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Anxiety Treatment Medications People suffering from anxiety disorders typically recover with psychotherapy and medication. The medications used to treat anxiety include benzodiazepines like Xanax (alprazolam), Klonopin (clonazepam) and Valium (diazepam). Antidepressants also help treat anxiety. SSRIs like fluoxetine and citalopram work by preventing nerve cells in the brain from absorbing serotonin. This chemical influences mood. Benzodiazepines Benzodiazepines (benzos) are powerful medicines which treat anxiety well and work quickly. However, they also are physically addictive and they pose serious safety risks when used for long durations. Because of this, they should always be prescribed and administered under the supervision of a physician. They can be used as a “as-needed” treatment for panic attacks and other severe anxiety episodes. Benzos are usually employed in conjunction with other medications, such as antidepressants and psychotherapy (talk therapy) as part of a comprehensive treatment for anxiety disorders. Benzos can be very effective in treating anxiety for a brief duration, and they can help you sleep better. However, they can be dangerous when used in excess, and are not suitable for use in conjunction with other medications. When benzodiazepines are combined with sedatives, such as alcohol and opioid pain medications the risk of death or overdose is increased. They may also interfere negatively with certain antidepressants, causing severe withdrawal symptoms. If prescribed by your physician If prescribed by your doctor, benzodiazepines are effective and safe in treating anxiety disorders. However, a lot of doctors are cautious when it comes to using them, because they can be addictive and cause negative side effects like memory loss. Long-term use of these substances can trigger severe withdrawal symptoms and those who develop dependence are usually unable to quit using them without experiencing serious side effects, such as seizures and depression. The key to long term benzo use is: prescribing them only to patients who may benefit from their use, and making use of them in settings that are likely improve anxiety symptoms, and avoiding prolonged use or abrupt withdrawal, minimizing the chance of abuse, and using them in conjunction with effective psychological interventions. Anxiety medications like benzodiazepines can reduce anxiety. They do this by blocking certain nerves signals and stopping their firing in the brain. These drugs can help you sleep and feel less anxious, but they do not resolve the root cause that is making you worry. Exercise, meditation yoga, and meditation are all natural ways to reduce anxiety. Cognitive behavioral therapy is another treatment. You learn to overcome the irrational fears and anxieties. Antidepressants SSRIs, or selective serotonin reuptake inhibitors, are a good choice for those suffering from anxiety because they help the brain regulate mood. health anxiety treatment could take up to four weeks for them to start working. If one does not feel better during the period, they should talk to their physician about changing medications. Antidepressants such as mirtazapine or Nefazodone are effective in treating anxiety. They can be more effective compared to older drugs like venlafaxine XR. However it's important to keep in mind that these drugs can trigger an extreme reaction in certain individuals. If you have this reaction, call healthdirect on 1800 022222 to talk to a registered nurse. Monoamine oxidase inhibitors, also known as MAOIs, are another kind of antidepressant employed to treat anxiety. They block enzymes that break chemical in the brain to noradrenaline, among others. This allows levels of these chemicals, which have positive effects on mood, to rise. MAOIs are usually reserved for those who do not improve on other kinds of antidepressants, however they can be very effective in treating anxiety. Tricyclic antidepressants are among the most effective antidepressants that treat anxiety. These medications treat anxiety and mental disorders in a way similar to SSRIs however, with fewer negative side effects. These medicines are effective at low doses, however their effectiveness increases with the increase in dosage. Tricyclics are effective for treating panic disorder, anxiety, and obsessive-compulsive disorder, however, they are not likely to help with generalized anxiety disorder. Buspirone, an antidepressant that is newer, is also used for anxiety. It acts as a mild tranquilizer but it doesn't have the same side effects as benzodiazepines. It doesn't affect coordination or memory. It works by boosting the serotonin levels in the brain, and decreasing dopamine. The drug can be effective for up to 70 per cent of those who test it. As the medication is taken longer, the risk of side effects to decrease. Talk therapy, like cognitive behavioral therapy and/or exposure therapy, can be incorporated with these medications to enhance their effectiveness. Buspirone Buspirone is a generic medicine used to treat anxiety disorders. It is taken orally, usually every day, twice. It's not a controlled drug however, there is the potential for abuse. Doctors aren't certain of the exact way buspirone works, but they believe that it reduces the amount of serotonin and its actions in certain areas of the brain. This makes the nervous system less responsive to stress and anxiety. In general, doctors believe that buspirone is as a drug that is safe for most people. It is generally believed as having a lower degree of toxicity, and a lesser chance of becoming addicted than barbiturates and benzodiazepines. However, like other medications, it can cause adverse effects. Most common are nausea and dizziness. It is important to inform your doctor about all medications, supplements and ingredients that you are taking prior to starting buspirone because it may interact with them. Your doctor may recommend the dose you need to take if are over 65. This is because older individuals tend to react differently to drugs than younger ones. This is particularly true for drugs that affect the nervous system. Inform your doctor whether any of these medications are being taken by you. This includes isocarboxazid linezolid, phenelzine, selegiline, Emsam, Zelapar, and tranylcypromine. Buspirone can cause serious side effects by increasing the dosage of these drugs. It is also important to let your doctor know if suffer from kidney disease, liver problems or stomach disorders or if you are pregnant or breastfeeding. In these circumstances, some medicines, like SSRIs might not be appropriate for you. Your doctor might prescribe an alternative treatment when buspirone fails to work or if you are unable to take it due to a medical condition, or due to an interaction with a different drug. This could be a new type of antidepressant, such as Lexapro, Prozac, a beta-blocker such as propranolol, or a benzodiazepine such as Xanax. The PIL for each drug will provide more information about how to take it and possible side effects. Other Medical Treatments There are many other treatments available that can help reduce anxiety. Psychotherapy, also known as talk therapy, is a possible option. Psychotherapy can teach you how to deal with anxiety and change your way of thinking. Other options include learning relaxation techniques, maintaining an workout routine, and avoiding the use of alcohol and other drugs. Some people experience relief from anxiety-related symptoms by taking herbal medicines. If you try these options but they don't work, talk to your doctor. Medicines used as an anxiety treatment usually fall into two broad categories: benzodiazepines and antidepressants. Benzodiazepines such as Ativan, or lorazepam, boost the activity of GABA in your brain, which increases tranquility. They can provide quick relief, but they can also become addictive if taken for long periods of time. Antidepressants take longer to kick in but they can balance the levels of certain chemicals in your brain, called neurotransmitters, that influence your mood. Selective serotonin reuptake inhibitors, or SSRIs are the most popular kind of antidepressant used to treat anxiety. They boost the amount of serotonin, a chemical messenger in your brain. This can boost your mood and reduce anxiety. Serotonin Norepinephrine Reuptake Inhibitors (SNRIs) are a different antidepressant that stops the reabsorption both of serotonin as well as norepinephrine from your brain. This boosts the levels of these chemicals in your body and makes you feel more energized. A third class of antidepressants called monoamine oxidase inhibitors or MAOIs, can be used to treat anxiety in people who aren't responsive to SSRIs. There are a myriad of other medications sometimes used to treat anxiety disorders, including azapirones (such as buspirone), beta- and alpha-blockers antihistamines (such as hydroxyzine) and Clonidine. These medications have a lower percentage of success than SSRIs or benzodiazepines. Although medication can be an effective treatment for anxiety, it shouldn't necessarily be used. If you have an underlying reason for your anxiety like debt, poor diet, or a problematic relationship, non-drug therapies may be more efficient. Other options include cognitive behavior therapy (CBT) biofeedback (which helps you to control your brain waves with a monitor) and mindfulness meditation.