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Anxiety Treatments Medication
If you are suffering from anxiety that is severe, it is important to seek help from a professional. Treatment options include lifestyle changes like reduction of stress and regular exercise. Your doctor might also suggest psychological therapy.
FDA approved several medications to treat anxiety disorders. These include SSRIs and SNRIs that affect the neurotransmitter serotonin. Anticonvulsants, like pregabalin, can also reduce anxiety by altering the GABA receptor.
Benzodiazepines
Benzodiazepines calm the nervous system by acting upon it. They work by increasing the effects of a neurotransmitter known as Gamma-aminobutyric Acid (GABA) in the brain. GABA reduces nerve activity in the brain and spinal cord, and aids in reducing anxiety.
Benzodiazepines can relieve anxiety symptoms quickly unlike antidepressants that can take weeks to work. These are highly-risk medications for abuse and dependency. This is due to the fact that the body adjusts to benzodiazepines through regular use, which can lead to physical dependence. Despite the risks, benzodiazepines are an effective treatment for anxiety, even when other options are not readily available or do not offer relief.
Although benzodiazepines are a potent treatment for anxiety, it is crucial to talk to your doctor prior to taking these medications. They will be able to assist you in determining the root of your anxiety, and also discuss other options that may be more appropriate. For instance therapy that involves talking, such as cognitive behavioural therapy (CBT) and exposure therapy can help you address the root of anxiety and help you develop how to manage your anxiety.
Benzodiazepines are not typically utilized as the first choice for treating anxiety disorders because they can cause serious adverse effects when used in conjunction with alcohol or other substances. They can also be addictive and they have a high chance of overdose. The first benzodiazepines - chlordiazepoxide (Librium, Limbitrol), were introduced in 1950, then followed by diazepam, (Valium), and lorazepam, (Ativan). All of these medications have a black box warning that states that they could cause serious or life-threatening side effects including extreme sleepiness, breathing issues or coma and even death when combined with opioids or illegal drugs.
SSRIs
SSRIs (selective serotonin reuptake inhibitors) are an antidepressant class, and they're the first choice for a lot of people suffering from anxiety. These meds boost levels of certain chemical messengers within the brain, including serotonin and norepinephrine. They also regulate other essential chemicals, like the ones that control mood and sleep, and reduce the levels of stress hormones within your body. Prozac is the most commonly prescribed SSRI. Other SSRIs are Lexapro Zoloft and Paxil. The SNRIs are Effexor XR Cymbalta and Pristiq.
Although experts aren't quite sure what SSRIs do to treat anxiety but they do know that these drugs enhance the way your brain functions. They boost BDNF (brain-derived Neurotrophic Factor) levels, increase the number of glial cells (brain cells that support, nourish and protect your neuronal cells), and increase serotonin levels. The precise mechanism of action isn't understood fully, but it may involve a combination of factors.
Similar to other types of medicines, SSRIs can take 1 month to start working and require frequent treatment to keep the benefits. They can cause negative effects like nausea and diarrhea. Some men might experience a decrease in libido and sodium levels. Your provider will decide the amount of time you'll need to use them, based on your symptoms and other treatments you're using. They might suggest that you take these medications for a period of six to 12 months or work with you to taper off and stop taking the medication. They may also suggest other treatments, including psychotherapy or herbs and supplements that treat anxiety-related symptoms like Vistaril for itching, or Chamomile for sleep.
Beta-blockers
Beta-blockers, also called beta-adrenergic blocking agents, prevent adrenaline from binding to your heart's receptors. This allows your heart to relax and decreases your blood pressure. They are prescribed for anxiety, and are an alternative to traditional medications for psychiatric disorders that can cause adverse effects.
Beta-blockers may reduce physical symptoms of anxiety but they don't tackle the psychological causes of stress. They are typically used to deal with certain situations that cause anxiety, such as public speaking or flying. They can be combined together with therapy to treat anxiety disorders or as a long-term daily medicine.
Beta blockers can cause a variety of side effects because of their way of working, such as bradycardia, hypotension, and other conditions. You may also feel shaky or sweaty. Some people with asthma, COPD (chronic obstructive pulmonary disease), or diabetes shouldn't be taking them.
Beta blockers are widely studied and used despite their negative effects. They've been in the market for a long time and are considered safe for adults. Comparatively, they are also relatively affordable and easily accessible. For many, the side effects are worth it for their effectiveness.
Beta-blockers as a part of an treatment plan for anxiety is a good idea for those with mild to moderate anxiety. They are more effective than benzodiazepines, which are more suitable for people with severe or life-threatening anxiety disorders. They will not fix the underlying problem, and are recommended to ease anxiety in the short term, like prior to an important event, such as an airplane flight or a speech. They can aid in sleeping better, and can help regulate your blood sugar.
Monoamine oxidase inhibitors
Monoamine oxide inhibitors (MAOIs) inhibit the enzyme that breaks down monoamine neurotransmitters. They enhance the availability of serotonin as well as other neurotransmitters such as the epinephrine and melatonin to transmit by blocking their breakdown in neurons. They are most commonly used as antidepressants, but they also show some effectiveness in anxiety disorders. They can be taken alone or together. They can also be utilized to treat Parkinson's disease and other ailments. Eugenol, an essential oil, is found in the buds leaves, stems, and leaves of clove (Syzygium Aromaticum) and the cinnamon bark. Eugenol has been found to inhibit MAOI in a test tube, and could interact with these drugs.
MAOIs can cause severe side effects and aren't usually the first medicine that doctors prescribe for depression or anxiety. They are typically prescribed for patients who have failed to respond to other treatments. They also help treat a variety of diseases, such as the fibromyalgia and Parkinson's diseases. They can lead to low blood pressure when standing from a sitting or lying in a sitting position, a condition known as orthostatic hypotension.
Typical MAOIs include phenelzine, isocarboxazid, and tranylcypromine. Phenelzine has only a few studies on panic disorder, and is the drug of choice for people suffering from atypical depression, while tranylcypromine has been recommended due to its favorable side effects. These drugs aren't as effective as SSRIs, but can be useful in treating certain kinds of depression and anxiety disorders.
The newer reversible MAOIs, such as selegiline and moclobemide, are less harmful than the irreversible MAOIs of the past. They are also more effective than older MAOIs in boosting the levels of monoamines implicated in depressive disorders. They are less likely than older MAOIs to trigger high blood pressure, but there is a risk of developing pharmacological dependency.
Buspirone
For patients with anxiety, a combination of medication and psychological therapies is usually the best treatment. The use of medications can ease symptoms but only when under the supervision of a medical professional. There are a variety of medications for anxiety, and they can be different for each individual. To determine the best medication for you, talk with your doctor and explain your symptoms.
Buspirone is an FDA-approved medication for anxiety that works by altering the neurotransmitters serotonin and dopamine. It reduces anxiety and mood symptoms without sedation. It is less likely to be habit-forming than other sedatives like benzodiazepines. This makes it a good option for those trying to control their anxiety but don't wish to take drugs such as Xanax.
SSRIs or SNRIs are typically the first choice for treatment for generalized anxiety disorder. These antidepressants are able to regulate mood and increase levels of serotonin. They are often prescribed in conjunction with other anxiety medications such as benzodiazepines. However, I Am Psychiatry are generally not prescribed for long periods because they are prone to becoming addicting and have adverse effects such as drowsiness.
Psychological treatments for GAD that include medication have proven to be effective on a short-term basis and can improve the outcome over time. These include cognitive-behavioural therapy (CBT) as well as art or creative therapy and exposure therapy. Psychological therapy can help people learn methods to manage their depression and anxiety which can help them manage symptoms and live a full life. Additionally that a lot of these treatments are now available online and may be covered by insurance. Brightside for instance, is an online therapy program that provides CBT and other treatments for depression and anxiety.
Read More: https://www.iampsychiatry.com/anxiety-treatment
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