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작성자 Palma 작성일 24-09-21 15:56 조회 4 댓글 0

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iampsychiatry-logo-wide.pngMeds That Treat Anxiety

Anxiety is one of the most frequent mental health conditions which affects more than 40 million people in the United States. A variety of medications are available to treat it.

SSRIs (selective serotonin reuptake inhibitors) and SNRIs (serotonin-norepinephrine reuptake inhibitors), like Zoloft, Prozac, Lexapro and Effexor, work to alleviate anxiety by raising levels of the chemical serotonin in the brain. They aren't addictive, unlike benzodiazepines.

SSRIs

The most commonly used anxiety medication is selective serotonin reuptake inhibits (SSRIs), including citalopram, escitalopram, and fluoxetine. These medications also treat depression and can alleviate symptoms associated with other anxiety disorders, like obsessive-compulsive disorder (OCD). It could take up to one month for them to start working.

These medications are effective by increasing the quantity of certain chemical transmitters in the brain. This includes serotonin and norepinephrine as well as dopamine. They are usually the first option for anxiety, however doctors also use other types of antidepressants and benzodiazepines.

Another class of antidepressants, called serotonin and norepinephrine-reuptake inhibitors (SNRIs) such as duloxetine (Cymbalta) and venlafaxine (Effexor), are also used to treat anxiety treatment non medication. They operate a bit differently than SSRIs in that they reduce the reabsorption of norepinephrine and serotonin, but at lower levels than SSRIs. These medications may take some time to start taking effect, and they also are more expensive than SSRIs.

Tricyclic antidepressants (TCAs), such as imipramine (Tofranil), are effective in treating certain anxiety disorders, including GAD. Their drowsiness, and other adverse effects are what make them less well-liked. Monoamine oxide inhibitors (MAOIs) are another kind of antidepressant that can be used to treat anxiety. However, their strict dietary restrictions and high risk of toxicity limit their usage.

Benzodiazepines are frequently used to treat panic attacks and anxiety in the short term like when you wait for SSRIs or SNRIs to begin working. These drugs can lead to addiction to tolerance, sedation, and dependence as well as withdrawal symptoms such as a rebound anxiety, depression and delirium. Benzodiazepines are commonly found in alprazolam, clonazepam, and lorazepam.

Therapy is an essential part of any anxiety treatment plan. It helps you to better understand your symptoms and their reasons. Many people find that therapy and medication both help them cope. Some studies have shown that cognitive behavioral therapy can be just as effective as anxiety medications. Consult your physician to determine what is the best option for you.

Benzodiazepines

Benzodiazepines create an calming effect, which can reduce anxiety and relax muscles that are tense. They also reduce symptoms of fear-related bodily arousal (like heart rate and shaking) and encourage sleep.

They work by binding to inhibitory neurons, such as GABA or gamma aminobutryic acids, at receptors within the central nervous system. They increase the effects of GABA by activating its inhibitory effect on other neurotransmitters while reducing the number of messages that are sent to the amygdala. which is the brain's region that detects threats and creates the feeling of fear.

These medications are typically used for short periods, such as during an attack of panic or a severe anxiety episodes. They may ease symptoms within 30 to 90 minutes of taking them. Benzodiazepines are, in contrast to SSRIs do not stay in the body for a long time. They're fast-acting and can be used in a matter of hours. This makes them perfect for situations where quick relief is required (such for instance, during an airplane ride or before giving a presentation in public).

Since they are addictive, patients are usually only prescribed them for a period of up to four weeks at a time. They also lose their effectiveness after that time.

One of the reasons why benzodiazepines are so popular is because they are effective and have few adverse effects when compared to their predecessors like barbiturates and meprobamate. They are fast in the start of action and are very effective as anxiolytics (anti-anxiety) as well as sedatives and anticonvulsants as well as as muscle relaxants.

Benzos have been blamed for the negative perceptions of anxiety that emerged in the 1970s and 1980s. This included the stigmatization of anxiety and the belief that benzodiazepine treatment causes physical dependence. However, they continue to play an important role in the treatment of anxiety disorders, specifically when used in combination with psychosocial interventions, such as cognitive behavioral therapy and interpersonal therapy.

Benzos can interact with other medications, causing undesirable side effects such as drowsiness and confusion. It's important to let your doctor know about any other prescription, non-prescription or herbal medications you're currently contemplating or are taking. You can find out which medications are safe to use with benzodiazepines by looking up the British National Formulary A-Z list of medication interactions.

Antidepressants

Antidepressants can reduce anxiety and other mental health conditions. According to the Anxiety and Depression Association of America, antidepressants -- like SSRIs and serotonin-norepinephrine reuptake inhibitors (SNRIs) -- can help reduce chronic anxiety disorder, obsessive-compulsive disorder (OCD), panic disorders and generalized anxiety disorder (GAD). The FDA has approved antidepressants for other health conditions, such as eating disorders, bipolar disorder and certain kinds of pain.

SSRIs are often prescribed as a first-line treatment option for anxiety by doctors, however they might not be effective for everyone. If they fail doctors can look at the more traditional antidepressant known as a tricyclic or tetracyclic antidepressant. These include amitriptyline, nortriptyline, clomipramine and trimipramine, dothiepin, doxepin or imipramine. They're less popular than the newer antidepressants, but still available. You can also ask your doctor to prescribe the sedating antidepressant, trazodone(Desyrel), at lower doses if you're having sleep problems or anxiety.

Nefazodone, also referred to as Ferdinand (Cymbalta) and duloxetine can also be beneficial. These drugs are also available in generic forms. If they don't help your doctor, you can try the antipsychotics quetiapine and Olanzapine or the sedative antidepressant Mirtazapine.

Treatments for other anxiety disorders include beta blockers, which decrease the blood pressure and heart rate by blocking the actions of adrenaline. These medications are not typically used to treat anxiety alone, but they can be effective if coupled with psychotherapy.

Psychological therapy can help you overcome negative thoughts and behaviors that can cause anxiety. It can teach you to manage your anxiety and teach you coping skills. Based on the severity of your problem, exposure therapy or cognitive behavioral therapy might be recommended. Cognitive behavioural therapy teaches you to overcome negative and fearful thoughts and overcome your fear of situations that trigger anxiety. Exposure therapy is the process of increasing the level of anxiety provoking situations until they become manageable. It can be performed in a group or individually. In both instances, the results take time to appear. Some people find that the combination of medication and psychotherapy is the best treatment for anxiety and depression choice. Some people find that taking medication alone is enough to manage symptoms. Discuss with your doctor how to treat anxiety and stress you manage your symptoms.

Other Medicines

While antidepressants and benzodiazepines are the most commonly prescribed treatments for anxiety, other drugs can help alleviate your symptoms as well. Beta blockers and antihistamines are often prescribed to alleviate anxiety.

These medications can help alleviate your symptoms by reducing or blocking the signals that trigger stress and fear. However, they'ren't a cure all. You'll still require a variety of methods to manage anxiety, including exercises, relaxation techniques and psychotherapy.

The SSRIs or SNRIs are often the first choice of anxiety medication that your doctor might prescribe. These are the most effective medicines for treating anxiety disorders according to research studies. The most common SSRIs include sertraline (Zoloft) as well as the fluoxetine (Prozac) and citalopram (Celexa) and escitalopram (Lexapro). These drugs can cause mild side effects like insomnia and nausea, however they usually disappear within 4-8 weeks. They aren't addictive and they don't increase the risk of suicidal thoughts.

The benzodiazepines, such as alprazolam, diazepoxide and clonazepam (Valium) offer immediate relief from anxiety and panic attacks. However, they may cause side effects such as dizziness and drowsiness. They may also cause problems with coordination and memory, and may even cause dependence. These are less popular than older barbiturates but are equally effective.

Antihistamines, such as Vistaril (hydroxyzine) were created to treat allergies however, they're also used to ease anxiety symptoms. Hydroxyzine can have a calming effect because it blocks histamine receptors. It's not a controlled drug, so it doesn't have the same addiction risks as benzodiazepines.

Another type of medication that can help with anxiety is a class of medications known as anticonvulsants, which have been shown to relieve anxiety by interfering with the production and release of dopamine and serotonin. These medications can be prescribed as a part of a combination therapy or to treat anxiety in the short-term. Your doctor will assess your health history and symptoms to determine if these drugs are appropriate for you. They will discuss the length of time you'll need to take these medicines and any potential negative side effects that might occur. Anxiety medications can only be purchased on prescription, which means you'll have to see an astrologer to obtain these medications.

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