Who's The Most Renowned Expert On Medication For Anxiety Disorder And Depression?
Medications For Anxiety Disorder and Depression
Many people have found that medication can help them manage anxiety. However, they are not the only solution. Psychotherapy and exercise can be effective treatments.
Certain antidepressants can treat anxiety as well, such as SSRIs like citalopram (Celexa), the escitalopram (Lexapro), the fluoxetine (Prozac) and paroxetine (Paxil) and sertraline (Zoloft). Other medications, like histamine blockers like Vistaril (hydroxyzine), can also provide relief.
Antidepressants
If you've been diagnosed with depression, your doctor may prescribe medication as part of a treatment program. Antidepressants, one of the most commonly prescribed medications, come in many different kinds. The type your provider chooses will depend on the severity of your symptoms as well as any other medical conditions you have, and the goals of your treatment.
Selective serotonin reuptake inhibitors (SSRIs) and serotonin-noradrenaline reuptake inhibitors (SNRIs) are among the most commonly prescribed antidepressants. They alter the way nerve cells in your brain communicate. They work by increasing the amount neurotransmitters in your brain which helps improve your mood and reduces anxiety. Antidepressants may take a few weeks to yield results, so take your time and stick to your regimen.
Benzodiazepines are another option your doctor may recommend to treat depression and anxiety. These drugs are fast-acting and can be used to reduce depression and anxiety symptoms in a short period of time. Benzodiazepines are lorazepam, alprazolam and others. They block the actions of noradrenaline and adrenaline which are hormones that play a role in the body's fight or flight.
Monoamine oxidase inhibitors are an antidepressant type older that is effective in treating anxiety and depression. They are typically prescribed to patients who have not responded to other antidepressants. They also require changes to diet in order to avoid hypertensive effects caused by the amino acid tyramine.
Inform your doctor if are taking an antidepressant with a prescription. This includes vitamins and supplements. You may need to lower your dose if you're taking other medications that impact the way antidepressants work or if they trigger adverse effects. If you think you're having thoughts of suicide, get assistance right away from a health care professional.
You might have different symptoms of depression and anxiety, or you could have a combination of depression and anxiety. People who have comorbid depression and anxiety suffer from a worse medical prognosis than people who suffer from either disorder on their own. Certain psychiatric medications have been shown to be especially helpful in treating both disorders for those who suffer from comorbid depression and anxiety.
Benzodiazepines
Anxiety symptoms can be relieved by drugs known as benzodiazepines. These include alprazolam (Xanax) and the clonazepam (Klonopin) as well as chlordiazepoxide (Librium), diazepam (Valium) and lorazepam (Ativan). These medications act on the central nervous system's benzodiazepine receptors which are protein molecules comprised of 5 transmembrane subunits that form a benzyl chloride channel in the central. The benzodiazepine receptors have an affinity site for the inhibitory neurotransmitter gamma-aminobutryic acid type A (GABA-A). The benzodiazepines decrease nerve activity by increasing the levels of GABA-A.
Benzodiazepines are known for their rapid onset however, they also carry a high risk of dependence and addiction. Antidepressants, anticonvulsants, antipsychotics and buspirone have a longer duration of action, however they are the best choice for long-term use since they do not cause dependence or tolerance.
Anxiety and depression are often co-occurring, and antidepressants can help decrease symptoms of depression that are linked with anxiety. However, many sufferers of depression experience a mixture of both anxious and depressive symptoms and require a combination of medication and therapy to manage all of their symptoms.
In these situations, benzodiazepines may be employed for a brief period to control depression or anxiety symptoms while other medications are in effect. Typically, these drugs are prescribed for only a few weeks at a time, and are not used on a daily basis. Taking benzodiazepines for extended periods of time could cause withdrawal symptoms, like shaking and difficulty sleeping and waking up, so these medications should only be taken as directed by your doctor.
Tell your doctor if you have ever had issues with addiction, substance abuse or mental health. Your doctor can inform you about the possible side effects, and can suggest alternative medications if needed to treat depression.
If you've never taken benzodiazepines before, or if you use them frequently they can lead to grave and sometimes fatal complications. If you are pregnant, breastfeeding or have a history of liver disease, digestive or respiratory disorders, your doctor may require lower doses or restrict the duration of your treatment with these drugs. Alcohol can negatively interact with benzodiazepines and increase the chance of adverse effects and dependence. Avoid drinking alcohol while taking these drugs.
Beta-blockers
Beta-blockers can be utilized as an option to treat anxiety symptoms. They are a type of medication different from benzodiazepines, such as Xanax and work by blocking the receptors that adrenaline binds. They also reduce brain and nervous system activity. They could be a good alternative to benzodiazepines, which have a higher risk of addiction and dependence.
Beta blockers are often prescribed for heart conditions, and can be helpful in treating anxiety because they reduce blood pressure and slow the heart rate. However, they are not specifically approved by the FDA to treat of anxiety disorder. They are frequently used "off label" to treat this condition and are a great option if other anti-anxiety medications don't provide relief or have intolerable side effects. They are particularly efficient in cases of performance anxiety and social anxiety, where physical symptoms can occur in situations that cause anxiety.
They can be utilized in conjunction with other treatment modalities like CBT and SSRIs. They are particularly effective as an addition therapy for people suffering from GAD. GAD is characterized by constant and frequent anxiety that can hinder daily activities. They can also aid in reducing physical symptoms of anxiety, like an increased heart rate or sweating.
Beta-blockers can ease physical symptoms of anxiety, but they do not address the underlying mental issues that contribute to the condition. They are most effective as a complement to other treatments like benzodiazepines and SSRIs. Before you begin taking beta-blockers it is important to talk with your doctor about your medical history and other health concerns.
These medications are associated with decreased psychiatric admissions and suicidal behaviors, however the outcomes can differ based on the specific psychiatric diagnoses and the psychiatric history of the past. Additionally they are associated with an increased risk of cardiovascular-related events in certain patients.
There are a few natural products that have beta-blocker-like properties, however they aren't as effective as prescription drugs. These include antioxidants, as well as saffron, garlic and potassium. These natural supplements are not completely understood. Some of these supplements may cause serious adverse side adverse effects, therefore it is best to consult with an expert prior to taking them.
Monoamine oxidase inhibitors
Monoamine oxidase inhibitors (MAOIs) are used to alter the way your brain functions. They interfere with the activity of an enzyme called monoamine oxidase. It reduces the chemical compounds serotonin and norepinephrine that allow your brain cells to communicate with one with each other. By blocking monoamine oxide, MAOIs keep more chemical messengers in your brain, which improves your mood through improved brain cell communication.
These drugs are also effective in treating anxiety disorders , especially anxiety-related disorders such as agoraphobia, mixed depression and anxiety. They are less effective for pure anxiety, and they may not help with panic attacks. The effectiveness of MAOIs has been linked to their capacity to boost serotonin, dopamine and norepinephrine levels inside the brain. These neurotransmitters are produced naturally in your body and then released into the bloodstream, where they travel to nerve cells, and act as messengers between neurons.
The first antidepressant to be developed in the 1950s was Iproniazid, which inhibited monoamine oxidase. This led to the creation of other MAOIs such as tranylcypromine and isocarboxazid. These have been around for decades to help treat depression. MAOIs are usually prescribed after other types of antidepressants, such as tricyclic antidepressants or serotonin-norepinephrine reuptake inhibitors, have been tried without success. Because they can cause interactions with food and drugs, and can lead to a serious withdrawal syndrome if they are stopped suddenly, MAOIs are typically only utilized for patients who fail to respond to other treatments.
A newer MAOI, MAOA-A, a selective, irreversible inhibitor is being researched to determine its effectiveness in treating depression resistant to treatment. It is not recommended to use in bipolar disorder, since it may trigger manic symptoms. Another newer MAOI, called selegiline (Eldepryl or Zelapar), is being studied for the treatment of Parkinson's disease. It blocks monoamine oxidase, but does not affect the other enzymes which break down levodopa - the primary treatment for Parkinson's. These drugs can be taken either on their own or in conjunction with other antidepressants. In some patients, MAOIs may cause a reaction that results in increased neuromuscular excitability and hyper-reflexia. This can manifest itself as a twitching of the muscles or eyelid flickering. These reactions are more prevalent when these medications are taken in conjunction with certain food items such as aged cheeses or preserved meats.