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What Are the Best Medications For Anxiety Disorders? A three-prong approach is typically suggested for treating anxiety disorders which include exercise, psychotherapy and medication. The first choice for treating anxiety are antidepressants. Newer drugs with lower suicide risk and less abrasive adverse effects, such as mirtazapine and nefazodone are more well-tolerated than antidepressants that are older, such as tCAs and monoamine inhibitors of oxidase (MAOIs). Most people can manage their anxiety symptoms by taking medications to reduce the anxiety signals in the brain. These include SSRIs or SNRIs. Benzodiazepines These drugs act by facilitating the binding of the inhibitory neurotransmitter GABA to various receptors throughout the central nervous system. They are considered to be a safer and less harmful class of CNS depressants than their predecessors, the barbiturates. They are used to treat seizure disorders, as anticonvulsants and anxiolytics. They are prescribed in small doses, and are less likely than other drugs to cause anticholinergic toxicities, or delirium. However there are risks and adverse effects that need to be assessed before taking these drugs. For instance, long-term use of benzodiazepine may impair memory or trigger withdrawal symptoms. This is particularly true when it is combined with other CNS depressants, such as opioids or alcohol. Some people may also find that it diminishes the effectiveness of antidepressants. Children and geriatrics should not take benzodiazepines. They should also stay clear of them if they have medical comorbidities such as depression. They are available in various dosages and formulations, and they have distinct pharmacological characteristics. They differ in their effectiveness, duration, and side effects. The longer-acting benzodiazepines such as chlordiazepoxide and clorazepate, as well as and diazepam are typically used to treat insomnia, anxiety, and seizures. Constipation, fatigue and blurred vision are among the most common adverse effects of benzodiazepines. Certain people may also experience nausea, headaches, and weight loss. However, these side effects are generally minor and will disappear when you continue to use. Benzodiazepines should be tapered rather than abruptly stopped, as it can cause withdrawal symptoms such as anxiety, insomnia, and anxiety attacks. SSRIs (serotonin-norepinephrine reuptake inhibitors), SNRIs (serotonin-norepinephrine stimulators of reuptake), atypical antidepressants like beta blockers and mirtazapine are also effective in treating anxiety disorders. SSRIs and SNRIs work to increase the levels of serotonin as well as norepinephrine in your brain, which helps decrease anxiety. Atypical antidepressants use different pathways to increase the levels of these chemicals, and also treat other mental health issues like depression. Lastly, beta-blockers are traditionally heart medications, however they can be used at low doses to treat performance anxiety such as stage fright by reducing the adrenaline rush that causes shakes and rapid heart rate. SSRIs The most commonly prescribed drugs for anxiety disorders are selective serotonin reuptake inhibitors (SSRIs) and serotonin norepinephrine reuptake inhibitors (SNRIs). These medications increase levels of serotonin – an important neurotransmitter that affects mood. They also increase levels of norepinephrine, a different neurotransmitter which affects mood. The most well-known SSRIs for anxiety are paroxetine (Paxil) and fluoxetine (Prozac). SNRIs include citalopram (Celexa), sertraline (Zoloft) and nefazodone (Serzone). Other medications can help with anxiety-related symptoms. Antihistamines and beta-blockers, alpha and beta (e.g. propranolol, Clonidine) along with benzodiazepines and others are available. Antihistamines can be especially helpful when you are experiencing a panic attack. They can cause feeling of drowsiness, which can ease anxiety. However, they can cause side effects like constipation, dry mouth, and sedation. There are also risks when taken while driving and you can develop a tolerance to the drug. Benzodiazepines which are sedatives, work by increasing the activity of certain neurotransmitters that send signals between brain cells. These drugs can help you relax and sleep, but are typically prescribed for short-term usage. These medications can become addicting, so only use them under the supervision of a physician. Tricyclic antidepressants are also effective in treating anxiety. They function similarly to SSRIs and increase the levels of serotonin and norepinephrine in your body. They are typically taken at a low dose and gradually increased. Some of these medications can cause weight growth and sedation. They may cause dry mouth, urinary tract problems and arrhythmias. Monoamine oxidase inhibiters are older antidepressants which have shown to be effective at treating anxiety. However they are not as popular because of their side effects, including dry mouth and weight gain. Monoamine oxidase inhibitors may also interact negatively with certain medications and foods. They include SSRIs as well as some birth control pills. They can also be affected by allergy and cold medications, acetaminophen, as well as Ibuprofen. The right medication to manage anxiety can help you feel more at ease and in control of your life. Additionally, it is important to use stress management techniques. Avoiding unhealthy foods and exercise as well as avoiding tobacco and alcohol and avoiding watching or reading news stories that can cause anxiety are all essential steps. You can join a support group for anxiety to meet other people with similar issues and develop how to cope. Tricyclic antidepressants SSRIs and tricyclic antidepressants are among the drugs that can be used to treat anxiety disorders. Some of these drugs boost the levels of certain brain chemicals such as serotonin or norepinephrine. These drugs can be taken regularly or as needed. Certain drugs require a few weeks to start working, but they can eliminate anxiety or make it easier to manage. They will not work if you stop taking the medication. SSRIs are a popular choice for treating anxiety and they can also be used to assist in preventing symptoms from coming back. They include citalopram, fluvoxamine, escitalopram and sertraline. SSRIs are generally safe and have a few negative effects. SSRIs can be combined with other treatments for anxiety, including psychotherapy or exercise. generalized anxiety disorder are another type of medication which can be used for anxiety. These drugs are primarily used to treat heart issues, but can be helpful for people suffering from anxiety and fears. They reduce anxiety symptoms by cutting blood pressure and reducing the heart rate. The most commonly used beta blockers are propranolol and atenolol. People with anxiety disorder or panic are able to benefit from sedatives when needed, like lorazepam. These drugs can be used before a stressful event and work quickly to calm anxiety symptoms. They can become habit-forming, therefore it is essential to only take them when necessary. In general, SSRIs or SNRIs can be utilized as first-line medication to treat anxiety. They are safe, well-tolerated, and have good efficacy in controlled, randomized trials. It is important to consider the unique characteristics of the drug as well as co-morbidities among patients. For instance, a person with an underlying depression history may require more medication than someone who does not have. Monoamineamine Oxygenase (MAOI) is the most effective treatment of anxiety about performance or social. These drugs increase the number of neurotransmitters that control mood, and are typically first administered at low doses and gradually increased. They can be taken on their own or in conjunction with a benzodiazepine. Many medications, such as SSRIs, certain birth control pills, acetaminophen and Ibuprofen, cold or allergy medications, as well as herbal supplements, can interact with MAOIs, so it is essential to discuss your treatment options with your physician. Monoamine oxidase inhibitors Many medications are prescribed to treat anxiety disorders, and they work well for many people. These include benzodiazepines, anticonvulsants and antidepressants. Benzodiazepines are GABA-A agonists and can be beneficial in the short run to ease anxiety symptoms. They are also used to treat seizures, muscle spasms, and hypnotic symptoms. However, benzodiazepines are not suitable for long-term use, and could cause dependence. Antidepressants, on the other hand can aid in reducing depression and anxiety. These medications can take up to six weeks to begin working, but they are very efficient for the majority of people. Certain people may experience sexual side effects with these medications, however they are generally manageable. SSRIs along with SNRIs, raise levels of norepinephrine and serotonin two of the most important neurotransmitters and hormones that affect mood. They are often the first-line treatment for many anxiety disorders. They can be taken daily to manage symptoms or as needed. Antidepressants can cause a myriad of adverse reactions, including nausea, dry mouth and weight increase. They can also increase the likelihood of having suicidal thoughts so they should only be used as long as necessary. Another option is beta blockers, which are commonly used to treat heart problems. Propranolol, or Inderal is frequently prescribed to treat social anxiety disorders off-label. This medication is a great choice for relieving physical symptoms of anxiety, such as shaking or high blood pressure. It can also lower stress hormones like norepinephrine and adrenaline that are present in a state of anxiety. Anticonvulsants, such as gabapentin pregabalin and tiagabine possess GABAergic effects. These medications have FDA approval for neuropathic and antidepressant pain. TCAs are also tricyclic antidepressants that boost the levels of serotonin within the brain. They also decrease the activity of monoamine oxidese, responsible for breaking down these chemicals. They can also be used to reduce the effects of mania and bipolar disorder. These drugs can have numerous side effects, including weight gain, dryness of the mouth and sedation. These drugs can also increase the risk of hypotension and arrhythmias.