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What is the Best Drug For Anxiety Disorder?Although there are a variety of medications that can treat anxiety disorders but there has been no progress in developing new ones. However, studies with neuropeptides and other agents show potential.The most common medication to combat anxiety is a drug called benzodiazepine. These are fast-acting tranquilizers which include alprazolam (Xanax) and clonazepam (Klonopin). These medications provide immediate relief, however they can also have severe side effects.BenzodiazepinesBenzodiazepines like Valium and Xanax work by enhancing GABA, a chemical in the brain. They calm the nervous system and provide quick relief, but they can also become addictive if used long-term. They also increase the chance of having a seizure, when you combine them with certain other medications, including antidepressants.They are prescribed to treat a variety of ailments such as alcohol withdrawal as well as aggression or agitation and muscle spasms, seizures and REM sleep behavior disorder. They also function as an anxiolytic and hypnotic. Their use is controversial however, due to the fact that they're not suitable for all people. They can cause side-effects like drowsiness or confusion. Certain people are at risk of becoming dependent on them, which can result in addiction, and can cause a dangerous rebound effect. It is not recommended to use them for longer than two weeks.The drugs are typically absorbed quickly, and begin to act in minutes. They block neurotransmitters that could send excessively stimulating signals to the brain. They also reduce the body's production of the stress hormone called adrenaline. They also stop the formation of new memories that could cause anxiety and panic.There are a variety of different kinds of benzodiazepines. Each has a different impact. Your doctor will prescribe one based on your individual needs and you'll be able to distinguish the difference based on how it affects your. Some are short-acting and last for a few hours, while others are more long-lasting and are able to be used when needed.Another medication that may help to reduce anxiety and hypnotic signs is the beta blocker Propranolol that is commonly prescribed for anxiety related to social situations and public speaking. It also helps reduce the adverse effects of benzodiazepines such as orthostatic hypotension (when your blood pressure drops when you stand up) and bradycardia (low heart rate) and sedation.Antidepressants are slower to work but they can aid in reducing anxiety, hypnotic signs and anxiolytics in some people. They do so by regulating and balancing the levels of neurotransmitters such as serotonin and norepinephrine. They are not the first-line treatment however they can be utilized as necessary in conjunction with benzodiazepines treat acute anxiety.Sleeping MedicinesIt is normal to feel anxious or stressed from time to time. However, if these feelings are interfering with your day-to-day activities it is recommended to seek out an expert in mental health. Psychiatrists are trained extensively in managing medication and can help you choose the right anxiety medications for you, taking into consideration your medical history, diagnosis and personal preferences.SSRIs are prescribed by doctors to treat depression and anxiety disorders. SSRIs boost the levels of serotonin, the neurotransmitter that regulates mood and appetite. They also help improve your sleep and decrease anxiety. The most common SSRIs used to combat anxiety include sertraline, escitalopram and citalopram. SSRIs can take a few weeks to begin working and may cause side effects such as insomnia or sexual dysfunction.Benzodiazepines or benzos are fast-acting drugs that can provide immediate relief for anxiety symptoms. Benzos are controlled substances that target the neurotransmitter gamma-aminobutyric acid (GABA) and can affect the brain and body when you are feeling overexcited. They can also relieve seizures and pain and are commonly used to treat disorders such as PTSD, GAD and panic disorder. Benzos are a substance that can become habit-forming and have dangerous side effects, including memory issues and a higher risk of addiction. Benzos can also cause dizziness, sedation, confusion and a lower pulse rate.Beta blockers, such as propranolol, are a different class of anxiety medications that are available off-label to treat symptoms of anxiety. These medications are typically prescribed to treat heart ailments. However they can also be used by people with anxiety to lower blood pressure and heart rates as well as to alleviate asthma symptoms. Beta blockers can cause serious side effects, such as liver damage, hepatitis and heart attacks in people with certain preexisting conditions.Many new medications are currently in the process of being developed and tested for anxiety disorders. Drugs that target neuropeptides and glutamate along with other chemicals in the mind are among these. Fewer drugs have made it to Phase III trials in anxiety disorders as compared to new medicines being developed and tested for PTSD, OCD and depression.AntidepressantsAntidepressants are widely used to treat anxiety disorders. There are many different types of drugs that doctors and health professionals utilize to treat anxiety disorders, but they all have similar effects on the brain and body. It is important to speak with a health care provider before taking any medication for anxiety.SSRIs like fluoxetine, paroxetine and sertraline are often the first option to treat anxiety. These medications increase levels the neurotransmitter serotonin in the brain, which enhances communication between nerve cells. They can also boost levels of the hormone norepinephrine, which regulates mood. SNRIs such as venlafaxine (Effexor XR), and citalopram, (Celexa) are also frequently prescribed. They function in a similar manner to SSRIs but they have less side-effects.Atypical antidepressants such as mirtazapine (Zoloft) and clonidine (Ursamin) are among the classes of anxiety medications which work in a similar way to SSRIs or SNRIs. They are effective, but take a long time to start working. Drugs that work on the gamma-aminobutyric acid (GABA) system, such as anticonvulsants like pregabalin (Lyrica) and gabapentin (Neurontin) and tiagabine (Lamotrigine) could also help with anxiety. GABAergic medications increase activity at the receptors that block neurotransmitters and decrease anxiety.Beta-blockers are prescribed to combat anxiety as well as heart problems. Propranolol (Benadryl) for instance can be prescribed off-label for anxiety related to performance, such as stage fright to reduce the adrenaline rush that causes shaking and a higher heart rate.Other medications are sometimes prescribed off-label to treat anxiety for example, hydroxyzine (Visitor) an antihistamine that can help relax muscles and cause sleepiness. I Am Psychiatry is used to alleviate anxiety when itching occurs from allergies. These medicines require further study, but preliminary studies suggest promise.Other MedicinesPsychiatrists suggest that those suffering from anxiety who have been suffering for a long time try other treatments. They are typically a mix of antidepressants and other types of drugs such as sedatives and sleep medications. They are typically prescribed on a long-term basis, and have a lower risk of addiction than benzodiazepines, however, they can have side effects such as dry mouth and constipation.Antidepressants are the initial option for treating anxiety. These include selective serotonin reuptake inhibits (SSRIs) or selective norepinephrine reuptake inhibitors (SNRIs) which target brain chemicals serotonin, and norepinephrine. They include citalopram, sertraline, escitalopram, and paroxetine. Antidepressants such as duloxetine, Cymbalta and venlafaxine Effexor XR are also helpful for anxiety disorder. In addition, tricyclic antidepressants, like mirtazapine (Remeron) could also help.Drugs that affect the neurotransmitter GABA have been proven to ease anxiety, particularly when used in conjunction with antidepressants. These include pregabalin, gabapentin and tiagabine as well as lamotrigine. They affect calcium channels within the nervous system that reduces neurotransmitter release. These are also effective for neuropathy, herpes neuralgia, fibromyalgia, and seizures.Another option is a benzodiazepine, which can be beneficial for anxiety-related symptoms that are acute on a short-term basis however, it should only be used under close medical supervision. These sedatives are addictive and can worsen the anxiety disorder that started it. Psychiatrists have extensive training in taking a look at your needs and putting together an appropriate medication management plan that works for you.The final medication that can be prescribed is an MAOI, which is a more traditional kind of drug that treats panic disorder and some social phobias by increasing the number of neurotransmitters in your body. These drugs are usually prescribed in a lower dosage and then gradually increased to prevent adverse effects, like nausea and low sodium levels.The best way to combat anxiety disorders is to use a three-pronged approach that includes medication, psychotherapy and exercise. The mix is different for each person, but most people experience relief through the combination of these treatments. Your therapist will instruct you on cognitive behavioral therapy, which can help you to change your thoughts, feelings and actions. They may also suggest acceptance and commitment therapy, which will teach you to accept your negative emotions and worries instead of trying to eliminate them.
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