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https://www.iampsychiatry.com/anxiety-disorders

Medications For Anxiety Disorder and Depression The use of medication can help a lot of people manage anxiety but they arent the only option Psychotherapy and exercise can be effective treatments Certain antidepressants can treat anxiety as well such as SSRIs such as citalopram Celexa and escitalopram Lexapro and the fluoxetine Prozac and paroxetine Paxil and sertraline Zoloft Others like histamine blockers such Vistaril hydroxyzine can offer relief Antidepressants If youve been diagnosed with depression your doctor may prescribe medication as part of your treatment plan Antidepressants are among the most commonly prescribed drugs come in many different kinds The type of medication your doctor prescribes will depend on the severity of your symptoms any other medical conditions you suffer from as well as your the goals of your treatment Selective serotonin reuptake inhibitors SSRIs and serotoninnoradrenaline reuptake inhibitors SNRIs are among the most commonly prescribed antidepressants These medications alter the way that your brains nerve cells communicate They do this by increasing the levels of certain neurotransmitters which improves mood and anxiety Antidepressants can take several weeks to show results so be patient and stick with your regimen Benzodiazepines are a different option that your doctor may recommend to treat depression and anxiety They are fastacting medicines and they can be employed as a temporary solution to alleviate the immediate symptoms of anxiety and depression Examples of benzodiazepines are alprazolam and lorazepam They inhibit the actions of adrenaline and noradrenaline which are hormones that play a role in the bodys fight or flight response Monoamine oxidase inhibitors are an antidepressant of a different type that can be effective for treating anxiety and depression Theyre typically reserved for people who arent responding to other types of antidepressants They require changes in diet to prevent hypertensive reactions triggered by interactions with amino acids tyramine If youre taking a prescription antidepressant tell your doctor about the other medications youre taking including vitamins and supplements You may have to decrease the dosage if you are taking other medications that are affecting how well antidepressants function or if they cause adverse effects If you suspect youre having thoughts of suicide seek assistance right away from a medical professional You might have different symptoms of depression and anxiety or you could have a combination of depression and anxiety People who have comorbid depression and anxiety suffer from a worse medical prognosis than those who have only one disorder Certain psychiatric drugs have been proven to be particularly effective in treating both disorders in people who suffer from comorbid depression and anxiety Benzodiazepines Anxiety symptoms can be relieved through benzodiazepines These include alprazolam Xanax and the clonazepam Klonopin as well as chlordiazepoxide Librium diazepam Valium and lorazepam Ativan These medications work on the benzodiazepine receptors of the central nervous system that are transmembrane protein molecules that make up an benzylchloride channel in the central The benzodiazepine receptors also possess an affinity site for the inhibitory neurotransmitter gammaaminobutryic acid type A GABAA The benzodiazepines decrease nerve activity by increasing the levels of GABAA The Benzodiazepines are famous for their rapid onset but also for their high risk of dependence and addiction Antipsychotics and antidepressants along with anticonvulsants and buspirone have a slower onset of action however they are still beneficial for longterm use because they do not produce dependence or tolerance Depression and anxiety disorders are often cooccurring antidepressants can help decrease depression symptoms that are associated with anxiety However many people suffering from depression experience a mixture of both anxious and depressive symptoms and will require a combination of medication and therapy to manage all their symptoms In these instances benzodiazepines can be utilized for brief intervals of time to control depression and anxiety symptoms until another medication takes effect Typically these drugs are only prescribed for several weeks at a stretch and are not taken daily These medications should not be used for extended durations as they may trigger withdrawal symptoms such as shaking or trouble sleeping If youre thinking of taking benzodiazepines in the future inform your doctor about any past dependency or substance abuse issues as well as any other mental health issues you suffer from Your doctor can inform you about possible side effects and can suggest alternative drugs if required to treat depression If youve never used benzodiazepines in the past or use them frequently they can lead to serious and sometimes fatal side effects If you are breastfeeding pregnant or have any history of liver disease respiratory or digestive disorders your doctor may require lower doses or limit the duration of your treatment with these drugs Alcohol can interact negatively with benzodiazepines thereby increasing the chance of adverse effects and dependence It is recommended to avoid drinking alcohol while taking these drugs Betablockers Betablockers are a medication that can aid in the control of anxiety symptoms They are a different type of drug than the benzodiazepines like Xanax and block receptors that adrenaline binds They also slow 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 which lower blood pressure and slow heart rate are commonly prescribed to treat heart problems They are also beneficial in treating anxiety However theyre not specifically FDAapproved for the treatment of anxiety disorders These medications are used offlabel to treat anxiety disorders They are a great alternative if other antianxiety drugs do not work or cause unacceptable adverse side effects They are especially effective in situations of performance anxiety and social anxiety where physical symptoms may occur during events that trigger anxiety They can also be utilized in conjunction with other treatment methods such as CBT or SSRIs They are especially effective as an addon treatment for people suffering from GAD which is characterized by frequent and persistent worry that can interfere with daily activities They can also help manage physical symptoms of anxiety such as a racing heart or increased sweating Betablockers can help ease anxietyrelated physical symptoms but they do not address underlying mental issues that contribute to the condition They are designed to complement other treatments like benzodiazepines and SSRIs Before taking betablockers it is important to discuss with your doctor your medical history as well as any other health issues These drugs are associated with lower psychiatric admissions as well as suicidal behavior but the outcomes can differ based on the specific psychiatric diagnoses and previous psychiatric histories In some patients they can increase the risk of heart attacks Some natural ingredients contain similar properties to betablockers but are not as efficient These include antioxidants as well as saffron garlic and potassium These natural supplements are not completely understood Certain of these products could cause serious adverse side effects so it is best to consult a doctor before taking them Monoamine oxidase inhibitors MAOIs affect the way your brain works They block the activity of an enzyme called monoamine oxidase This enzyme breaks down the chemicals serotonin and norepinephrine which allow brain cells to communicate with one other By blocking monoamine oxidase MAOIs ensure that you have more chemical messengers in your brain which boosts your mood by enhancing brain cell communication These medications are also effective in treating anxiety disorders This includes agoraphobia as well as mixed depression and anxiety states They are not as effective for pure anxiety and they may not help in panic attacks The MAOIs effectiveness has been linked to their capability to increase serotonin dopamine and norepinephrine levels inside the brain These neurotransmitters are produced naturally in your body and released into the bloodstream where they are transported to nerve cells and act as a messenger between neurons Iproniazid was the first antidepressant to be developed in the year 1950 It inhibited monoamine oxidease This led to the development of other MAOIs such as tranylcypromine isocarboxazid and fluoxetine that are known to treat depression MAOIs are usually prescribed after other types of antidepressants such as tricyclic antidepressants or serotoninnorepinephrine reuptake inhibitors have been tried without success MAOIs can cause serious withdrawal symptoms if suddenly stopped Iam Psychiatry can also have dangerous interactions with food and drugs A newer MAOI known as a selective irreversible MAOAA inhibitor is being researched for its use in treating depression that is resistant to treatment It is not recommended for use in bipolar disorder as it can precipitate manic symptoms Another MAOI that is newer selegiline Eldepryl or Zelapar is being studied for the treatment of Parkinsons disease It blocks monoamine oxidase but does not affect other enzymes which break down levodopa the primary treatment for Parkinsons These medications can be used either alone or in combination with other antidepressants MAOIs may cause hyperreflexia and increased neuromuscular excitability in some patients This may manifest as muscle twitching eyelid twitching as well as other symptoms These reactions could be more frequent if the drugs are consumed along with certain food items like aged cheeses or cured meats