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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 Antidepressants are the primary choice of medication for anxiety Newer medications such as mirtazapine and nefazodone with a lower risk of suicide and fewer adverse side effects are more palatable by patients than older antidepressants such as tCAs or monoamine oxidase inhibitors MAOIs The majority of people manage their anxiety symptoms with medications that reduce the signals of fear in the brain This includes SNRIs and SSRIs Benzodiazepines These drugs function by facilitating the binding of the inhibitory neurotransmitter GABA and a variety of receptors in the central nervous system They are considered to be a safer less toxic CNS depressant than their predecessors the barbiturates They are used to treat seizure disorders as anxiolytics and anticonvulsants They are usually prescribed in small doses and are less likely to cause anticholinergic toxicity or delirium than older medications However there are significant risks and side effects that should be evaluated before taking these medications For instance prolonged benzodiazepine use can impair memory or cause withdrawal symptoms This is particularly true when it is combined with other CNS depressants such as opioids or alcohol There are also those who find that it reduces the effectiveness of antidepressants Geriatrics and children should not take benzodiazepines They should also stay clear of them if they have medical conditions that are comorbid such as depression They are available in different potencies and formulations and they have distinct pharmacological characteristics They vary in how quickly they perform and how long they last as well as their negative effects The longeracting benzodiazepines like chlordiazepoxide Librium as well as clorazepate Tranxene Clobazam Onfi and diazepam Valium are prescribed to treat insomnia and anxiety and alprazolam Xanax Lorazepam Ativan and midazolam Versed are used to induce anesthesia as well as for seizures and other seizure disorders Constipation fatigue and blurred vision are the most frequently reported adverse effects of benzodiazepines There are also headaches nausea and weight loss These are minor side effects and typically disappear after a few weeks of use It is preferential to gradually taper off benzodiazepines than stop abruptly since they can cause withdrawal symptoms such as anxiety and insomnia Other medications that can treat anxiety disorders include SSRIs serotonin norepinephrine Reuptake inhibitors SNRIs antidepressants that are not typical such as mirtazapine and betablockers SSRIs SNRIs and betablockers work by increasing the levels norepinephrine and serotonin in your brain This can help reduce anxiety Atypical antidepressants increase these chemical levels through a variety of pathways and can treat mental illnesses such as depression Betablockers which are commonly heart medications can also be used in low doses to treat anxiety such as stage fright by blocking 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 serotoninnorepinephrine reuptake inhibitors SNRIs These medications increase levels of serotonin a neurotransmitter that plays a role in mood They also boost levels of norepinephrine a different neurotransmitter that affects mood The most popular SSRIs for anxiety are paroxetine Paxil and fluoxetine Prozac These SSRIs include citalopram and sertraline and nefazodone Other medications can ease anxietyrelated symptoms These include antihistamines eg hydroxyzine alpha and beta blockers eg propranolol propranolol and Clonidine and benzodiazepines Antihistamines are particularly helpful when you are experiencing panic attacks They can induce a feeling of drowsiness which can ease anxiety However they may cause adverse effects such as dry mouth constipation and sedation They can also have risks if taken while driving and you could develop a tolerance to the medication Benzodiazepines are sedatives that function by increasing the activity certain neurotransmitters that send signals between brain cells These drugs are prescribed to relax you and fall asleep They are intended for shortterm usage They can also be habitforming and should only be taken under a doctors supervision Tricyclic antidepressants which are older medications can also be effective in treating anxiety These medications work like SSRIs and boost the levels of serotonin norepinephrine and other chemicals within your body that affect mood They are usually started at a low dose and gradually increased Certain medicines may cause weight gain as well as dry mouth sedation and urinary tract issues as well as arrhythmias Monoamine oxidase inhibitors are the oldest antidepressants that have proven to be effective in treating anxiety However they are less common due to their adverse effects such as weight gain and dry mouth Monoamine oxidase inhibitors can 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 right medication for your anxiety It is also crucial to master techniques for managing stress Avoiding unhealthy food and exercise avoiding alcohol and tobacco and eliminating watching or reading news stories that could trigger anxiety are all essential steps Joining a support group for anxiety will help you meet people who have similar issues and will teach you strategies for coping Tricyclic antidepressants SSRIs and tricyclic antidepressants are among the drugs that are used to treat anxiety disorders Some of these medications increase the amount of certain brain chemicals such as serotonin and norepinephrine These medications can be taken on a regular basis or as needed Some medications take a couple of week to work but they can eliminate anxiety or make it more manageable They will not be effective in the event that you stop taking the medication SSRIs can be used to treat anxiety and prevent symptoms from returning These include citalopram and fluvoxamine escitalopram and sertraline SSRIs have few sideeffects and generally safe SSRIs may be combined with other treatments for anxiety such as psychotherapy or exercise Another type of medication that can be used to treat anxiety is beta blockers These drugs are primarily used to treat heart issues but they can also be helpful for people with anxiety and phobias They can reduce anxietyrelated symptoms by reducing blood pressure and reducing the heart rate The most frequently used beta blockers are propranolol and atenolol People who suffer from anxiety disorder or panic can benefit from sedatives taken when needed like lorazepam These medications can be taken before an event that is stressful and can quickly ease the symptoms of anxiety They can also be habitforming so it is important to only take them when necessary In general SSRIs or SNRIs can be used as firstline medication to treat anxiety They are welltolerated as well as safe and effective in controlled randomized studies It is important to consider the idiosyncratic characteristics of the drug as well as the comorbidities that patients may have A patient with a depression history might require an increased dose than a person without The most effective treatment for social phobia or performance anxiety is a monoamineoxidase inhibitor MAOI These medications increase the number of neurotransmitters that regulate mood and are often started at low doses and then slowly increased They can be used on their own or in combination with 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 medicine Monoamine oxidase inhibitors Many medications are prescribed to treat anxiety disorders and they are effective for a variety of people These include benzodiazepines antidepressants and anticonvulsants Benzodiazepines act as GABAA agonists and are useful in the short run to reduce anxiety symptoms They are also helpful in decreasing muscle spasms seizures and hypnotic state However benzodiazepines are not suitable for longterm use and could cause dependence Antidepressants can decrease depression and anxiety These drugs can take as long as six weeks before they begin to work however they are extremely effective for the majority of people These medications can trigger sexual side effects in a few individuals but these are usually manageable SSRIs and SNRIs boost levels of serotonin and norepinephrine two neurotransmitters and hormones that influence mood generalized anxiety disorder are typically the first line treatment for the majority of anxiety disorders They can be used on a daily basis to manage symptoms or be taken as needed Antidepressants may cause nausea dry mouth and weight increase They also increase the risk of suicidal ideation therefore you should only take them the time that is needed Another option is betablockers which are typically used to treat heart ailments Propranolol or Inderal is often prescribed to treat social anxiety disorders offlabel This medication is a fantastic choice for relieving physical symptoms of anxiety such as shaking or high blood pressure It can also help to reduce stress hormones such as norepinephrine and adrenaline which are produced during a high state of anxiety Anticonvulsants like gabapentin tiagabine and pregabalin have GABAergic properties These drugs have FDA approval for neuropathic pain and antidepressant pain Tricyclic antidepressants also known as TCAs are a different type of medication that increases levels of serotonin as well as norepinephrine in the brain They also reduce the activity of monoamine oxidese which is responsible for breaking these chemicals down They are able to reduce the symptoms of bipolar disorder and mania These medications can cause numerous side consequences such as dry mouth and sedation These medications can also increase the risk of arrhythmias and hypotension