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Anxiety Treatment Medications People suffering from anxiety disorders typically recover by undergoing psychotherapy and taking medication. Benzodiazepines such as Xanax, Klonopin, and Valium are used to help with anxiety. Antidepressants also help treat anxiety. SSRIs such as citalopram (Celexa) and fluoxetine (Prozac) are effective in preventing brain nerve cells from absorbing serotonin which is a chemical that affects mood. Benzodiazepines Benzodiazepines are powerful medications to treat anxiety. They are effective and quick. They are also physically addictive and carry significant safety risks when used for a long time. Because of this, they should be prescribed and taken under the supervision of a physician. They can be used as an “as required” treatment for panic attacks or other extreme anxiety episodes. Benzos are usually utilized in conjunction with other medicines, such as antidepressants and psychotherapy (talk therapy), as part of a comprehensive treatment plan for anxiety disorders. Benzos are extremely effective for short-term anxiety treatment and can assist you in getting an excellent night's rest. They can be dangerous when misused and are not recommended to be used in conjunction with other medicines. When mixed with sedative drugs like alcohol or pain medications, benzodiazepines may increase the risk of an overdose and even death. They can also interact with some antidepressants, causing serious and life-threatening withdrawal symptoms. When prescribed by your doctor, benzodiazepines can be efficient and safe for treating anxiety disorders. A lot of doctors are cautious when prescribing them as they can trigger dependence and negative side effects, including memory loss. In the long run, they can trigger a severe withdrawal reaction and those who become dependent are typically not able to stop taking them without experiencing severe symptoms such as depression and seizures. The most important aspect to long-term benzo usage is prescribing them only to patients who may benefit from their use, and using them in clinical settings that will likely help improve anxiety symptoms, avoiding long-term use or abrupt withdrawal and reducing the chance of abuse, and combing them with a psychological treatment. Anxiety medication, such as benzodiazepines can help ease anxiety by blocking certain nerve signals and stopping them from firing in the brain. These medications can aid in sleeping more comfortably and feel less stressed however they aren't going to solve the root issue that's causing you feel anxious (like increasing costs or a relationship that isn't working). Exercise, meditation yoga, and meditation are all natural ways to decrease anxiety. Cognitive behavioral therapy is another treatment. You can learn to overcome irrational worries and fears. Antidepressants SSRIs (selective serotonin reuptake inhibitors) are a great option for people suffering from anxiety since they affect the brain to control mood. It can take up to four weeks for them to start working. If the patient does not feel better after this period you should talk to the doctor about changing their the medication. Newer antidepressants, such as mirtazapine or nefazodone, are also effective in treating anxiety. They may be more effective than older medications such as venlafaxine XR. However, it's important to note that these drugs can trigger a severe reaction in some people. If they have this reaction it is recommended that they seek urgent medical attention or call healthdirect at 1800 022 222 to speak with an experienced nurse (known as NURSE-ON-CALL in Victoria). Monoamine oxidase inhibitors, also known as MAOIs are a different type of antidepressant that can be used to treat anxiety. They block enzymes that break down chemicals in the brain down, including noradrenaline. This allows levels of these chemicals, which have positive effects on mood, to rise. MAOIs are generally reserved for those who do not improve on other kinds of antidepressants, but they can be effective in treating anxiety. Tricyclic antidepressants are amongst most effective antidepressants that treat anxiety. These drugs are similar to SSRIs in their approach to treating anxiety and other mental disorders, but they are not as prone to side effects. These medicines are effective at low doses, however their effectiveness increases with the increase in dosage. Tricyclics can be effective in treating panic disorder, anxiety, and obsessive-compulsive disorder, however, they are not likely to help with generalized anxiety disorder. A newer antidepressant, buspirone is also used to treat anxiety. It is a mild tranquilizer but it doesn't have the same side effects as benzodiazepines. It also doesn't impair the ability to concentrate and memory. It increases serotonin in the brain and decreasing dopamine. Up to 70% of those who take the drug find it effective. The risk of side effects tends to decrease when the medication is taken for longer durations. Talk therapy, for instance cognitive behavioral therapy and exposure therapy, can be utilized in conjunction with these drugs to improve the effect. Buspirone Buspirone is a generic medicine used to treat anxiety disorders. It's taken orally typically twice daily. It's not a regulated drug however, there is a potential for abuse. Doctors aren't sure exactly how it operates, but they believe that buspirone decreases the amount and actions of a chemical known as serotonin in specific parts of the brain. This makes the nervous system less prone to stress and anxiety. Buspirone is generally regarded as safe by doctors for the vast majority of people. It is generally believed as having a lower degree of toxicity, and a lesser chance of becoming addicted than barbiturates or benzodiazepines. Like other medicines they can cause adverse effects. The most common side effects are nausea and dizziness. Buspirone may interact with other supplements, medications, and ingredients. Tell anxiety treatment medicines if you take any of these prior to beginning the medication. Your doctor may recommend a lower dose if you are over 65. This is because older people tend to respond to drugs differently than younger people do. This is particularly true for drugs that affect the nervous system. It's also important to inform your doctor if you're taking an inhibitor of monoamine oxidase, such as isocarboxazid (Marplan), linezolid (Zyvox), phenelzine (Nardil) selegiline (Eldepryl, Emsam, Zelapar) or tranylcypromine (Parnate). Buspirone can cause serious side effects by increasing the dosage of these drugs. You should also let your doctor know if you suffer from kidney disease or stomach problems, or are breastfeeding or pregnant. Some medicines, such as SSRIs, may not be suitable for you under these circumstances. If buspirone isn't working or you're unable to use it due to an illness or interaction with other medications, your doctor will prescribe an alternative form of treatment for anxiety. This could be a new type of antidepressant, such as Lexapro or Prozac; a beta blocker, such as propranolol or a benzodiazepine drug, like Xanax. The PIL for each drug will provide additional information on how to take it as well as possible side effects. Other Medicines There are many other treatments available that can reduce anxiety. Psychotherapy, or talk therapy, is one of the options. Psychotherapy can teach you how to manage anxiety and change your ways of thinking. Other options include learning relaxation techniques, having a regular workout routine, and avoiding alcohol and drugs. Herbal medicines can be helpful for sufferers with anxiety-related symptoms. If you try these alternatives and they don't help talk to your doctor. The medications used for anxiety treatment typically fall into two broad categories: antidepressants and benzodiazepines. Benzodiazepines, such as Ativan, or lorazepam, boost the activity of GABA in your brain, promoting tranquility. They can help you feel better quickly but they also become addictive if used for a long time. Antidepressants are slower to work but they help balance the levels in your brain of specific neurotransmitters. These chemicals influence your mood. SSRIs are the most common antidepressants used to treat anxiety. They boost the amount of serotonin, a chemical signalling agent in your brain. This can boost your mood or reduce anxiety. Another antidepressant class, serotonin norepinephrine-reuptake inhibitors or SNRIs, prevent the reabsorption of serotonin and norepinephrine in your brain, increasing levels of these chemicals and making you feel more energized. A third class of antidepressants known as monoamine oxide inhibitors, or MAOIs, can be used to treat anxiety among people who don't respond to SSRIs. There are a myriad of other medicines that are often used to treat anxiety, such as azapirones (such as buspirone) as well as beta- and alpha-blockers antihistamines (such as hydroxyzine) and Clonidine. These medicines have a lower rate of success than SSRIs or benzodiazepines. Although medication is a very effective anxiety treatment, it shouldn't be the only treatment you use. If you have a root reason for your anxiety, like debt, poor diet, or an unhealthy relationship, non-drug treatments may be more effective. Other options include cognitive behavior therapy (CBT) biofeedback (which will teach you how to control your brain waves with a monitor), and mindfulness meditation.