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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 too Some antidepressants like SSRIs citalopram Lexapro fluoxetine Prozac paroxetine Zoloft also treat anxiety Others such as histamine blockers such Vistaril hydroxyzine can offer relief Antidepressants If youve been diagnosed with depression your doctor might prescribe medication as part of a treatment plan Antidepressants are among the most commonly prescribed medications and there are a variety of kinds to choose from The type of medication your doctor prescribes is based on the severity of your symptoms and any other medical issues you suffer from as well as your the goals of your treatment 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 They accomplish this by increasing the quantity of certain neurotransmitters which improves mood and anxiety Antidepressants may take a few weeks to show results so be patient and adhere to your treatment The benzodiazepines are an alternative your doctor might use to treat depression and anxiety They are extremely fastacting drugs and can be employed as a temporary solution to alleviate the immediate symptoms of depression and anxiety The Benzodiazepines include lorazepam alprazolam and other They block the actions of noradrenaline and adrenaline which are hormones involved in the fight or flight response Monoamine oxidase inhibiters are an antidepressant of a different type that can be effective in treating anxiety and depression Theyre often reserved for people who arent responding to other antidepressants They require dietary adjustments to avoid hypertensive reactions triggered by interactions with the amino acid tyramine Tell your doctor if you are taking an antidepressant on prescription This includes vitamins and supplements You may need to lower the dose if other medications are affecting how well antidepressants work or if there are negative side effects Contact a doctor immediately if have thoughts of suicide There are many signs of anxiety and depression or you could have a combination of depression and anxiety People with comorbid anxiety and depression are more likely to have a negative medical prognosis than those who have only one disorder Certain psychiatric drugs have been found to be particularly helpful in treating both disorders in people who suffer from comorbid depression and anxiety Benzodiazepines Anxietyrelated symptoms can be alleviated by benzodiazepines They include alprazolam Xanax and clonazepam Klonopin as well as chlordiazepoxide Librium diazepam Valium and lorazepam Ativan These drugs act on the central nervous systems benzodiazepine receptors which are proteins that consist of five transmembrane subunits which form a benzyl chloride channel in the middle The benzodiazepine receptors also have an affinity site for the inhibitory neurotransmitter gammaaminobutryic acid type A GABAA disorders anxiety increase the GABAA concentration thus decreasing muscle activity and relaxing the muscles The Benzodiazepines are famous for their rapid onset but also for their high risk of dependence and addiction Antidepressants anticonvulsants and antipsychotics and buspirone have a longer time to take effect but are better options for longterm use since they dont cause dependence or tolerance Depression and anxiety disorders are often cooccurring and antidepressants can help decrease symptoms of depression that are linked with anxiety Many people with depression have an amalgamation of anxious and depressive symptoms They will need to combine medication with talk therapy to control their symptoms In these instances benzodiazepines can be employed for a brief period to control depression or anxiety symptoms while other medications take effect These medications are usually prescribed for a short amount of time but not on a daily basis These medications should not be used for extended periods of time because they can trigger withdrawal symptoms such as shaking or difficulty sleeping If you are considering taking benzodiazepines in the future inform your doctor about any prior dependence or substance abuse issues and any other mental health issues you have Your doctor will be able to discuss potential adverse effects and suggest other treatment options for your depression if needed If you have never used benzodiazepines in the past or use them frequently they can lead to serious and sometimes fatal side effects If you are pregnant or nursing or have a history of liver disease or other digestive or respiratory disorders or liver disease your doctor may reduce the duration of treatment or require lower doses Alcohol can interact with benzodiazepines and can increase the chance of developing side effects and dependence so you should avoid drinking alcohol while taking these medications Betablockers Betablockers are an option to treat anxiety symptoms They are a form of medication different from benzodiazepines such as Xanax and they block the receptors that adrenaline binds They also slow down brain and nervous system functions They are a viable alternative to benzodiazepines that are more prone to the chance of dependence and addiction Beta blockers are typically prescribed for heart ailments and may be beneficial in treating anxiety since they lower blood pressure and slow the heart rate They are not FDAapproved to treat anxiety disorders These medications are used offlabel to treat anxiety disorders They are an excellent alternative when other antianxiety medications do not work or cause unacceptable adverse side consequences They are particularly effective in situations of social and performance anxiety where physical symptoms can be experienced in situations that cause anxiety They can also be utilized in combination with other treatment methods for example CBT or SSRIs They are especially effective as an addition therapy for those suffering from GAD GAD is characterized by constant and frequent anxiety that affects daily activities They can also assist in managing physical symptoms of anxiety like an increased heart rate or sweating While betablockers can help to manage the physical symptoms of anxiety they dont address the underlying mental issues that cause the anxiety They are best used to supplement other treatments such as SSRIs or benzodiazepines It is essential to discuss your medical history and other health issues with your physician prior to taking betablockers The use of these medications is associated with a decrease in psychiatric hospitalisations and suicidal behaviour However the results differ depending on the specific psychiatric condition and psychiatric history prior to the diagnosis In certain patients they may also increase the risk of heart attacks Certain natural products have similar properties to betablockers but arent as efficient They include antioxidants as well as saffron garlic and potassium The efficacy of these natural products is not fully realized Certain of these products could cause serious sideeffects therefore it is recommended to consult a doctor before taking these supplements Monoamine oxidase inhibitors MAOIs alter the way your brain works They block the monoamine oxide enzyme which breaks down chemical compounds like norepinephrine serotonin and other chemicals that allow your brain cells communicate with eachother By blocking monoamine oxide MAOIs ensure that you have more of these chemical messengers in your brain which improves your mood due to improved brain cell communication These medications are also effective in treating anxiety disorders particularly agoraphobia and mixed depressionanxiety states They are less effective for pure anxiety and might not help in a panic attack The MAOIs effectiveness has been linked to their capacity to increase dopamine serotonin and norepinephrine levels inside the brain These neurotransmitters are naturally produced in your body and then released into the bloodstream from where they travel to nerve cells and function as messengers between neurons The first antidepressant developed in the 1950s was Iproniazid that inhibited monoamine oxide This led to the development of additional MAOIs like tranylcypromine and isocarboxazid that have long been known to help 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 have drug and food interactions and may cause severe withdrawal syndrome if stopped suddenly MAOIs are typically only used for patients who fail to respond to other treatments A newer MAOI known as MAOAA which is a selective and irreversible inhibitor is being researched for its potential use in treating depression that is not responding to treatment It is not recommended to be used in bipolar disorder since it can cause manic symptoms Another newer MAOI selegiline Eldepryl or Zelapar is being researched for treatment of Parkinsons disease It blocks monoamine oxidese but does not affect other enzymes that break down levodopa the primary treatment for Parkinsons These drugs can be taken as a standalone treatment or in combination with other antidepressants In some patients the MAOIs could cause a reaction that results in increased neuromuscular excitability and hyperreflexia This may manifest as eyelid twitching and other signs These reactions are more common when these drugs are taken along with certain foods like aged cheeses and preserved meats

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