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What Are the Best Medications For Anxiety Disorders? Treatment for anxiety disorders is often an approach that combines therapy, medication and exercise. The first-choice medications for anxiety are antidepressants. Newer drugs, such as mirtazapine or nefazodone, which have a lower chance of suicide and have fewer side effects are better tolerated by patients than antidepressants that are older like tCAs or monoamine oxidase inhibitors (MAOIs). Most people can manage their anxiety symptoms by taking medications to reduce the fear signals in the brain. This includes SNRIs and SSRIs. Benzodiazepines These drugs work by facilitating binding between the inhibitory neurotransmitter GABA and various receptors within the central nervous system. They are considered to be a safer and less toxic category of CNS depressants than their predecessors barbiturates. They are used to treat seizure disorders, as anticonvulsants and anxiolytics. They are prescribed in low doses and are less likely than older medications to cause anticholinergic toxicities, or delirium. However, there are significant risks and adverse effects that need to be assessed before taking them. For instance, long-term benzodiazepine use can impair memory or trigger withdrawal symptoms. This is particularly true when combined with other CNS depressants, such as alcohol or opioids. It also may reduce the effectiveness of antidepressants for certain people. Children and geriatrics should not take benzodiazepines. They should also avoid taking these drugs if they suffer from medical conditions that are comorbid, such as depression. They are available in a variety of forms and potencies, and have different pharmacological properties. They differ in the speed at which they perform and how long they last, and their adverse effects. Generally, the longer-acting benzodiazepines like chlordiazepoxide (Librium) as well as Clorazepate (Tranxene) as well as clobazam (Onfi) and diazepam (Valium), are used for anxiety and insomnia, and alprazolam (Xanax) as well as the lorazepam (Ativan) and midazolam (Versed) are used to induce anesthesia as well as for seizures and other seizures disorders. Constipation, fatigue, and blurred vision are some of the most frequent side effects of benzodiazepines. There are also people who suffer from headaches, nausea, and weight loss. These effects are not severe and usually disappear with continued use. It is preferential to gradually lower the dose of benzodiazepines rather then stopping them abruptly, as they can cause withdrawal symptoms such as irritability and difficulty sleeping. Other medications that can treat anxiety disorders include SSRIs, serotonin and norepinephrine Reuptake inhibitors; SNRIs Atypical antidepressants like mirtazapine and beta-blockers. SSRIs, beta-blockers and SNRIs function by increasing the levels of norepinephrine and serotonin in your brain. This helps to reduce anxiety. Atypical antidepressants increase these chemicals through various pathways and are able to treat other mental disorders, such as depression. Beta-blockers, which are typically heart medications, may 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 popular medications used to treat anxiety disorders are selective serotonin reuptake inhibitors (SSRIs) and serotonin-norepinephrine reuptake inhibitions (SNRIs). These drugs increase the levels of serotonin, the neurotransmitter that influences mood. They also increase levels of norepinephrine, another neurotransmitter which affects mood. Paroxetine and fluoxetine are the most popular SSRIs used to combat anxiety. The SNRIs include citalopram (Celexa) and sertraline (Zoloft) and nefazodone (Serzone). There are many other medications that may help with anxiety symptoms. These include antihistamines (e.g. Hydroxyzine, for instance) alpha and beta blockers (e.g. propranolol, propranolol, and clonidine) and benzodiazepines. Antihistamines can be especially helpful when you're experiencing panic attacks. They can trigger a sleepiness that can help reduce anxiety. They can also cause adverse effects like constipation, dry mouth and sedation. There are also risks when taken while driving and you could develop a tolerance to the drug. Benzodiazepines, which are sedatives, work by enhancing the activity of neurotransmitters which transmit signals between brain cells. These medications are prescribed to relax you and sleep. They are only meant to be used for short-term use. They can be habit-forming, so they must be taken only under a doctor's supervision. Tricyclic antidepressants are also effective in treating anxiety. These medications act similar to SSRIs, increasing the levels of serotonin and norepinephrine in your body. They are typically started with a small dose, and then gradually increased. Certain medicines may cause weight gain as well as dry mouth, sedation and urinary tract issues, and arrhythmias. Monoamine oxidase inhibiters are older antidepressants which have shown to be effective at treating anxiety. However, they are less common due to their negative side negative effects, like dry mouth and weight gain. Monoamine oxidase inhibitors can also interact with certain foods and medications, such as SSRIs, certain birth control pills as well as cold and allergy medications as well as acetaminophen and Ibuprofen. You will feel more comfortable and in charge of your life by taking the appropriate medication for anxiety. It is also essential to learn stress management techniques. Avoiding unhealthy foods and exercise, avoiding alcohol and tobacco, and eliminating watching or reading news reports that cause anxiety are all essential steps. Joining an anxiety support group will help you meet people who have similar issues and help you learn coping strategies. Tricyclic antidepressants A variety of medications can be used to combat anxiety disorders, such as SSRIs, benzodiazepines, and tricyclic antidepressants. Certain medications boost the levels of certain brain chemicals, like serotonin and norepinephrine. These medications can be taken regularly or as required. Some drugs take a few weeks to start working, but they can eliminate anxiety or make it more manageable. They will not work, however, when you stop taking the medication. SSRIs can be used to treat anxiety and also stop symptoms from recurring. They include citalopram (Celexa), the escitalopram (Lexapro) and fluvoxamine (Fluoxetine) and sertraline (Zoloft). SSRIs are generally safe and do not have any side effects. SSRIs are often used in conjunction with other treatments for anxiety such as exercise or psychotherapy. Another kind of medication that can be used to treat anxiety is a beta blocker. These are usually prescribed for heart problems, but can be helpful for people with anxiety and anxiety disorders. They help reduce anxiety symptoms by reducing blood pressure and reducing the heart rate. The most commonly used beta blockers are propranolol and atenolol. People suffering from anxiety disorders or panic are able to benefit from sedatives in the event of need, such as lorazepam. These medications can be used before a stressful event and can quickly ease the symptoms of anxiety. These medications can become habit-forming so only use them when necessary. In general, SSRIs and SNRIs can be used as first-line medication to treat anxiety. They are well-tolerated, safe and effective in controlled studies that are randomized. It is crucial to take into consideration the peculiar characteristics of the medication and comorbidities in patients. For example, a patient with an history of depression might require more medication than someone without. The most effective treatment for social phobia or performance anxiety is a monoamine oxidase inhibiter (MAOI). These drugs increase the amount of neurotransmitters which regulate mood. They are typically started at a low dosage and gradually increased. They can be taken on their own or in conjunction with a benzodiazepine. MAOIs may interact with other medications, including SSRIs and certain birth control pills. They may also interact with acetaminophen, Ibuprofen, and cold and allergy medicines. Monoamine oxidase inhibitors Many medications are used to treat anxiety disorders and are effective for a variety of people. These include benzodiazepines and antidepressants. These are GABA-A receptor agonists that are used to reduce anxiety symptoms in the short-term. panic anxiety disorder are also used to treat seizures, muscle spasms, and hypnotic symptoms. Benzodiazepines are addictive and should not be used for long-term use. Antidepressants however can aid in reducing both anxiety and depression. These medications can take up to six weeks to take effect however they are extremely effective for the majority of people. These medications can cause sexual side effects for some people, but these are generally manageable. SSRIs along with SNRIs, increase levels of serotonin and norepinephrine, two important hormones and neurotransmitters that affect mood. They are often the first-line treatment options for most anxiety disorders. They can be used daily to treat symptoms or when required. Antidepressants may cause dry mouth, nausea and weight gain. They also increase the risk of suicidal thought therefore, you should limit your use to the time that is needed. Beta-blockers are also an option because they are typically used to treat heart problems. Propranolol, also known as Inderal is frequently prescribed for social anxiety disorder off-label. This medication is an excellent option to alleviate physical symptoms of anxiety, such as shaking and high blood pressure. It can also lower stress hormones, such as norepinephrine and adrenaline that are produced in the state of anxiety. Anticonvulsants such as gabapentin, pregabalin, and tiagabine exhibit GABAergic effects. These drugs are FDA approved for the treatment of neuropathic pain, and may also be effective as an antidepressant for certain people. TCAs are also tricyclic antidepressants, which increase levels of serotonin in the brain. They also inhibit the activity of monoamine oxidase which is responsible for breaking down these chemicals. They can also help reduce the effects of bipolar disorder. These medications can cause a number of side effects including dry mouth, and sedation. These medications can also increase the risk of arrhythmias and hypotension.