Treat Anxiety 101"The Complete" Guide For Beginners
Meds That Treat Anxiety
Anxiety affects 40 million adults in the United States. A variety of medications are available to treat it.
SSRIs (selective serotonin reuptake inhibitors) and SNRIs (serotonin-norepinephrine reuptake inhibitors), like Zoloft, Prozac, Lexapro and Effexor, work to alleviate anxiety by raising levels of the chemical serotonin in the brain. They're not addictive, unlike benzodiazepines.
SSRIs
The most popular anxiety medication is selective serotonin inhibits (SSRIs) comprising citalopram, escitalopram, and fluoxetine. These medications can also be used to treat depression as well as relieve symptoms of anxiety treatment uk disorders such as obsessive compulsive disorder. It could take up to one month for them to start working.
These medications work by increasing the amount of certain chemical transmitters that are present in the brain. This includes serotonin, norepinephrine and dopamine. These drugs are usually the first choice for treating anxiety, but doctors can also prescribe other types of antidepressants and benzodiazepines.
Another class of antidepressants, known as serotonin and norepinephrine reuptake inhibitors (SNRIs) like duloxetine (Cymbalta) and venlafaxine (Effexor) are used to treat anxiety. They differ from SSRIs since they reduce norepinephrine, but at a lower rate than SSRIs. These medications may take some time to start taking effect, and they also tend to be more expensive than SSRIs.
Tricyclic antidepressants (TCAs), such as imipramine (Tofranil) are effective in treating certain anxiety disorders, notably GAD. However their drowsiness as well as other side effects are what make them less popular. Another form of antidepressant is monoamine oxidase inhibitors (MAOIs), can also be used to treat anxiety. However, their restrictions on diet and the high risk of toxicity limit their use.
Benzodiazepines are commonly used to treat anxiety and panic attacks in the short-term for instance, when waiting for SSRIs or SNRIs to take effect. These medications can trigger addiction, tolerance, and sedation and withdrawal symptoms like a depression, anxiety, and delirium. Common benzodiazepines include alprazolam (Xanax), Clonazepam (Klonopin) and lorazepam (Ativan).
Therapy is an essential part of any treatment for anxiety. It helps you to better know your symptoms and their causes. Many people find that medication and therapy both aid in coping. Some studies suggest that cognitive behavioral therapy works just as well as medication for anxiety. Talk to your doctor about your options and what could be the best treatment for generalized anxiety choice for you.
Benzodiazepines
Benzodiazepines have an calming effect, reduce anxiety and relax muscles that are tense. They also reduce symptoms of bodily arousal due to fear (like heart rate and shaking) and promote sleep.
They work by binding inhibitory neurons, for example GABA or gamma aminobutryic acids at receptors in the central nervous system. They increase the effects of GABA by facilitating the inhibitory effect of GABA on other neurotransmitters, and decreasing the amount of messages sent to amygdala. This is a region of the brain that is able to detect threats and creates a sense of anxiety.
These drugs can be used for short durations for instance, when a panic attack occurs or when you experience extreme anxiety. They can help ease symptoms within 30 to 90 minutes after taking them. Benzodiazepines are different from SSRIs do not stay in the body for long. They are fast-acting and often perform in just a few hours, making them ideal for situations where immediate relief is required (like during an airplane flight or before giving an event in public).
Because they are addictive, patients are typically prescribed for up to four weeks at a time. After that time, they also become less effective.
One of the main reasons benzodiazepines are so popular is because they are efficient and have fewer negative effects compared to predecessors such as barbiturates and meprobamate. They are effective and have a rapid onset and can be used as anxiolytics to reduce anxiety. They can also be employed as sedatives, anticonvulsants, and muscle relaxants.
Benzos are often blamed for the negative attitudes towards anxiety that developed in the 1970s and 1980s, which included the stigmatization of anxiety and the belief that benzodiazepine treatment causes physical dependence. Despite this, benzodiazepines continue to play a crucial role in the treatment for anxiety disorders, particularly when they are combined with psychosocial interventions such as cognitive behavioral therapy and other interpersonal therapies.
Benzos can interact with other drugs and cause unwanted side-effects, like drowsiness or confusion. It is essential to inform your doctor be aware of any other prescription, non-prescription or herbal medicines you are considering or taking. Take a look at the British National Formulary A to Z list of medication interactions to determine which medicines are safe to take with benzodiazepines.
Antidepressants
Antidepressants can help ease anxiety and other mental health issues. According to the Anxiety and Depression Association of America, antidepressants -- like SSRIs and serotonin-norepinephrine reuptake inhibitors (SNRIs) -- can help reduce chronic anxiety disorder, obsessive-compulsive disorder (OCD), panic disorders and generalized anxiety disorder (GAD). The FDA has approved many antidepressants for other health ailments, too, such as eating disorders, certain types of pain, and bipolar disorder.
SSRIs are often prescribed as a first-line treatment option for anxiety by doctors, however they may not work for all people. If the antidepressants do not work, the doctor may try an older type known as a tetracyclic, or tricyclic antidepressant. These include amitriptyline, nortriptyline, clomipramine and dothiepin, doxepin, trimipramine or imipramine. These antidepressants are less common but still readily available. You can ask your doctor to prescribe the sedating antidepressant, trazodone(Desyrel) in lower doses if you are having sleep problems or anxiety.
Nefazodone, also known as Ferdinand (Cymbalta), and duloxetine are also beneficial. They're also available in generic form. If they don't help, your doctor may try the antipsychotics quetiapine or olanzapine or the sedative antidepressant Mirtazapine.
Medications for other anxiety disorders include beta blockers, which decrease the heart rate and blood pressure by blocking the action of adrenaline. These medications aren't typically used to treat anxiety alone, but they can be effective if coupled with psychotherapy.
Psychological therapy can help you change negative thoughts and behaviors that cause anxiety. It will help you learn to manage your anxiety and develop coping skills. Based on the severity of your condition, exposure therapy or cognitive behavioral therapy might be recommended. Cognitive behavioral therapy teaches you to challenge negative and fearful thoughts and to overcome your aversion to situations that cause anxiety. Exposure therapy is the process of increasing the anxiety-inducing situations until they become manageable. This can be done in a single session or in a small group. In both cases it takes time to demonstrate results. Some people find that a combination of psychotherapy and medication is the best option. Some people find that taking medication alone is enough to control symptoms. Inform your doctor about how to treat anxiety without medicine you manage your symptoms.
Other Medicines
Other medications can also help alleviate your symptoms. Beta blockers, antihistamines, and buspirone are often prescribed to alleviate anxiety.
These drugs correct an imbalance in the brain's chemicals and can ease your symptoms by lowering or blocking signals that cause you anxiety and stress. They're not a panacea. You'll need to continue doing other things to control your anxiety, like exercises or relaxation techniques, as well as psychological therapy.
SSRIs or SNRIs are your most commonly prescribed anxiety medications that your doctor can prescribe. According natural remedies to treat anxiety studies, these medications are the most effective in treating anxiety disorders. SSRIs are usually found in sertraline (Zoloft) and fluoxetine, citalopram, and escitalopram. These drugs may cause mild side effects, such as nausea or insomnia, but they usually subside within 4-8 weeks. In contrast to benzodiazepines, these are not addictive and won't increase your risk for suicidal ideas.
The benzodiazepines alprazolam (Xanax), clonazepam (Klonopin) and diazepoxide (Valium) offer immediate relief for anxiety and panic attacks however they can also cause negative effects such as dizziness, drowsiness, memory and coordination issues, and dependence. These medications are less well-known than older barbiturates but are equally effective.
Antihistamines like Vistaril (hydroxyzine) were created to treat allergies, but they're also sometimes used to reduce anxiety symptoms. Hydroxyzine can have a calming affect by blocking histamine receptors. It is not a controlled drug and therefore does not carry the same risks of addiction as benzodiazepines.
Another kind of medication that can aid with anxiety is a class called anticonvulsants. They've been shown to relieve anxiety by inhibiting the production and release of serotonin and dopamine. They may be prescribed in conjunction with other drugs or as a temporary treatment for anxiety. Your doctor will assess your symptoms and health history to determine whether these medications are appropriate for you. They will also discuss the duration of time you should take these medications as well as any possible adverse effects that could occur. Anxiety medications are only available on prescription, which means that you'll need a psychiatrist to prescribe it.