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Bidstrup Murray posted an update 7 months, 2 weeks ago
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. Others, like histamine blockers such Vistaril (hydroxyzine) can also provide relief.
Antidepressants
Your doctor might prescribe medication to treat depression. Antidepressants, among the most commonly prescribed medications are available in a variety of kinds. The type of medication your doctor prescribes will depend on the severity of your symptoms and any other medical issues 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 work by changing the way that nerve cells in your brain communicate. They do this by increasing the amount of certain neurotransmitters that enhances mood and anxiety. Antidepressants may take a few weeks to show results, so be patient and stick with your regimen.
Benzodiazepines are a different option that your doctor might use to treat anxiety and depression. They are extremely fast-acting drugs and can be utilized as a short-term remedy to reduce the symptoms of depression and anxiety. Examples of benzodiazepines are lorazepam and alprazolam. They inhibit the action of adrenaline and noradrenaline, which are hormones involved in the fight or flight response.
Monoamine inhibitors of oxidase are a type of antidepressant which can be effective in treating depression and anxiety. They are usually reserved for those who aren’t responding to other antidepressants, and they require dietary adjustments to avoid hypertensive reactions that result from interactions with amino acids like tyramine.
If you’re taking a prescription antidepressant be sure to inform your doctor of the other medications you’re taking, including vitamins and supplements. You may need to reduce the dosage if other medications are affecting how well antidepressants work or if they cause side effects. Get help immediately if you are thinking of suicide.
You might have different symptoms of depression and anxiety or you could have a combination of depression and anxiety. People with comorbid anxiety and depression have a poorer medical prognosis than those who only have 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 alleviated by drugs known as benzodiazepines. They include alprazolam (Xanax), the clonazepam (Klonopin), chlordiazepoxide (Librium) diazepam (Valium) and lorazepam (Ativan). These medications act on the benzodiazepine-receptors in the central nervous system which are five transmembrane protein molecules that make up a benzylchloride-channel at the center. The benzodiazepine-receptors also possess an area that binds to the inhibitory neurotransmitter, GABA A (GABA A). The benzodiazepines decrease nerve activity by increasing the levels of GABA-A.
Benzodiazepines are known for their rapid onset however, they also carry a high risk of dependence and addiction. Antidepressants, anticonvulsants, antipsychotics and buspirone all have a long duration of action, however they are the best choice for long-term use since they don’t produce dependence or tolerance.
Depression is frequently found to be a comorbidity of anxiety disorders, and antidepressants may help reduce the depressive symptoms caused by anxiety. However, many people suffering from depression experience a mixture of depressive and anxious symptoms and require the combination of medication and talk therapy to control all of their symptoms.
In these cases benzodiazepines may be utilized for brief periods of time to manage anxiety and depression symptoms until other medications take effect. The medications are typically prescribed for a brief period of time, and not for daily. Taking benzodiazepines for extended periods of time could cause withdrawal symptoms, such as shaking and trouble sleeping and insomnia, so these drugs are only to be used according to the instructions of your doctor.
Inform your doctor if you have ever had issues with dependence, addiction, or mental health. Your doctor can discuss possible adverse effects and suggest other medications to treat your depression, if required.
Benzodiazepines can cause serious and even life-threatening complications in the event that you consume too much or have never previously taken them. If you are pregnant, breastfeeding or have an underlying liver disease or respiratory or digestive disorders Your doctor may recommend lower doses or limit the duration of treatment with these medications. Alcohol can interact with benzodiazepines, and could increase the risk of side effects and dependence, so you should not drink alcohol while taking them.
Beta-blockers
Beta-blockers are a medication to control anxiety symptoms. They are a different type of drug than benzodiazepines like Xanax, and they work by blocking receptors that adrenaline bonds to. They also reduce the activity of the nervous system and brain. They are a viable alternative to benzodiazepines which are more prone to the risk of addiction and dependence.
Beta blockers are typically prescribed for heart ailments and are effective in treating anxiety as they reduce blood pressure and slow down the heart rate. However, they are not specifically approved by the FDA for the treatment of anxiety disorders. They are prescribed “off-label” to treat anxiety disorders. They are an excellent alternative when other antianxiety medications do not work or cause unacceptable adverse effects. They are especially efficient in cases of performance anxiety and social anxiety, in which uncomfortable symptoms can manifest when you are experiencing events that trigger anxiety.
They can also be employed in conjunction with other treatment methods like CBT or SSRIs. They are particularly effective as an additional therapy for those with GAD that is characterized by constant and persistent anxiety that affects daily activities. They can also aid in managing physical symptoms of anxiety, such as the racing heart or the increased sweating.
Beta-blockers can help ease physical symptoms of anxiety but they do not address underlying psychological issues which contribute to the condition. They are designed to complement other treatments, such as SSRIs or benzodiazepines. It is important to discuss your medical history and any other health issues with your physician prior to taking beta-blockers.
These drugs are associated with decreased psychiatric admissions and suicidal behavior, but the results may differ based on the specific psychiatric diagnoses and previous psychiatric histories. In some patients, they could increase the risk of heart attacks.
Some natural products have similar properties to beta-blockers, but are not as efficient. They include antioxidants, garlic the saffron plant, and potassium. The effectiveness of these natural supplements isn’t fully understood. Some of these products may cause serious side-effects, therefore it is recommended to consult with a physician before taking these supplements.
Monoamine oxidase inhibitors
MAOIs alter the way your brain works. They interfere with the monoamine oxide enzyme that breaks down chemicals like norepinephrine, serotonin and other chemicals that help your brain cells to communicate with one another. By blocking monoamine oxide, MAOIs keep more chemical messengers in your brain, which boosts your mood through improved brain cell communication.
generalized anxiety disorder are also effective in treating anxiety disorders. This includes anxiety as well as mixed depression and anxiety states. They are less effective for pure anxiety and might not be helpful in a panic attack. The effectiveness of MAOIs has been connected to the fact that they boost levels of norepinephrine, dopamine and serotonin in the brain. These neurotransmitters are naturally produced by your body, and are then released into the bloodstream, from where they travel to nerve cells, and act as messengers between neurons.
Iproniazid was one of the first antidepressants to be developed in 1950. It blocked monoamine oxidease. This led to other MAOIs like tranylcypromine isocarboxazid and fluoxetine, which are widely 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. MAOIs could trigger serious withdrawal symptoms if abruptly stopped. They can also trigger serious drug and food interactions.
A newer form of MAOI, called MAO-A, a selective and irreversible inhibitor, is being studied for use in treatment resistant depression. It is not recommended to use in bipolar disorder since it can cause manic symptoms. Another MAOI that is newer, selegiline (Eldepryl or Zelapar) is being investigated for the treatment of Parkinson’s disease. It blocks monoamine oxidase, but does not affect other enzymes that break down levodopa – the main treatment for Parkinson’s. These drugs can be taken as a stand-alone treatment or in conjunction with other antidepressants. MAOIs may cause hyperreflexia and increased neuromuscular excitation in some patients. This can manifest as a twitching of the muscles or eyelid twitching. These reactions can be more common if these medications are used in conjunction with certain foods, such as aged cheeses or cured meats.