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Types of Anxiety Disorder Medication Medications can be a valuable tool for managing anxiety symptoms Psychiatrists are educated in the prescription and use of medications They can prescribe the right medication to minimize side effects Typical anxiety disorder treatment is threepronged and consists of psychotherapy exercise and medication SSRIs are the firstchoice medications to treat anxiety but they can take several weeks for them to be effective SSRIs SSRIs are the drugs of choice for the majority of anxiety disorders The newer SSRIs are less likely to trigger adverse effects than older tricyclics and monoamine oxide inhibitors MAOIs or tricyclic antidepressants There are a variety of SSRIs are FDAapproved to treat generalized anxiety disorder These include fluoxetine aka Prozac paroxetine aka Paxil sertraline aka Zoloft and citalopram aka Celexa These drugs increase serotonin levels in the brain They can aid in increasing norepinephrine levels and BDNF They can be used in conjunction with psychotherapy or by themselves SSRIs can have negative effects such as nausea and digestive issues however they tend to improve as the body gets used to the medication The exact mechanism of SSRIs action on anxiety isnt well known It is believed that SSRIs block serotonin reuptake by postsynaptic neuron and increase the concentration serotonin within the synaptic gaps This increases the amount of signaling across the synapse and it also reduces anxiety symptoms SSRIs can help reduce anxiety and the intensity of panic attacks They can also be employed to treat depression and other mental illnesses which are often linked to anxiety disorders They can be combined with cognitive behavior therapy or psychotherapy to increase their effectiveness SSRIs arent addictive unlike some other antidepressants It is nevertheless crucial to follow the doctors instructions If you suddenly stop taking your medication it may result in discontinuation syndrome and anxiety symptoms to come back If SSRIs are not suitable for your needs your doctor may consider a different type of antidepressants like mirtazapine or nefazodone These medications are also efficient but they carry a higher risk of side effects than the newer SSRIs SSRIs can interact with certain foods including eggs red meat dairy certain vegetables and fruits It is best to avoid these foods if youre taking these medications In addition it is generally advised that you avoid drinking alcohol when taking SSRIs as it may make it more difficult to deal with certain side effects Benzodiazepines Benzodiazepines increase the calming effect of certain chemicals in the nervous system and brain They enhance the effects of a neurotransmitter called gammaaminobutyric acid GABA which inhibits the nerves activity These medications can be very effective in treating insomnia anxiety and other psychological disorders They can be addictive and should only be used for a short time under medical supervision They can be harmful when used in a recreational manner or when mixed with alcohol and other substances If someone suffers from anxiety disorders they often look to medication as the first choice However this is not the only option Talk therapy or psychotherapy has also been proven to be an effective way to reduce anxiety disorder symptoms There are many different psychotherapies but cognitive behavioral therapy CBT is the most wellknown and effective This kind of therapy helps you to alter your thinking and behavior in order to are less stressed The most popular benzodiazepines include alprazolam Xanax and chlordiazepoxide Librium diazepam Valium clorazepate Tranxene as well as the lorazepam Ativan and quazepam Dalmane Each has a unique set of adverse effects although they all share similar pharmacological properties Clorazepate for instance is more effective in treating seizure disorders than other benzodiazepines Lorazepam on contrary is more effective in treating anxiety disorders when compared to the quazepam Although benzodiazepines can be very efficient they arent advised for longterm use due to the fact that they can cause physical dependence and tolerance In addition they may lead to withdrawal symptoms if you stop taking them suddenly for a short period of time such as sweating a pounding heart and shaking Symptoms can be very unpleasant and can last for a long time however they can be slowed down by slowly tapering off the medication Benzodiazepines can be very addictive and should be taken only for a short time usually not more than 4 weeks You must monitor your heart rate blood pressure and breathing throughout this time so that you dont have a severe reaction If youre considering getting a prescription for benzodiazepine consult your physician about your past history of using substances Betablockers Betablockers are a kind of medication that can help to alleviate anxiety symptoms They block adrenaline from binding to beta receptors in your nervous system which stops the hormone from triggering physical responses like heart palpitations and tremors These medications are typically used to treat high blood pressure and other cardiovascular issues but they can also be prescribed for offlabel use for anxietyrelated disorders If you are stressed your body releases a chemical called Adrenaline This chemical signals your body to prepare itself to fight or flee Adrenaline binds beta receptors in the brain and the heart causing your heart to beat faster and causing other physical reactions Betablockers are a class of medication that treat hypertension and other heart conditions They block adrenalines binding This can help lower your heart rate and blood pressure Betablockers can be used quickly in contrast to SSRIs or benzodiazepines which take weeks or even months to show improvement in symptoms This makes them a good option for people who need immediate relief from their anxiety symptoms for instance those who need to deliver an address in public or fly on planes In addition they are an excellent choice for those who suffer from anxiety and a chronic heart condition like atherosclerosis or congestive cardiac failure Betablockers can help reduce physical symptoms of anxiety but they dont address the underlying causes Therefore they are usually only prescribed as part of a larger treatment plan that includes counseling and lifestyle changes However they are a useful option for people who have tried other antianxiety drugs and do not find them to be effective or cause uncontrollable side effects There are a variety of different kinds of betablockers such as propranolol and atenolol Your doctor will decide which betablocker is right for you according to your medical background and current health status These medications can cause side effects such as fatigue or low blood pressure It is important to discuss your options with your physician MAOIs Monoamine oxide inhibitors MAOIs which were first created in the 1950s as an antidepressant have proven to be effective for certain depression and anxiety disorders They arent as widely utilized as SSRIs or other antidepressants due the strict dietary restrictions required as well as the risk of drug interactions Some MAOIs are taken orally in tablet form while others such as Emsam come in the form of a transdermal patch applied to the skin every day MAOIs block the action of MAO and increase the amount of norepinephrine and serotonin in the brain These neurotransmitters play an important role in sleep mood and appetite as also in sexual function MAOIs can reduce anxiety However they are more likely to trigger side effects than TCAs and SSRIs and are accompanied by warnings in boxes for suicide In addition to the MAOIs listed below your doctor might prescribe other treatments or medications to help manage your symptoms A betablocker such as propranolol is frequently prescribed to alleviate the physical symptoms of anxiety Your doctor may also recommend a relaxation technique or other home remedies to ease your symptoms The original MAOI Iproniazid was discovered during tuberculosis research in 1952 It was soon discovered to be a moodenhancing drug and is considered the original antidepressant drug Typically MAOIs are employed when other antidepressants fail to perform as they could cause serious adverse reactions that require immediate medical attention If you take an MAOI and consume foods that contain Tyramine a chemical found in many red meats cheeses fish shellfish and some nutritional supplements it could trigger an adverse reaction that can result in high blood pressure The symptoms of this reaction include a throbbing headache nausea vomiting and a rapid heart rate MAOIs may also interact with other medications and cause severe side effects such as suicidal thoughts and behavior Before prescribing MAOIs your doctor will discuss with you the foods you need to avoid The doctor will advise you to avoid eating food items that contain tyramine when you are taking the medication They will also provide a list of foods that are safe to eat when taking MAOIs This food guide will help you avoid MAOIrelated symptoms

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