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Medications For Anxiety Disorder and Depression
Many people use medication to manage anxiety, but they're not the only solution. Psychotherapy and exercise can be effective treatments.
Certain antidepressants, such as SSRIs (citalopram, Lexapro, fluoxetine, Prozac, paroxetine, Zoloft) also treat anxiety. Other medications, like histamine blockers like Vistaril (hydroxyzine) may also offer relief.
Antidepressants
If you're diagnosed with depression, your doctor may prescribe medication as part of your treatment program. Antidepressants, one of the most commonly prescribed medications, come in many different kinds. The type your provider chooses is based on the severity of your symptoms as well as any other medical conditions you suffer from, as well as your the treatment goals.
Selective serotonin reuptake inhibitors (SSRIs) and serotonin-noradrenaline reuptake inhibitors (SNRIs) are among the most commonly prescribed antidepressants. These medications alter the way that brain nerve cells communicate. These drugs work by increasing the amount neurotransmitters in your brain which improves your mood and anxiety. It can take up to several weeks for antidepressants to start working, so be patient.
The benzodiazepines are an alternative your doctor may recommend to treat depression and anxiety. They are fast-acting medicines and can be utilized as a short-term remedy to alleviate the immediate symptoms of anxiety and depression. Examples of benzodiazepines are alprazolam and lorazepam. They inhibit the actions of noradrenaline and adrenaline, which are hormones that play a role in the body's fight or flee response.
Monoamine oxidase inhibiters are an older antidepressant type that can be effective for treating depression and anxiety. They're often reserved for people who aren't responding to other types of antidepressants, and they require dietary changes to avoid hypertensive reactions caused by interactions with amino acids tyramine.
If you're taking a prescription antidepressant, tell your doctor about all other medicines you're taking, such as supplements and vitamins. You might need to reduce your dosage if you're using other medicines that impact the way antidepressants function or if they trigger side effects. If you think you're having thoughts of suicide, seek assistance immediately from a medical professional.
There are many different signs for depression and anxiety or you may have comorbid depression and anxiety. People with comorbid anxiety and depression have a poorer medical prognosis as compared to those with only one disorder. Certain psychiatric medications have been found to be especially helpful in treating both disorders for people with comorbid anxiety and depression.
Benzodiazepines
Benzodiazepines are a great way to relieve anxiety symptoms, such as alprazolam, clonazepam, chlordiazepoxide, diazepam and lorazepam. These medications act on the central nervous system's benzodiazepine receptors which are proteins that consist of five transmembrane subunits which create a benzyl-chloride channel in the center. The benzodiazepine receptors also have an association site for the inhibitory neurotransmitter gamma-aminobutryic acid type A (GABA-A). The benzodiazepines function by increasing the GABA-A concentration, thus decreasing muscle activity and relaxing the muscles.
The Benzodiazepines are famous for their rapid onset, but also high risks of dependence and addiction. Antipsychotics and antidepressants along with anticonvulsants and buspirone have a slower time of action, however they are still better for long-term use because they do not produce dependence or tolerance.
Anxiety and depression are often comorbid, and antidepressants can help decrease depressive symptoms that are associated with anxiety. However, many people with depression experience a mixture of depressive and anxious symptoms and require the combination of medication and therapy to manage all their symptoms.
In these cases benzodiazepines are often used for a short time to control depression or anxiety symptoms while other medications work. Usually, these medications are only prescribed for several weeks at a time and are not taken daily. When taking benzodiazepines over a long period of time may cause withdrawal symptoms such as shaking and trouble sleeping and waking up, so these medications are only to be used according to the instructions of your doctor.
If you're considering taking benzodiazepines, tell your doctor about any past substance abuse or dependence issues, as well as any other mental health problems you have. Your doctor will be able to talk to you about the possible side effects, and recommend other drugs if required to treat depression.
Benzodiazepines can create serious and even life-threatening problems if you take too much or have not used them before. If you are breastfeeding, pregnant or have any history of liver disease, respiratory or digestive disorders your doctor may suggest lower doses or reduce the time you are treated with these medications. Alcohol can interact with benzodiazepines, and can increase the chance of developing side effects and dependence, therefore it is advised not to drink alcohol while you are taking them.
Beta-blockers
Beta-blockers can be utilized as a medication to control anxiety symptoms. They are a different kind of drug than the benzodiazepines such as Xanax and are able to block receptors that adrenaline bonds to. They also slow down brain and nervous system activity. They can be used in lieu of benzodiazepines which are more addictive and carry greater risk of dependence.
Beta blockers, that reduce blood pressure and slow the heart rate, are often prescribed to treat heart problems. They can also be beneficial for treating anxiety. They are not FDA-approved for treating anxiety disorder. They are frequently used "off label" to treat this condition and are a great option if other anti-anxiety medications do not provide relief or have intolerable side effects. They are particularly effective in cases of performance anxiety and social anxiety, where uncomfortable physical symptoms can be experienced in situations that cause anxiety.
They can be utilized in conjunction with other treatment modalities like CBT and SSRIs. They are especially effective as an addition therapy for those suffering from GAD. GAD is characterized by constant and frequent worry that interferes in daily activities. They can also help manage physical symptoms of anxiety such as a racing heart or increased sweating.
Although beta-blockers can assist in helping alleviate physical symptoms of anxiety, they do not solve the mental issues that cause the anxiety. They are best used to complement other treatments, like benzodiazepines or SSRIs. Before you begin taking beta-blockers it is important to talk with your doctor about your medical history and other health issues.
These drugs are associated with decreased psychiatric admissions and suicidal behaviors, however the outcomes can differ based on the specific psychiatric diagnoses and past psychiatric histories. In some patients, they could increase the risk of having cardiovascular events.
There are some natural products that have beta-blocker-like properties, however, they aren't as effective as prescription medications. These include antioxidants, garlic Saffron and potassium. The effectiveness of these natural products isn't fully understood. Some of these products may cause serious side-effects, so it is recommended to consult a doctor before taking these supplements.
Monoamine oxidase inhibitors
Monoamine oxidase inhibitors (MAOIs) are used to alter the way your brain functions. They inhibit the function of an enzyme known as monoamine oxidase. It breaks down the chemicals serotonin and norepinephrine that allow brain cells to communicate with each and each other. By blocking monoamine oxidase, MAOIs help to keep more of these chemical messengers in your brain, which improves your mood by enhancing brain cell communication.
These medications are also effective in treating anxiety disorders, specifically anxiety disorders like agoraphobia and mixed depression and anxiety states. They are not as effective for pure anxiety and might not help with panic attacks. The effectiveness of MAOIs has been linked to their ability to boost serotonin, dopamine and norepinephrine levels inside the brain. These neurotransmitters are produced naturally in the body, are released into bloodstreams where they travel to nerves cells and act as messengers.
Iproniazid was the very first antidepressant to be developed in 1950. It blocked monoamine oxidease. This led to other MAOIs like tranylcypromine isocarboxazid and fluoxetine, which are used to treat depression. MAOIs are usually prescribed after other types of antidepressants, such as tricyclic antidepressants or serotonin-norepinephrine reuptake inhibitors, have been tried without success. Because they can have interactions with food and drugs and can lead to a serious withdrawal syndrome if they are stopped suddenly, MAOIs are typically only used for patients who fail to respond to other treatments.
A newer version of MAOI, dubbed MAO-A, a selective and irreversible inhibitor, is being investigated for use in treating resistant depression. It is not recommended for use in bipolar disorder, as it can precipitate manic symptoms. Selegiline, a brand new MAOI (also called Zelapar or Eldepryl) has been researched to treat Parkinson's disease. It blocks monoamine oxidase however, it does not alter other enzymes which break down levodopa, the main treatment for Parkinson's. These medications can be used either alone or in conjunction with other antidepressants. In some patients, the MAOIs could trigger a reaction that causes increased neuromuscular excitability and hyperreflexia. This can manifest as muscle twitching or eyelid moving. These reactions are more prevalent when these medications are taken in conjunction with certain food items such as aged cheeses or cured meats.
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