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Medications For Anxiety Disorder and Depression Many people use medication to manage anxiety but they arent the only option Psychotherapy and exercise can be effective treatments Certain antidepressants such as SSRIs citalopram Lexapro fluoxetine Prozac paroxetine Zoloft also treat anxiety Others like histamine blockers such as Vistaril hydroxyzine can also offer relief Antidepressants Your doctor might prescribe medication to treat depression Antidepressants are among the most commonly prescribed medications come in many different types The type your provider chooses is based on the severity of your symptoms any other medical conditions you have and the treatment goals Selective serotonin reuptake inhibitors SSRIs and serotoninnoradrenaline reuptake inhibitors SNRIs are among the most commonly prescribed antidepressants generalized anxiety disorder alter the way nerve cells within your brain communicate They work by increasing the number of neurotransmitters that are present in your brain which helps improve your mood and reduces anxiety It can take up to several weeks for antidepressants to start working so be patient Benzodiazepines are a different option that your doctor may recommend to treat depression and anxiety These are very fastacting medications and are utilized as a shortterm remedy to reduce the symptoms of depression and anxiety Benzodiazepines are lorazepam alprazolam and other They inhibit the action of noradrenaline and adrenaline which are hormones involved in the fight or flight response Monoamine oxidase inhibitors are an older antidepressant type that is effective in treating depression and anxiety These are often prescribed to patients who have not responded to other antidepressants They also require changes to diet in order to avoid hypertensive effects caused by the amino acid tyramine If youre taking a prescription antidepressant tell your doctor about all other medicines youre taking including vitamins and supplements You may need to decrease the dosage if youre taking other medications that impact the way antidepressants work or cause negative side effects If youre worried that youre experiencing thoughts of suicide seek assistance immediately from a medical professional You might have different symptoms of depression and anxiety or you might have comorbid depression and anxiety Patients with comorbid anxiety as well as depression have a poorer medical prognosis than those with only one disorder Certain psychiatric medications have been shown to be especially helpful in treating both disorders in people who suffer from comorbid depression and anxiety Benzodiazepines Benzodiazepines are a great way to relieve anxiety symptoms like alprazolam clonazepam chlordiazep diazepam lorazepam and diazepam These drugs work by affecting the benzodiazepinereceptors of the central nervous system which are 5 transmembrane protein molecules that make up a benzylchloridechannel at the center The benzodiazepine receptors also have a site that binds the inhibitory neurotransmitter gamma aminobutryic type A GABA A The benzodiazepines increase the GABAA concentration thus decreasing muscle activity and relaxing the muscles Benzodiazepines have a rapid time to begin their action however they pose a risk for dependence and addiction Antidepressants and antipsychotics as well as anticonvulsants as well as buspirone are slower in the onset of action but are still better for longterm use because they dont cause tolerance or create addiction Anxiety and depression are often comorbid and antidepressants may help reduce symptoms of depression that are linked with anxiety Many people suffering from depression suffer from an overlapping of anxious and depressive symptoms Theyll have to combine medication and therapy to control their symptoms In these instances benzodiazepines can be used for short intervals of time to control anxiety and depression symptoms until another medication takes effect Typically these medications are only prescribed for several weeks at a stretch and are not used on a daily basis These medications should not be used for extended durations as they can cause withdrawal symptoms like shaking or trouble sleeping Inform your doctor if you have had any issues with substance abuse dependence or mental health Your doctor can inform you about possible side effects and suggest other medication if necessary to treat depression Benzodiazepines can cause serious even lifethreatening problems in the event that you consume too much or havent previously used them If you are pregnant or nursing or if you have a history with liver disease or respiratory or digestive disorders or liver disease your doctor might limit the duration of treatment or recommend lower doses Alcohol can interact negatively with benzodiazepines increasing the risk of side effects and dependence You should avoid drinking alcohol while taking these medicines Betablockers Betablockers are an option to treat anxiety symptoms They are a different kind of drug than the benzodiazepines such as Xanax and block receptors that adrenaline binds They also slow down brain and nervous system activity They can be used as an alternative to benzodiazepines which are more addictive and carry an increased risk of dependency Beta blockers are often prescribed for heart ailments and may be beneficial in treating anxiety as they lower blood pressure and slow the heart rate However they arent specifically FDAapproved for the treatment of anxiety disorder These medications are used offlabel to treat anxiety disorders They are a good alternative when other antianxiety medications arent working or have undesirable adverse consequences They are especially effective in cases of performance anxiety and social anxiety where uncomfortable symptoms can manifest in situations that cause anxiety They can also be employed in combination with other treatment methods for example CBT or SSRIs They are especially effective as an addition therapy for those with GAD that is characterized by frequent and persistent worry that interferes with daily life activities They can also help manage physical symptoms of anxiety such as a racing heart or increased sweating Betablockers can ease physical symptoms of anxiety but they do not address the underlying psychological issues that cause the condition They are best used to supplement other treatments like benzodiazepines or SSRIs Before taking betablockers it is crucial to talk with your doctor about your medical history as well as any other health issues These medications are associated with decreased psychiatric admissions and suicidal behavior however the outcomes can differ based on the specific psychiatric diagnosis and previous psychiatric histories Additionally they are associated with an increased risk of cardiovascular events in certain patients There are some natural products that have betablocker properties however they arent as effective as prescription medications These include antioxidants garlic Saffron and potassium The efficacy of these natural products is not fully understood Certain of these products could cause serious sideeffects so its best to consult with a physician before taking them Monoamine oxidase inhibitors Monoamine oxidase inhibitors MAOIs work by changing the way your brain works They inhibit the monoamine oxide enzyme which breaks down chemical compounds like norepinephrine serotonin and other chemicals that allow brain cells to communicate with each other By blocking monoamine oxide MAOIs ensure that you have more chemical messengers in your brain which elevates your mood by enhancing brain cell communication These medications are also effective in treating anxiety disorders This includes anxiety mixed depression and anxiety states They are less effective for pure anxiety and may not help in panic attacks The effectiveness of MAOIs is connected to the fact that they increase levels of dopamine norepinephrine and serotonin in the brain These neurotransmitters are produced naturally in your body and released into the bloodstream where they travel to nerve cells and function as a messenger between neurons Iproniazid was one of the first antidepressants to be developed in 1950 It blocked monoamine oxidease This led to the development of other MAOIs such as tranylcypromine isocarboxazid and fluoxetine that are widely used 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 Because they may cause drug and food interactions and can lead to a serious withdrawal syndrome if they are stopped abruptly MAOIs are typically only used for patients who fail to respond to other treatments A newer MAOI called a selective irreversible MAOAA inhibitor is being researched for its potential use in treating depression that is resistant to treatment It is not recommended for use in bipolar disorder because it could trigger manic symptoms disorders anxiety a more recent MAOI also called Zelapar or Eldepryl is being studied for Parkinsons treatment It blocks monoamine oxidase but it does not affect other enzymes that break down levodopa the primary treatment for Parkinsons These drugs can be used as a standalone treatment or in conjunction with other antidepressants In some patients the MAOIs can trigger a reaction that causes hyperreflexia and neuromuscular excitability This may manifest as muscle twitching eyelid twitching and other symptoms These reactions could be more common if the drugs are consumed along with certain food items like aged cheeses or cured meats