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https://squareblogs.net/formattemper23/severe-anxiety-disorder-the-good-the-bad-and-the-ugly

Medications For Anxiety Disorder and Depression The use of medication can help a lot of people manage anxiety but theyre not the only option Exercise and psychotherapy can also be effective treatments Certain antidepressants including SSRIs citalopram Lexapro fluoxetine Prozac paroxetine Zoloft also help with anxiety Others like histamine blockers like Vistaril hydroxyzine can also help relieve anxiety Antidepressants Your doctor might prescribe medication to treat depression Antidepressants are among the most common prescription drugs and there are numerous kinds to pick from The type of antidepressant that your doctor prescribes will be based on your symptoms additional medical conditions and treatment goals Selective serotonin reuptake inhibitors SSRIs and serotoninnoradrenaline reuptake inhibitors SNRIs are among the most commonly prescribed antidepressants These work by changing the way that nerve cells in your brain communicate These drugs work by increasing the quantity of neurotransmitters in your brain which improves your mood and anxiety Antidepressants can take a while to show results so be patient and adhere to your treatment Benzodiazepines are another option your doctor could recommend to treat anxiety and depression They are fastacting medicines and they can be used as a shortterm solution to alleviate the immediate symptoms of depression and anxiety Examples of benzodiazepines are lorazepam and alprazolam They block the action of adrenaline and noradrenaline which are hormones that play a role in the fight or flight response Monoamine oxidase inhibiters are an antidepressant of a different type that can be effective for treating depression and anxiety These are often prescribed to people who havent responded to other antidepressants They also require dietary changes in order to avoid hypertensive reactions caused by the amino acid tyramine If youre taking a prescription antidepressant tell your doctor about the other medications youre taking such as supplements and vitamins You may need to lower the dosage if other medications are affecting how well antidepressants work or if you experience side effects If you suspect youre having thoughts of suicide seek help right away from a health care professional You might have different symptoms for depression and anxiety or you may be suffering from comorbid depression and anxiety People with comorbid anxiety and depression are more likely to have a negative medical prognosis compared to those who only have one disorder Some psychiatric medications have been found to be particularly helpful in treating both disorders in people with a comorbidity of anxiety and depression Benzodiazepines Benzodiazepines can ease anxiety symptoms like alprazolam clonazepam chlordiazepoxide diazepam lorazepam and diazepam These medications affect the central nervous systems benzodiazepine receptors which are proteins that consist of 5 transmembrane subunits that form a benzyl chloride channel in the middle The benzodiazepine receptors also possess a binding site for the inhibitory neurotransmitter gammaaminobutryic acid type A GABAA The benzodiazepines function by increasing the concentration of GABAA thereby decreasing nerve activity and relaxing muscles Benzodiazepines are renowned for their rapid onset but also high risks of dependence and addiction Antidepressants and antipsychotics as well as anticonvulsants and buspirone have a slower onset of action but are still beneficial for longterm use as they dont cause dependence or tolerance Depression is often found to be comorbid with anxiety disorders and antidepressants can help alleviate the symptoms of depression caused by anxiety However many sufferers of depression experience a combination of both anxious and depressive symptoms and require a combination of medication and therapy to manage all of their symptoms In these cases benzodiazepines are used for brief periods of time to manage depression and anxiety symptoms until another medication takes effect Usually these medications are prescribed for only several weeks at a time and are not taken daily When taking benzodiazepines over a long period of time may cause withdrawal symptoms like shaking and sleeplessness and waking up so these medications are only to be used according to the prescription of your doctor If youre considering taking benzodiazepines in the future inform your doctor about any prior substance abuse or dependence issues as well as any other mental health problems you may have Your doctor can talk about possible adverse effects and suggest other medications to treat your depression if necessary Benzodiazepines can cause serious potentially lifethreatening issues in the event that you consume too much or havent used them before If you are pregnant or breastfeeding or have a history of liver disease or respiratory or digestive issues or liver disease your doctor may reduce the duration of treatment or prescribe lower doses Alcohol can interact with benzodiazepines and could increase the risk of adverse effects and dependence therefore you should avoid drinking alcohol while taking these medications Betablockers Betablockers can be utilized as an aid to manage anxiety symptoms They are a different type of drug from benzodiazepines such as Xanax and they work by blocking receptors that adrenaline binds They also slow down the activity of the nervous system and brain They can be used in lieu of benzodiazepines that are more addictive and carry an increased risk of dependency Beta blockers are typically prescribed for heart conditions and can be helpful in treating anxiety as they lower blood pressure and slow the heart rate They arent FDAapproved to treat anxiety disorders They are typically used off label to treat this condition and are a good option if other antianxiety medications do not offer relief or have unacceptable side effects They are especially effective in situations of performance anxiety and social anxiety where unpleasant symptoms can arise during events that trigger anxiety disorders anxiety can be utilized in conjunction with other treatment modalities such as CBT and SSRIs They are particularly effective as an addition therapy for people suffering from GAD GAD is characterized by constant and frequent anxiety that can hinder everyday activities They can also be helpful in reducing physical symptoms of anxiety such as the racing heart or the increased sweating While betablockers can help to reduce physical symptoms of anxiety they cannot solve the psychological issues that contribute to the condition They are best used to complement other treatments like benzodiazepines and SSRIs It is essential to discuss your medical history and other health issues with your doctor before taking betablockers These medications are associated with lower psychiatric admissions as well as suicidal behavior but the results can vary depending on the specific psychiatric diagnoses and the psychiatric history of the past In certain patients they can increase the risk of heart attacks Certain natural products contain similar properties to betablockers but they arent as effective These include antioxidants as well as garlic saffron and potassium The effectiveness of these natural products isnt fully understood Certain supplements could cause serious adverse side effects so its best to consult with a physician before taking them Monoamine oxidase inhibitors MAOIs affect the way your mind works They inhibit the function of an enzyme known as monoamine oxidase This enzyme reduces the chemical compounds serotonin and norepinephrine which enable brain cells to communicate with each with each other By blocking monoamine oxidase MAOIs ensure that you have more of these chemical messengers in your brain which elevates your mood through improved brain cell communication These medications are also effective in treating anxiety disorders especially anxiety disorders like agoraphobia and mixed depression and anxiety states However they are less efficient in the case of anxiety that is pure and may not help with panic attacks The effectiveness of MAOIs has been linked to their capability to increase dopamine serotonin and norepinephrine levels inside the brain These neurotransmitters are naturally produced in your body and then released into the bloodstream where they are transported to nerve cells and act as a messenger between neurons The first antidepressant that was developed in the 1950s was iproniazid which inhibited monoamine oxidase This led to the development of other MAOIs such as tranylcypromine and isocarboxazid that have been used for a long time 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 can cause interactions with food and drugs and can lead to a serious withdrawal syndrome if stopped suddenly MAOIs are typically only utilized for patients who fail to respond to other treatments A newer MAOI known as a selective irreversible MAOAA inhibitor is being investigated to determine its effectiveness in treating depression resistant to treatment It is not recommended for use in bipolar disorder because it may cause manic symptoms Another newer MAOI selegiline Eldepryl or Zelapar is being studied to treat Parkinsons disease It blocks monoamine oxidase but it does not alter other enzymes which break down levodopa the main treatment for Parkinsons These drugs can be taken either on their own or in combination with other antidepressants MAOIs can cause hyperreflexia and increased neuromuscular excitation in some patients This can manifest as muscle twitching eyelid twitching as well as other symptoms These reactions are more frequent when these drugs are taken in conjunction with certain food items such as aged cheeses and preserved meats