRIs such as citalopram (Celexa) and escitalopram (Lexapro), fluoxetine (Prozac), paroxetine (Paxil) and sertraline (Zoloft). Others, such as histamine blockers such Vistaril (hydroxyzine) can help relieve anxiety.AntidepressantsYour doctor may prescribe medication to treat depression. Antidepressants are among the most common prescription drugs and there are a variety of kinds to choose from. The type your provider chooses depends on the severity of your symptoms, any other medical conditions you suffer from, as well as your treatment goals.Selective serotonin reuptake inhibitors (SSRIs) and serotonin-noradrenaline reuptake inhibitors (SNRIs) are among the most commonly prescribed antidepressants. These drugs work by altering the way your brain's nerve cells communicate. They accomplish this by increasing the quantity of certain neurotransmitters that helps improve mood and anxiety. Antidepressants can take a while to produce results, so take your time and stick to your regimen.Benzodiazepines can also be prescribed by your physician to treat anxiety or depression. These drugs are fast-acting and can be used to relieve anxiety and depression symptoms within a short amount of time. Examples of benzodiazepines include lorazepam and alprazolam. They block the actions of adrenaline and noradrenaline which are hormones that play a role in the fight or flight response.Monoamine oxidase inhibitors are an antidepressant of a different type that is effective in treating depression and anxiety. They're often reserved for people who aren't responding to other types of antidepressants. They require dietary adjustments to avoid hypertensive reactions triggered by interactions with amino acids like tyramine.If you're taking a prescription antidepressant, tell your doctor about all other medicines you're taking, such as vitamins and supplements. You may need to reduce the dose if other medications affect the way antidepressants work or if they cause negative side effects. If you're worried that you're experiencing thoughts of suicide, seek assistance immediately from a health care professional.You might have different symptoms for depression and anxiety or you may be suffering from comorbid anxiety and depression. Patients with comorbid anxiety as well as depression are more likely to have a negative medical prognosis as compared to those with only one disorder. Certain psychiatric medications have been found to be particularly effective in treating both disorders for people with comorbid anxiety and depression.BenzodiazepinesAnxiety symptoms can be relieved through benzodiazepines. These include alprazolam (Xanax), the clonazepam (Klonopin), chlordiazepoxide (Librium) diazepam (Valium) and lorazepam (Ativan). These medications affect the central nervous system's benzodiazepine receptors, which are protein molecules consisting of five transmembrane subunits which form a benzyl chloride channel in the central. The benzodiazepine-receptors also have one that binds to the inhibitory neurotransmitter, GABA A (GABA A). The benzodiazepines work by increasing the concentration of GABA-A, thereby decreasing nerve activity and relaxing muscles.The benzodiazepines have a fast start of action, but they have a high risk of dependence and addiction. Antidepressants and antipsychotics, along with anticonvulsants and buspirone, have a slower onset of action, but are still beneficial for long-term use, as they do not produce dependence or tolerance.Anxiety and depression are often comorbid, and antidepressants can reduce depression symptoms that are associated with anxiety. However, many people with depression experience a combination of depressive and anxious symptoms and will need a combination of medication and therapy to manage all of their symptoms.In these instances benzodiazepines can be employed for a brief period to manage anxiety or depression symptoms while other medications take effect. Usually, panic anxiety disorder are prescribed for only a few weeks at a time, and are not prescribed daily. If you take benzodiazepines for long periods of time may cause withdrawal symptoms such as shaking and sleeplessness and waking up, so these medications are only to be used according to the instructions of your doctor.If you're considering taking benzodiazepines in the future, inform your doctor about any previous substance abuse or dependence issues, as well as any other mental health problems you suffer from. Your doctor can inform you about possible adverse effects, and suggest other medications if needed to treat depression.Benzodiazepines can create serious and potentially life-threatening issues when you take too much or have never used them before. If you are pregnant, breastfeeding or have a history of liver disease, digestive or respiratory problems, your doctor may require lower doses or limit the time you are treated with these drugs. Alcohol can interact negatively with benzodiazepines and increase the risk of side effects and dependence. You should avoid drinking alcohol while taking these drugs.Beta-blockersBeta-blockers can be utilized as a medication to control anxiety symptoms. They are a kind of medication distinct from benzodiazepines, such as Xanax and work by blocking the receptors to which adrenaline binds. They also reduce the activity of the nervous system and brain. They can be an alternative to benzodiazepines that come with a higher risk of addiction and dependence.Beta blockers, which reduce blood pressure and slow the heart rate, are often prescribed to treat heart problems. They can also be helpful for treating anxiety. They are not FDA-approved for treating anxiety disorder. They are often employed "off label" to treat this condition, and are a good alternative when other anti-anxiety medications do not offer relief or do not have acceptable side effects. They are particularly effective in situations of performance anxiety and social anxiety, in which uncomfortable symptoms can occur during events that trigger anxiety.They can also be utilized in conjunction with other treatment options for example, CBT or SSRIs. They are particularly effective as an alternative therapy for people suffering from GAD. GAD is characterized by persistent and frequent worry that interferes in everyday activities. They can also assist in managing physical symptoms of anxiety such as a racing heart or increased sweating.Beta-blockers may help manage physical symptoms of anxiety but they do not address underlying mental issues that contribute to the condition. They are recommended as a supplement to other treatments such as SSRIs and benzodiazepines. It is crucial to discuss your medical history and other health concerns with your physician prior to taking beta-blockers.The use of these medications is associated with a decrease in suicidal behavior and psychiatric hospitalisations, but the results vary depending on the specific psychiatric condition and past psychiatric history. In some patients, they can increase the risk of heart attacks.Some natural ingredients have the same properties as beta-blockers, but they aren't as effective. These include antioxidants as well as saffron, garlic and potassium. These natural supplements are not entirely understood. Some of these products may cause serious adverse side effects, so it's best to consult a physician prior to taking them.Monoamine oxidase inhibitorsMAOIs alter the way your brain works. They block the activity of an enzyme called monoamine oxidase, which breaks down the chemical norepinephrine and serotonin, which allow your brain cells to communicate with one other. By blocking monoamine oxide, MAOIs allow more of these chemical messengers to stay in your brain. This enhances brain cell communication and improves your mood.These drugs are also effective in treating anxiety disorders, specifically agoraphobia and mixed depression-anxiety states. However, they are less effective in pure anxiety states and may not help with panic attacks. The effectiveness of MAOIs has been linked to their capacity to increase dopamine, serotonin, and norepinephrine levels in the brain. These neurotransmitters are naturally produced by your body, and are then released into the bloodstream, where they are transported to nerve cells, and act as a messenger between neurons.Iproniazid was the very first antidepressant to be developed in the year 1950. It blocked monoamine oxidease. This led to the development of additional MAOIs, like tranylcypromine or isocarboxazid, which have been around for decades to combat depression. MAOIs are usually prescribed after other types of antidepressants, such as tricyclic antidepressants or serotonin-norepinephrine reuptake inhibitors, have been tried without success. MAOIs can trigger severe withdrawal symptoms if abruptly stopped. They can also have dangerous interactions with food and drugs.A newer type of MAOI, dubbed MAO-A, a selective and irreversible inhibitor, is being investigated for use in treatment resistant depression. It is not recommended to treatment of bipolar disorder since it may trigger manic symptoms. Selegiline, a newer MAOI (also called Eldepryl or Zelapar) is being studied for treatment of Parkinson's disease. It blocks monoamine oxidase but does not affect the other enzymes that breakdown levodopa, which is the main treatment for Parkinson’s. These drugs can be used alone or in combination with other antidepressants. In certain patients, MAOIs may trigger a reaction that causes hyper-reflexia and neuromuscular excitability. This can manifest as muscle twitching, eyelid twitching, as well as other symptoms. These reactions may be more common if these medications are used in conjunction along with certain food items like aged cheeses or cured meats.
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