exuxu48@rx7.marymarshall.co.uk – https://www.iampsychiatry.com/anxiety-disorders
Types of Anxiety Disorder MedicationThe use of medications is a fantastic way to treat anxiety-related symptoms. Psychiatrists are trained extensively in the use of drugs and are able to make appropriate prescriptions that reduce the risk of side effects.Treatment for anxiety disorders is usually three-pronged: medication, psychotherapy and exercise. SSRIs, the first treatment for anxiety can take several weeks to work.SSRIsThe majority of anxiety disorders are treated with SSRIs. The latest SSRIs have more favorable adverse effects than tricyclic antidepressants (TCAs) and monoamine oxide inhibitors (MAOIs). A variety of SSRIs have been FDA-approved to treat generalized anxiety disorder. They 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 aid in the increase of norepinephrine and BDNF. They can be employed in conjunction with psychotherapy, or by themselves. SSRIs can cause negative effects, such as stomach and nausea, but these usually improve as the body becomes used to the medication.The precise mechanism through which SSRIs work for anxiety isn’t fully understood. It is believed that SSRIs hinder serotonin reuptake by post-synaptic neurons, and increase the concentration serotonin within the synaptic gaps. This increases the amount of signaling that occurs across the synapse, which in turn decreases anxiety symptoms.In addition to decreasing anxiety, SSRIs may reduce the frequency and intensity of panic attacks. They also can help with depression and other mental health disorders that often co-occur with anxiety disorders. They can be combined with cognitive behavior therapy or psychotherapy to enhance their effectiveness.Unlike some other classes of antidepressants, SSRIs are not believed to be addictive. It is nevertheless important to follow the prescriptions of your doctor. If you suddenly stop taking your medication, it may cause “discontinuation” syndrome and anxiety symptoms to come back.If SSRIs aren’t suitable for you, your doctor could try a different class of antidepressants, such as nefazodone or mirtazapine. These medications may be effective, but they are more at risk of adverse effects than the newer SSRIs.SSRIs may interact with certain food items such as dairy products such as red meat, eggs and some fruits and veggies. If you are taking these drugs, it is a good idea to stay clear of these foods. It is also recommended to stay clear of alcohol when taking SSRIs, as this can cause a number of side effects.BenzodiazepinesBenzodiazepines boost the calming effect of certain chemicals in the nervous system and brain. They enhance the effects of a neurotransmitter named gamma-aminobutyric acid (GABA) which inhibits the nerves’ activity. how you can help are effective in treating anxiety, insomnia and other psychological disorders. They can be addictive, and should only be used for a short time under medical supervision. Benzos can be dangerous when used in a recreational manner, or when mixed with alcohol and other substances.If someone suffers from anxiety disorders, they typically look to medication as the first choice. However this isn’t the only option. Psychotherapy or talk therapy is also proven to be an effective way to reduce anxiety disorder symptoms. There are many different psychotherapies, however cognitive behavioral therapy (CBT) is the most popular and efficient. This kind of therapy helps you to change your thoughts and behavior so that you are less stressed.The most commonly used benzodiazepines are alprazolam (Xanax) as well as chlordiazepoxide (Librium), diazepam (Valium) Clorazepate (Tranxene), Lorazepam (Ativan), and quazepam (Dalmane). They all share the same chemical properties, however each has its own unique side effects characteristic. Clorazepate, for example is more effective in treating seizure disorders compared to other benzodiazepines. Lorazepam, on the other hand, is better in treating anxiety disorders as in comparison to Quazepam.While benzodiazepines are efficient, they are not recommended for long-term use as they can trigger physical dependence and tolerance. They can also cause withdrawal symptoms, such as an increase in heart rate as well as sweating and shaking if you abruptly stop taking them. The symptoms can be extremely uncomfortable and last for a long time, but they can be minimized by slowly reducing the medication.Benzodiazepines can be extremely addictive and should be used only for a brief period of duration – typically not more than 4 weeks. During this time, you will be required to monitor your heart rate and blood pressure to ensure you don’t suffer an extreme withdrawal reaction. Speak to your doctor if you are considering a benzodiazepine.Beta-blockersBeta-blockers can be used to treat anxiety symptoms. These medications block adrenaline from binding to beta receptors in your nervous system, preventing the hormone from triggering physical responses such as heart palpitations and tremors. These medications are usually prescribed to treat high blood pressure and other cardiovascular issues. However they are also available off-label to treat anxiety.If you are stressed, your body produces a chemical known as adrenaline that signals the body to prepare for fight or flight. Adrenaline is a beta receptor that is found in the heart and brain, causing your heart to beat more quickly and causing other physical reactions. Beta-blockers are class medications that treat hypertension and other heart conditions. They block adrenaline’s binding action. This helps to lower the heart rate and blood pressure.Beta-blockers work quickly, unlike SSRIs or benzodiazepines which can take weeks or even months to show an improvement in symptoms. They are a good choice for those who require immediate relief from anxiety symptoms. For instance, people who are required to deliver a public speech or fly in an airplane. They are also a good choice for people who suffer from anxiety and a chronic heart issue like atherosclerosis or congestive cardiac failure.Although beta-blockers are effective at reducing the physical symptoms of anxiety, they do not address the underlying cause of the condition. They are therefore only prescribed as part of an overall treatment plan that incorporates lifestyle adjustments and counseling. However, they can be an effective option for those who have tried other anti-anxiety medications and do not find them to be effective or to cause uncontrollable side effects.Propranolol and atenolol as well as other beta-blockers are available. Your doctor will determine which beta-blocker is best for you, based on your medical history and health condition. These medications can trigger negative side effects, including fatigue or low blood pressure, so it is important to discuss your treatment options with your doctor.MAOIsMonoamine oxidase inhibitors (MAOIs) which were first developed in the 1950s to be an antidepressant, are effective for certain anxiety and depression disorders. They aren’t as widely used as SSRIs and other antidepressants due the strict dietary restrictions required as well as the risk of drug interactions. Some MAOIs are in tablet form and are taken orally, whereas others (such Emsam) are applied as a transdermal skin patch.MAOIs block the action of MAO which increases the amount of serotonin as well as norepinephrine that is found in the brain. These neurotransmitters play a part in sleep, mood, and appetite as well as sexual function. MAOIs also have effects on anxiety. They are more likely than TCAs or SSRIs to cause adverse effects and are accompanied by warnings regarding suicide.In addition to the MAOIs listed below, your doctor might prescribe other medications or treatments that can aid in managing your symptoms. A beta-blocker, such as propranolol, is usually prescribed to reduce physical symptoms associated with anxiety. Your doctor may also recommend an exercise routine or other home remedies to ease your symptoms.Iproniazid was the first MAOI discovered in 1952 while conducting research on tuberculosis. It was later discovered to have mood-elevating properties and is believed to be the first antidepressant medication. MAOIs should only be taken in cases where other antidepressants are not working, because they can trigger serious side-effects that require immediate medical attention.If you take an MAOI and consume foods containing Tyramine, a chemical found in a variety of red meats, cheeses, shellfish, fish, and some dietary supplements, it can cause an adverse reaction that can result in high blood pressure. This serious reaction can result in headache pain that is throbbing, nausea, vomiting and a rapid heartbeat. MAOIs may also interact with other medications and can result in severe side effects such as suicidal thoughts and behaviors.Before prescribing MAOIs, your physician will discuss with you what foods you need to avoid. They will advise you against eating foods that contain tyramine while taking the drug. He or she will also give a list of foods that are safe to consume while on MAOIs. This food guide can help you avoid MAOI-related side effects.
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