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What Are the Best Medications For Anxiety Disorders? panic anxiety disorder -prong approach is often recommended for treating anxiety disorders: psychotherapy, exercise and medication. The first-choice medications for anxiety are antidepressants. Newer medications, such as nefazodone or mirtazapine which have a lower chance of suicide and fewer adverse side effects are more palatable by patients than antidepressants that are older, such as tCAs or monoamine oxidase inhibitors (MAOIs). Most people can manage their anxiety by taking medications that reduce the brain's fear signals. These include SNRIs and SSRIs. Benzodiazepines These drugs work by facilitating the binding of the inhibitory neurotransmitter GABA to various receptors throughout the central nervous system. They are regarded as a safer and less toxic category of CNS depressants than their predecessors barbiturates. They are used as anxiolytics (anxiety medications) and in conjunction with hypnotics (sleep medicines) and anticonvulsants for treating seizure disorders. They are usually prescribed in small doses and are less likely to cause delirium or anticholinergic toxicities as older drugs. However there are dangers and side effects that need to be assessed before taking them. For instance, the long-term use of benzodiazepines may impair memory and trigger withdrawal symptoms, particularly when the drug is taken in conjunction alongside other CNS depressants like opioids or alcohol. It may also decrease the effectiveness of antidepressants in certain people. Children and geriatrics should not take benzodiazepines. They should not take them if they have medical conditions that are comorbid, such as depression. They are available in various dosages and formulations, and they have distinct pharmacological characteristics. They vary in how quickly they perform, how long they last, as well as their side effects. The benzodiazepines that have a longer acting effect, such as chlordiazepoxide, clorazepate, clobazam diazepam, and clobazam are commonly used to treat insomnia, anxiety, and seizures. Constipation, fatigue and blurred vision are among the most frequently reported side effects of benzodiazepines. Some people may also experience nausea, headaches, and weight loss. However, these effects are generally minor and go away when you continue to use. It is preferential to gradually taper off benzodiazepines than stop them abruptly, as they can cause withdrawal symptoms such as irritability and difficulty sleeping. Other medications that treat anxiety disorders include SSRIs, serotonin-norepinephrine reuptake inhibitors; SNRIs; Atypical antidepressants like mirtazapine and beta-blockers. SSRIs and SNRIs work to increase the levels of serotonin as well as norepinephrine in your brain, which helps reduce anxiety. Atypical antidepressants work through different pathways to increase these chemicals, and can also treat other mental health issues such as depression. Beta-blockers, commonly heart medications, can also be used in low doses to treat anxiety, such as stage fright, by reducing the adrenaline rush, which causes shaking and rapid heartbeat. SSRIs The most popular medications used to treat anxiety disorders are selective serotonin reuptake inhibits (SSRIs) and serotonin-norepinephrine-reuptake inhibitions (SNRIs). These medications increase levels of serotonin, a neurotransmitter which plays a role in mood. They also increase levels of norepinephrine, a different neurotransmitter that affects mood. The most popular SSRIs for anxiety include paroxetine (Paxil) and fluoxetine (Prozac). The SNRIs include citalopram (Celexa), sertraline (Zoloft) and nefazodone (Serzone). There are other medications that can ease anxiety symptoms. These include antihistamines (e.g. the hydroxyzine) as well as beta and alpha blockers (e.g. propranolol and clonidine), and benzodiazepines. Antihistamines are particularly helpful when you're experiencing anxiety attacks. They can trigger a feeling of drowsiness, which can ease anxiety. However, they can cause side effects like constipation, dry mouth, and sedation. You can also be at risk if you take them while driving. Benzodiazepines are sedatives that function by increasing the activity certain neurotransmitters that send signals between brain cells. These medications are prescribed to relax you and fall asleep. They are only intended for short-term usage. These drugs can be addictive, so you should only take them under the supervision of a doctor. Tricyclic antidepressants also work in treating anxiety. These medications act similar to SSRIs by increasing the levels of serotonin as well as norepinephrine levels in your body. The majority of these medicines are started at a small dose and increased gradually. Certain medications may cause weight growth and sedation. They can cause dry mouth, urinary tract issues, and arrhythmias. Monoamine oxidase inhibitors are also older antidepressants that have been proven to be effective in treating anxiety but they aren't widely utilized due to the risk of adverse effects like weight gain, dry mouth and sedation. Monoamine oxidase inhibitors may also interact with some foods and medications, such as SSRIs, some birth control pills, cold and allergy medicine, and acetaminophen and ibuprofen. You will feel more comfortable and in charge of your life by taking the best medication for your anxiety. It is also important to learn stress management techniques. The most important steps are abstaining from unhealthy food and exercise, avoiding tobacco and alcohol, and removing news stories or readings that may cause anxiety. You can join a support group for anxiety to meet others who suffer from similar issues and develop strategies for dealing with anxiety. Tricyclic antidepressants A variety of medications can be used to treat anxiety disorders, including benzodiazepines and SSRIs as well as tricyclic antidepressants. Some of these drugs increase the levels of certain brain chemicals like serotonin and norepinephrine. These medications can be taken on a regular basis or as needed. Some medications take a couple of weeks to start working, but they can eliminate anxiety or make it more manageable. They will not work when you stop taking the medication. SSRIs are a well-known option to treat anxiety, and can also be used to aid in preventing the symptoms from coming back. These include citalopram, escitalopram, fluvoxamine and sertraline. SSRIs have minimal side-effects and generally safe. SSRIs can be combined with other treatments for anxiety, such psychotherapy or exercise. Beta blockers are another type of medication which can be used to treat anxiety. These drugs are primarily used to treat heart issues but they can also be helpful for people with anxiety and phobias. They help reduce anxiety symptoms by decreasing blood pressure and slowing down the heart rate. Propranolol, and atenolol are the most commonly prescribed beta blockers. People suffering from anxiety disorders or panic may benefit from sedatives when needed, like lorazepam. These drugs can be taken before an event that is stressful and help to reduce the symptoms of anxiety. These medications can be habit-forming, so only use them as needed. In general, SSRIs and SNRIs are often used as the first line of treatment for anxiety. They are safe, well-tolerated, and are effective in controlled, randomized trials. It is crucial to take into consideration the peculiar characteristics of the medication and co-morbidities among patients. Patients with a depression history may require more medication than someone without. The most effective treatment for performance anxiety or social phobia is a monoamine oxidase inhibitor (MAOI). These medications increase the number of neurotransmitters that regulate mood and are typically first administered at low doses and then slowly increased. They can be used as a single or in combination with an combination of benzodiazepine. Many medications, such as SSRIs, birth control pills, acetaminophen and Ibuprofen, cold and allergy medicines, and herbal supplements, may interact with MAOIs Therefore, it is crucial to discuss your medication options with your physician. Monoamine oxidase inhibitors Many medications are prescribed to treat anxiety disorders, and they are effective for a variety of people. These include benzodiazepines and anticonvulsants and antidepressants. The benzodiazepines are GABA receptor agonists that are used to relieve anxiety symptoms in the short-term. They also assist in decreasing muscle spasms, seizures and hypnotic states. They can be addictive and should not be used for long-term usage. Antidepressants, on the other hand, can help to reduce both anxiety and depression. These medications can take anywhere from four to six weeks to begin working however they are efficient for the majority of people. Certain people may suffer sexual side effects when using these drugs, but they are generally manageable. SSRIs and SNRIs boost levels of serotonin and norepinephrine. These are two neurotransmitters and hormones that affect mood. They are often the first-line treatments for most anxiety disorders. They can be used regularly to control symptoms, or be used as needed. Antidepressants can trigger a range of side effects, including dry mouth, nausea and weight gain. They also increase the likelihood of having suicidal thoughts so they should only be used for as long as is necessary. Another option is beta-blockers which are traditionally used to treat heart conditions. Propranolol, also known as Inderal, is often prescribed for social anxiety disorder off-label. This medication is a great choice to ease the physical symptoms of anxiety, like shaking and high blood pressure. It also helps to lower stress hormones, such as norepinephrine and adrenaline, which are present in a anxiety state. Anticonvulsants, like pregabalin, gabapentin and tiagabine are a class of drugs that have GABAergic properties. These medications are approved by the FDA approval for neuropathic and antidepressant pain. Tricyclic antidepressants (TCAs) are a different medication that boosts levels of serotonin as well as norepinephrine in the brain. They also inhibit the activity of monoamine oxide which is responsible for breaking down these chemicals. They are also able to reduce the effects of mania and bipolar disorder. These drugs can have several adverse effects including weight gain, dry mouth, and sedation. These drugs can also increase the risk of hypotension and arrhythmias.