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Meds That Treat Anxiety Anxiety is one of the most common mental health issues, affecting 40 million adults in the United States. There are a variety of medications available to treat anxiety. 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 common anxiety medication is selective serotonin reuptake inhibits (SSRIs) which include citalopram, escitalopram, and fluoxetine. These drugs also treat depression and can ease the symptoms of anxiety disorders, such as obsessive-compulsive disorder (OCD). It could take up to one month for them to start working. They work by increasing the amount of certain chemical transmitters in the brain. This includes serotonin, norepinephrine, and dopamine. They are usually the first option for anxiety, but doctors also employ other kinds of antidepressants and benzodiazepines. Antidepressants like duloxetine (Cymbalta), and venlafaxine (Effexor) are also used for anxiety. They are a bit different from SSRIs as they reduce norepinephrine, however at a lower level than SSRIs. These medicines take a long time to take effect and are more expensive than SSRIs. Tricyclic antidepressants (TCAs) such as imipramine (Tofranil), can be effective in treating some anxiety disorders, notably GAD. Their drowsiness, along with other adverse effects make them less popular. Monoamine oxide inhibitors (MAOIs) are a different kind of antidepressant that can be used to combat anxiety. Their high toxicity risk and restrictions on diets limit their use. Benzodiazepines are commonly used to combat anxiety and panic attacks in the short term for instance, when waiting for SSRIs or SNRIs to begin working. These medications can cause tolerance, sedation and addiction and withdrawal reactions that include rebound depression, anxiety and even delirium. Benzodiazepines are typically found in alprazolam, clonazepam, as well as lorazepam. Therapy is a crucial component of any treatment plan for anxiety. It assists you to better be aware of your symptoms and root causes. Many people discover that both therapy and medication help to manage anxiety. Some studies suggest that cognitive behavioral therapy is as effective as medications for anxiety. Speak to your doctor to find out what's right for you. Benzodiazepines Benzodiazepines can have a calming effect, reduce anxiety and relax muscles that are tight. They also relieve symptoms of fear-related bodily stimulation (like heart rate or shaking) and help promote sleep. The way they work is by binding to inhibitory neurotransmitters such as gamma-aminobutryic acid or GABA, at receptors in the central nervous system. They increase the effects of GABA by facilitating the inhibitory effect of GABA on other neurotransmitters, and by reducing the volume of messages sent to amygdala. This is a part of the brain that evaluates threats and creates a sense of anxiety. These drugs can be used for short durations of time like when a panic attack occurs or if you are experiencing severe anxiety. They may ease the symptoms within 30 to 90 minutes of taking them. Benzodiazepines, unlike SSRIs don't stay in the body long. They're fast-acting and can be effective within a couple of hours. This makes them ideal for situations in which immediate relief is needed (such for instance, during an airplane ride or before giving a presentation in public). They are addictive, which is why it is recommended to only prescribe them for up to four weeks at each time. They also lose effectiveness after a period of time. One of the reasons benzodiazepines were so popular was that they were effective and had a few adverse effects when compared to their predecessors, like meprobamate and barbiturates. They are fast in the start of action and are extremely effective as anxiolytics (anti-anxiety), sedatives and anticonvulsants as well as as muscle relaxants. Benzos are often blamed for the negative attitudes towards anxiety that developed in the 1970s and 1980s, which included the stigmatization of anxiety and the belief that benzodiazepine treatment can lead to physical dependence. Yet, benzodiazepines continue to play a crucial role in the treatment of anxiety disorders, particularly when they are combined with psychosocial interventions such as cognitive behavioral therapy and other interpersonal therapies. Benzos can interact with other drugs and trigger unwanted side effects, such as drowsiness, confusion or drowsiness. It's important to let your doctor know about any other prescription, non-prescription, or herbal medications you're contemplating or are taking. You can find out which medications are safe to use with benzodiazepines through the British National Formulary A-Z list of medication interactions. Antidepressants Antidepressants are effective in treating anxiety and other mental disorders. 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 bipolar disorder, eating disorders and certain types of pain. SSRIs are usually prescribed as a first-line treatment option for anxiety by doctors, but they may not work for all people. If they fail doctors can try the older type of antidepressant known as a tricyclic or tetracyclic antidepressant. These include amitriptyline and nortriptyline, clomipramine, trimipramine, dothiepin, doxepin or imipramine. These antidepressants are less common but are still available. You may ask your doctor to prescribe the sedating antidepressant, trazodone(Desyrel) at lower doses if you are having sleep problems or anxiety. Nefazodone, also referred to as Ferdinand (Cymbalta) and duloxetine are also useful. These drugs are also available in generic forms. If they don't work, your doctor might suggest a antidepressant that is sedating, mirtazapine (Remeron) or the antipsychotics quetiapine or olanzapine. Medications for other anxiety disorders include beta blockers that reduce the heart rate and blood pressure by blocking the actions of adrenaline. These drugs aren't usually used to treat anxiety by themselves however they can be beneficial when used in conjunction with psychological therapy. Psychotherapy can help you alter negative thoughts and behaviors that contribute towards your anxiety. It can help you to manage your anxiety and develop coping strategies. Based on your specific health condition, you could receive cognitive behavioural therapy or exposure therapy. Cognitive behavioral therapy teaches you to challenge fears and thoughts that are harmful, and overcome your avoidance of situations which trigger anxiety. Exposure therapy involves gradually increasing the level of anxiety-provoking situations until you are able to manage the stressors. It can be done either in a group, or by yourself. In both cases it takes time to achieve results. A combination of medication and psychotherapy therapy is the best choice for some individuals. However, others discover that medications alone are sufficient to control their symptoms. Inform your doctor about how you manage your symptoms. Other Medical Treatments Although benzodiazepines and antidepressants are the most common medications to treat anxiety, other medications can help alleviate your symptoms as well. Antihistamines and beta blockers are sometimes prescribed to relieve anxiety. These drugs can correct an imbalance in the brain's chemicals and can alleviate symptoms by reducing or blocking signals that can cause stress and fear. They are not a panacea. You'll still require a variety of methods to control anxiety, such as exercises as well as relaxation techniques, and psychological therapy. SSRIs or SNRIs are your first choice of anxiety medications that your doctor may prescribe. These are the most effective drugs to treat anxiety disorders, according to research studies. SSRIs are commonly found in sertraline (Zoloft) and the fluoxetine, citalopram and escitalopram. anxiety treatment herbal may cause mild side effects, such as insomnia or nausea, but they typically disappear within 4-8 weeks. They aren't addictive, and they do not increase the risk of suicidal ideas. The benzodiazepines, such as alprazolam, diazepoxide and clonazepam (Valium) offer immediate relief from panic and anxiety attacks. However, they can cause adverse effects, including drowsiness and dizziness. They can also cause problems with coordination and memory, and may even cause dependence. They're a less popular choice than the barbiturates of the past, however, they're equally effective. Antihistamines, such as Vistaril (hydroxyzine) were originally designed to help with allergies. However they also serve to ease anxiety symptoms. Hydroxyzine block histamine receptors within the brain and may cause the body to relax. It's not a controlled drug and therefore doesn't carry the same dangers of addiction like benzodiazepines. Anticonvulsants are a different type of medication which can help with anxiety. They have been found to reduce anxiety through inhibiting the production of and release dopamine and sérotonin. They can be prescribed in conjunction with other drugs or as a temporary treatment for anxiety. Your doctor will review your health history and symptoms to determine if these medications are suitable for you. They'll also discuss how long you should be taking them and any potential side effects. Anxiety medication is only available on prescription, which means you'll need to visit an astrologer to obtain these medications.