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Types of Anxiety Disorder Medication The use of medications can be a beneficial instrument to manage anxiety symptoms. Psychiatrists are trained in the use and prescription of medication. They can prescribe the right medication to minimize the adverse effects. Typical anxiety disorder treatment is three-pronged and includes psychotherapy, exercise and medications. SSRIs are the first-choice medications to treat anxiety, but they can take several weeks for them to take effect. SSRIs Most anxiety disorders can be treated with SSRIs. The more recent SSRIs are less likely to cause adverse effects than tricyclics older than tricyclics as well as monoamine oxide inhibitors (MAOIs) or tricyclic antidepressants. There are a variety of SSRIs have been FDA-approved to treat anxiety disorders that are generalized. These include fluoxetine (aka Prozac), paraxetine, (aka Paxil), and sertraline, (aka Zoloft), as along with citalopram (aka Celexa). These drugs increase serotonin levels in the brain. They can also help to increase norepinephrine levels and BDNF. They are able to be employed in conjunction with psychotherapy or alone. SSRIs can cause side effects, like nausea and digestive issues however, they tend to improve as the body becomes used to the medication. The precise mechanism through which SSRIs are effective in treating anxiety isn't fully understood. It is believed that SSRIs block serotonin reuptake in post-synaptic neurons, and increase the amount of serotonin in the synaptic gaps. This increases the amount of signaling across the synapse and in turn decreases anxiety symptoms. SSRIs can decrease anxiety and the severity of panic attacks. They can also be used to treat depression as well as other mental disorders that are frequently associated with anxiety disorders. They can be utilized in conjunction with psychotherapy or other forms of cognitive behavior therapy, which could enhance their effectiveness. SSRIs are not addictive, unlike some other antidepressants. It is nevertheless essential to follow your prescription of your doctor. If you suddenly stop taking your medication, it could result in “discontinuation” syndrome and anxiety symptoms to come back. If SSRIs do not work for you, your doctor may try an alternative class of antidepressants, such as nefazodone, mirtazapine. These drugs may also be effective, but they are more prone to the risk of adverse side effects than the newer SSRIs. SSRIs may interact with certain foods, such as dairy products, eggs, red meat and some fruits and veggies. If you are taking these drugs it is a wise suggestion to avoid these food items. In addition, it is generally recommended that you avoid drinking alcohol while taking SSRIs since it can increase the severity of some side effects. Benzodiazepines Benzodiazepines increase the calming effects of certain chemicals in the nervous system and brain. They work by enhancing the effects of a neurotransmitter named gamma-aminobutyric acid (GABA), which suppresses the nerves' activity. These medications can be very effective in treating anxiety, insomnia and other mental disorders. However they can be addictive and should only be used for short periods of time under medical supervision. Benzos can be dangerous when taken recreationally or mixed with other substances such as alcohol. It is not uncommon for medications to be the first thing that people look for when they suffer from an anxiety disorder however they're not the only option for treatment. Psychotherapy, also known as talk therapy, has been proven to reduce the symptoms of anxiety disorder. There are many different psychotherapies that can help, but the most popular and effective is cognitive behavioral therapy (CBT). This type of psychotherapy can teach you how to modify your thinking and behavior to make you less anxious as much. The most common benzodiazepines are alprazolam (Xanax) as well as chlordiazepoxide (Librium) diazepam (Valium) Clorazepate (Tranxene) and the lorazepam (Ativan) and quazepam (Dalmane). Each has a unique set of adverse effects, although they all share similar properties pharmacologically. Clorazepate, for instance is more effective in treating seizure disorders than other benzodiazepines. Lorazepam on the other hand, is better in treating anxiety disorders when in comparison to quazepam. Although benzodiazepines may be effective, they are not recommended for long-term use because they can trigger physical dependence and tolerance. In addition, they may lead to withdrawal symptoms in the event that you stop taking them suddenly like sweating, a heart beating and shaking. Symptoms can be very unpleasant and can last for several weeks but they can be minimized by slowly tapering off the medication. Benzodiazepines are extremely addictive and should be used only for a brief period of time, usually not more than 4 weeks. During this period, you'll have to be vigilant about your blood pressure and heart rate to ensure you don't suffer an extreme withdrawal reaction. If you're thinking about getting a prescription for benzodiazepine, talk to your doctor about your history of using substances. Beta-blockers Beta-blockers can be employed to treat anxiety-related issues. They prevent adrenaline from binding to beta receptors in your nervous system, which prevents the hormone from triggering physical reactions such as heart palpitations and tremors. These medications are typically used to treat high blood pressure and other cardiovascular conditions however they can be prescribed for non-pharmacological use for anxiety-related disorders. When you are feeling anxious, your body releases a chemical dubbed Adrenaline. This chemical signals your body to prepare itself for fight or flight. Adrenaline is a binder to beta receptors in the brain and heart which causes your heart rate to increase and can trigger other physical reactions. Beta-blockers are class medications used to treat hypertension and other heart-related conditions. They are able to block adrenaline's binding actions. This can help lower your blood pressure and heart rate. In contrast to SSRIs and benzodiazepines, which take weeks or months to make a noticeable difference in your symptoms, beta-blockers can be acted upon quickly. This makes them a great option for people who need immediate relief from anxiety-related symptoms like those who need to deliver an address in public or fly on a plane. They can also be a great option for those suffering from anxiety and chronic heart problems such as atherosclerosis and congestive cardiac failure. Although beta-blockers are effective at alleviating physical symptoms of anxiety, they don't treat the root of the disorder. generalized anxiety disorder are only prescribed in conjunction with an overall treatment plan that incorporates lifestyle adjustments and counseling. They are useful for people who have tried medications for anxiety and found it ineffective or caused unacceptable side effects. Propranolol and atenolol as well as other beta-blockers are all available. Your doctor will determine which beta-blocker is best for you depending on your medical history and current health condition. These medications can trigger adverse effects, such as low blood pressure or fatigue. It is crucial to discuss treatment options with your physician. MAOIs Monoamine Oxase inhibitors (MAOIs), developed in the 1950s to be an antidepressant, are effective for certain depression and anxiety disorders. They aren't as widely utilized as SSRIs or other antidepressants due to the strict dietary restrictions that are required as well as the risk of interactions with other drugs. Certain MAOIs are available in tablet form and are taken orally, while others (such Emsam) are applied as a transdermal patch for skin. MAOIs inhibit the action of MAO and increase the amount of serotonin and norepinephrine that is found in the brain. These neurotransmitters play a role in mood, sleep appetite, sexual function. MAOIs also have anti-anxiety effects. They are more likely than TCAs or SSRIs to trigger side effects and come with warnings about suicide. In addition to the MAOIs listed below, your doctor might prescribe other treatments or medications to help manage your symptoms. For instance, a beta blocker (such as propranolol) is often prescribed to alleviate physical symptoms of anxiety. Your doctor may suggest a relaxation method or other home remedies to ease your symptoms. Iproniazid was the first MAOI discovered in 1952 while conducting research on tuberculosis. It was soon found to have properties that boost mood and is regarded as the first antidepressant medication. Typically, MAOIs can only be used when other antidepressants do not work, as they may cause serious adverse reactions that require immediate medical attention. If you use an MAOI and consume foods containing the chemical tyramine that is found that is found in many red meats, cheeses, fish, shellfish, and some dietary supplements, it can trigger an adverse reaction that can result in high blood pressure. This severe reaction could cause a throbbing head pain, nausea, vomiting and a rapid heartbeat. MAOIs can also interact with other medications and can cause serious side effects, such as suicidal thoughts or behavior. Your doctor will discuss your diet requirements with you prior to prescribing MAOIs. He or she will tell you to stay clear of eating foods containing tyramine while taking the medication. The doctor will also provide an inventory of food that is safe to eat when taking MAOIs. The food guide provided can help you avoid MAOI-related side effects.