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Anxiety Treatments Medication If you are suffering with anxiety or panic attacks it is essential to seek help from a professional. Treatment options include lifestyle changes like reducing stress and getting regular physical exercise. Your doctor may suggest psychotherapy. The FDA has approved several medicines for anxiety disorders, such as SNRIs and SSRIs, which impact the neurotransmitter serotonin. Anticonvulsants such as pregabalin can help reduce anxiety by affecting GABA receptors. anxiety treatment therapy help to calm the nervous system by acting upon it. They work by increasing effects of a brain neurotransmitter referred to as gamma aminobutyric acid (GABA). GABA inhibits the activity of nerves in the brain and spinal cord and helps reduce anxiety. Unlike antidepressants, which can take weeks to begin working, benzodiazepines are able to reduce anxiety symptoms almost immediately. They are high-risk substances for abuse and dependence. This is because the body adapts to benzodiazepines through regular use, which can lead to physical dependency. They can be a powerful treatment when other methods don't work or aren't available. Although benzodiazepines are a potent medication for anxiety, it is crucial to consult with your doctor prior to taking them. They can help you identify the cause of your anxiety, and discuss alternative treatments that may be more suitable. Talking therapies such as cognitive behavior therapy (CBT), exposure therapy, and many others can help you address the root causes of your anxiety. They will also teach you coping techniques. Benzodiazepines aren't usually the first in the treatment of anxiety disorders since they can cause dangerous effects when combined with other substances or alcohol. They are also addicting and carry a high overdose risk. The first benzodiazepines were released in the 1950s with chlordiazepoxide (Librium, Limbitrol) followed by diazepam (Valium) and lorazepam (Ativan). All of these drugs come with a black box warning that warns that they could cause serious or life-threatening side effects, such as severe sleepiness, breathing problems or coma and even death if used in conjunction together with opioids or other illegal drugs. SSRIs SSRIs (selective serotonin reuptake inhibitors) are a class of antidepressant medications and are the first choice for a lot of people suffering from anxiety. These medications increase the levels of certain chemical messengers, such as serotonin (and norepinephrine) in the brain. They also regulate other essential chemicals, like the ones that control sleep and mood, and reduce the levels of stress hormones in your body. The most frequently prescribed SSRI for anxiety is fluoxetine, better known by its brand name Prozac. Other SSRIs include Lexapro, Zoloft, and Paxil and SNRIs include Effexor XR, Cymbalta, and Pristiq. Although experts aren't quite sure how SSRIs work to combat anxiety but they do know that these medications enhance the way your brain works. They boost BDNF (brain-derived Neurotrophic Factor) levels, increase the number of glial cells (brain cells that support, nourish and protect your neuronal cells) and increase serotonin levels. The precise mechanism of action isn't fully understood but it could be a combination of factors. SSRIs like other types of medications, can take up to a month to begin to work. They require regular treatment in order to maintain their benefits. They can cause side effects such as nausea and diarrhea. Some men might experience a decrease in libido as well as sodium levels. Your provider will decide the time frame you need to take them, depending on your condition and other treatments you're using. They might recommend you continue taking them for a period of 6 to 12 months or work with you to taper down and stop the meds. They may also suggest other treatments, such as psychotherapy or supplements and herbs to treat anxiety-related issues such as Vistaril for itching, or chamomile to help sleep. Beta-blockers Beta-blockers (also called beta-adrenergic blockers) prevent adrenaline from binding with your heart's receptors. This relaxes your heart and lowers blood pressure. They are typically prescribed for anxiety and are a great alternative to traditional psychiatric medications that carry some adverse effects. Beta-blockers may reduce physical symptoms of anxiety, but they don't address the mental reasons for stress. Typically, they are used to manage specific situations that cause anxiety, such as public speaking and flying. They may be utilized in combination with therapy to treat the underlying anxiety disorder or on their own as a long-term daily medication. Because of their method of operation, beta blockers may cause several adverse effects, such as hypotension and bradycardia. They can also cause you to feel shaken and sweaty. Some people with asthma, COPD (chronic obstructive pulmonary disease), or diabetes should not take them. Despite their side effects Beta blockers are widely used and studied. They have been on the market for decades and are considered to be safe for the majority of adults. They are also fairly inexpensive and readily available compared to other medications. For many, the side effects are worth it in exchange for their effectiveness. Beta-blockers are a good option for those suffering from mild to moderate anxiety. They are more effective than benzodiazepines, which are best for those who suffer from severe or life-threatening anxiety disorders. They can't address the root of your problem and are best used to ease anxiety in the short term, like prior to an important event, such as an airplane flight or a speech. They can help you sleep better and they can control your blood sugar. Monoamine oxidase inhibitors Monoamine oxidase inhibitors (MAOIs) block the enzyme that breaks down monoamine neurotransmitters. They stop the breakdown of serotonin Melatonin, epinephrine, as well as norepinephrine within neurons and increase their availability for transmission. They are primarily known as effective antidepressants, and have some effectiveness in treating anxiety disorders. They can be used as a stand-alone or in combination with other medications. They can also be used to treat Parkinson's disease and other conditions. Eugenol is an essential oil, is found in the bud leaves, stems, and leaves of clove (Syzygium Aromaticum) and the cinnamon bark. In a test tube, Eugenol was found to block MAOI function and could interact negatively with these medications. MAOIs can cause serious adverse effects, which is why they are not the first medicine doctors recommend for treating depression or anxiety. Typically, they are prescribed for patients who have failed to respond to other medication. They are also used for many other disorders like Parkinson's disease and fibromyalgia. They can cause low pressure when you rise from a seated or lying position. This is called orthostatic hypertension. Common MAOIs include phenelzine isocarboxazid, and tranylcypromine. Phenelzine is used to treat the treatment of atypical depression and panic disorder. It has limited research on panic disorder. These drugs are not as effective as SSRIs for the majority of patients however, they can be useful in treating certain types of anxiety and depression. The newer reversible MAOIs like selegiline and moclobemide, are less harmful than the older irreversible MAOIs. They are more effective in increasing the levels of monoamines involved in depression disorders than the older MAOIs. They are less likely to cause hypertension however, they do have a risk of developing pharmacological dependence. Buspirone Combining therapy with medication is the most effective way to combat anxiety. The use of medication can ease symptoms but only with the guidance of a physician. There are many different medicines for anxiety, and they be different for each individual. Discuss with your doctor about the symptoms you are experiencing and he'll prescribe the right medication for you. Buspirone is an FDA-approved medication for anxiety that works by regulating the neurotransmitters serotonin and dopamine. It reduces anxiety and mood symptoms without the feeling of sedation. It is less likely to be habit-forming than other sedatives like benzodiazepines. This makes it a good option for those who wish to control their anxiety but don't wish to take drugs like Xanax. SSRIs or SNRIs are usually the first option for treating generalized anxiety disorder. These antidepressants are able to regulate mood and increase serotonin levels. They are typically prescribed in conjunction with anxiety medications like benzodiazepines. They are rarely prescribed for prolonged periods of time because they are addictive and can cause side effects such as drowsiness. Apart from medication, psychological treatments for GAD have been proven to be effective in the short run and can improve outcomes over time. These include cognitive-behavioural therapy (CBT) as well as art or creative therapy, and exposure therapy. Psychological therapy can help people learn strategies to control their depression and anxiety, which can help them manage their symptoms and live a fuller life. A majority of these treatments are available on the internet, and some might be covered by insurance. Brightside for instance, is an online therapy program that provides CBT, as well as other anxiety and depression treatments.