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Anxiety Treatments Medication If you suffer from severe anxiety It is crucial to seek professional help. Treatment options include lifestyle changes like reduction of stress and regular physical activity. Your doctor might recommend psychological therapy. The FDA has approved a variety of medications for anxiety disorders, including SSRIs and SNRIs, which affect serotonin, a neurotransmitter. Anticonvulsants such as pregabalin can help reduce anxiety by affecting GABA receptors. Benzodiazepines Benzodiazepines are a class of drugs that act on the nervous system to create a calming effect. They work by increasing effects of a neurotransmitter in the brain known as gamma aminobutyric acids (GABA). GABA blocks the function of nerves in the spinal cord and brain, and therefore helps to reduce anxiety. Benzodiazepines can ease anxiety symptoms almost instantly unlike antidepressants, which can take a long time to work. However, benzodiazepines come with high risks of dependence and abuse. The body gets used to benzodiazepines once they are used regularly. This could cause physical dependence. Despite the dangers, benzodiazepines can be a successful treatment for anxiety when other methods are not readily available or do not offer relief. It is important to consult your physician prior to taking benzodiazepines. They can help you identify the root of your anxiety, and also discuss other options that may be more appropriate. For example the use of talking therapies like cognitive behavioural therapy (CBT) and exposure therapy can help to address the root cause of anxiety and teach you how to manage your anxiety. Benzodiazepines do not usually come first in the treatment of anxiety disorders as they can cause dangerous effects when used in conjunction with other drugs or alcohol. They can also be addictive, and carry a high risk of overdose. The first benzodiazepines were introduced in the 1950s, starting with chlordiazepoxide (Librium, Limbitrol) followed by diazepam (Valium) and lorazepam (Ativan). All of these drugs carry a black-box warning that warns they can cause serious side effects, including severe sleepiness and breathing problems. SSRIs SSRIs (selective serotonin reuptake inhibitors) are an antidepressant class and are the first choice for many people with anxiety. These drugs increase the levels of certain chemical messengers, namely serotonin (and norepinephrine) in the brain. They also regulate other crucial chemicals, such as those that control mood and sleep and decrease stress hormones within the body. Prozac is the most frequently prescribed SSRI. Other SSRIs are Lexapro Zoloft and Paxil. The SNRIs are Effexor XR Cymbalta and Pristiq. Experts aren't certain exactly how SSRIs can help with anxiety, however they do know that the meds help improve the functioning of your brain. They improve the function of glial cells (these are the brain cells that help, nourish, insulate and protect your neurons), increase BDNF levels (brain-derived neurotrophic factor) and boost levels of serotonin itself. It's not clear what the exact mechanism of these supplements is however, it could be a combination of factors. SSRIs, like other types of medication, can take up to a month to begin working. They require regular treatment to maintain their benefits. They can trigger adverse effects, such as diarrhea and nausea. Some men may experience a decrease in libido or sodium levels. Your doctor will determine the duration of time that you should be taking them based on your symptoms as well as any other treatments you are using. They might recommend that you take them for six to twelve months or work with you to reduce or stop the medication. They might also suggest alternative treatments such as psychotherapy, herbal remedies and supplements to combat anxiety-related symptoms. For instance, Vistaril can be used for itching, or chamomile for sleep. Beta-blockers Beta-blockers (also known as beta-adrenergic blockers) prevent adrenaline from binding to the heart's receptors. This relaxes your heart and lowers blood pressure. They are prescribed for anxiety, and are an alternative to conventional psychotropic drugs that can have adverse effects. While beta-blockers may help to reduce physical symptoms of anxiety, they don't address the underlying mental causes of your anxiety. They are generally employed to control specific situations that can trigger anxiety, such as public speaking or flying. They can be utilized in conjunction in conjunction with therapy to treat anxiety disorders or as a long-term daily medicine. treatments for anxiety disorders can cause a range of adverse effects due to their method of working, such as hypotension, bradycardia, and other conditions. You might also feel shaky or sweaty. Certain people suffering from COPD (chronic obstruction of the lung) or diabetes should not use them. Despite their side effects, beta blockers are still widely used and researched. They've been available since decades and are generally considered safe for adults. Comparatively, they are also relatively affordable and easily accessible. For many, the adverse effects are worth it for their effectiveness. Beta-blockers are an excellent alternative for people with moderate to mild anxiety. They are more effective than benzodiazepines, which are ideal for people with severe or life-threatening anxiety disorders. They can't address the root of your problem, and are recommended for short-term anxiety such as before an important event like an airplane flight or a speech. In addition to decreasing anxiety, they can help you sleep better and regulate your blood sugar. Monoamine oxidase inhibitors Monoamine oxidase inhibitors (MAOIs), block the enzyme responsible for breaking down monoamine neurotransmitters. They prevent the breakdown of serotonin Melatonin, epinephrine, as well as norepinephrine within neurons and increase their ability to transmit. They are mostly employed as antidepressants, however they also show some effectiveness in anxiety disorders. They can be taken alone or in combination. They are also used to treat Parkinson's disease as well as various other ailments. Eugenol is an essential oil found in the bud, leaf, and stem of clove (Syzygium aromaticum) and in the bark of cinnamon (Cinnamomum verum). Eugenol has been found to inhibit MAOI in a test tube, and could interact with these drugs. MAOIs can cause serious side effects, so they aren't the first medications that doctors recommend for depression or anxiety. They are usually reserved for those who haven't been able to respond to other medications. They can also be used to manage a variety of other diseases, such as Parkinson's disease and fibromyalgia. They can cause low pressure when you get up from a sitting or lying position. This is known as orthostatic hypertension. Typical MAOIs include phenelzine, tranylcypromine, and isocarboxazid. Phenelzine has been studied in a small way in panic disorder, and is the drug of choice for atypical depression, whereas tranylcypromine has been praised for its positive side effects. These medications aren't as effective as SSRIs however they can be useful in treating certain kinds of anxiety and depression. The more recent reversible MAOIs that are reversible like selegiline and moclobemide are more secure than the older irreversible MAOIs. They are more effective in increasing the levels of monoamines involved in depression disorders than older MAOIs. They are less likely than older MAOIs to trigger high blood pressure, but there is a risk of developing a pharmacological dependence. Buspirone For patients with anxiety using a combination of medications and psychological therapy is typically the most effective treatment. The use of medication can help ease symptoms, but only with the guidance of a doctor. There are a variety of medications that can be used to combat anxiety. They may be different for each person. Discuss with your doctor about your symptoms and he'll prescribe the right medication for you. Buspirone is an FDA-approved medication for anxiety that works by regulating the neurotransmitters dopamine and serotonin. This helps reduce mood and anxiety symptoms, but it doesn't cause sedation or impair cognitive functioning. It's also less likely to become more habit-forming than other sedatives such as benzodiazepines. This makes it a good choice for people who want to control their anxiety but don't wish to use a drug like Xanax. SSRIs and SNRIs are usually the first treatment option for people suffering from generalized anxiety disorder (GAD). They are antidepressants that boost the levels of serotonin and can help regulate mood. They are usually used in conjunction with other anxiety medications like benzodiazepines. However, they are typically not prescribed for prolonged periods because they are prone to becoming addictive and can have side effects such as drowsiness. In addition to medication, psychological treatments for GAD have been shown to be efficient in the short-term and can improve outcomes over time. These include cognitive behavioural therapy (CBT) exposure therapy, as well as creative or artistic therapies. Psychological therapy can teach people techniques to better control their depression and anxiety, which can help them manage symptoms and live a fuller life. In addition, many of these treatments are available online and may be covered by insurance. Brightside for instance, is an online therapy program that provides CBT, as well as other treatments for depression and anxiety.