Medications For Anxiety Disorder and Depression
The use of medication can help a lot of people manage anxiety, but they aren't the only option. Exercise and psychotherapy can be effective treatments, too.
Certain antidepressants, such as SSRIs (citalopram, Lexapro, fluoxetine, Prozac, paroxetine, Zoloft) also treat anxiety. Other medications, such as histamine blockers like Vistaril (hydroxyzine), can also offer relief.
Antidepressants
If you've been diagnosed with depression, your doctor might prescribe medication as part of your treatment plan. Antidepressants, one of the most commonly prescribed medications, come in many different types. The type of antidepressant your provider prescribes will depend on your symptoms, additional medical conditions, and treatment goals.
Selective serotonin reuptake inhibitors (SSRIs) and serotonin-noradrenaline reuptake inhibitors (SNRIs) are among the most commonly prescribed antidepressants. These work by changing the way nerve cells within your brain communicate. They do this by increasing the amount of certain neurotransmitters, which enhances mood and anxiety. Antidepressants can take several weeks to yield results, so be patient and stick to your regimen.
Benzodiazepines are another option your doctor could recommend to treat anxiety and depression. These are very fast-acting medications and are utilized as a short-term remedy to reduce the symptoms of anxiety and depression. Examples of benzodiazepines include lorazepam and alprazolam. They block the action of adrenaline and noradrenaline, which are hormones involved in the fight or flight reaction.
Monoamine oxidase inhibitors are a more traditional type of antidepressant which is also effective in treating depression and anxiety. They're typically reserved for people who don't respond to other antidepressants, and they require dietary changes to avoid hypertensive reactions triggered by interactions with the amino acid tyramine.
If you're taking an antidepressant prescription inform your doctor about the other medications you're taking, including vitamins and supplements. You may have to decrease the dosage if other medications affect the way antidepressants work or if you experience negative side effects. Seek help immediately if you are thinking of suicide.
There are many different signs for depression and anxiety or you could have a comorbidity of depression and anxiety. People who have comorbid depression and anxiety have a poorer medical prognosis than people who have either disorder alone. Some psychiatric medications have been found to be particularly effective in treating both disorders in people who suffer from comorbid depression and anxiety.
Benzodiazepines
Benzodiazepines can ease anxiety symptoms, like alprazolam, clonazepam and chlordiazepoxid, diazepam and lorazepam. These drugs work by affecting the benzodiazepine-receptors in the central nervous system that are transmembrane protein molecules that form a benzylchloride-channel at the center. The benzodiazepine receptors also possess an affinity site for the inhibitory neurotransmitter, gamma-aminobutryic acid type A (GABA-A). The benzodiazepines inhibit nerve activity by increasing GABA-A levels.
Benzodiazepines are known to have a quick start of action, but they are also at risk of dependence and addiction. Antidepressants, anticonvulsants and antipsychotics and buspirone all have a longer time to take effect, but are better options for long-term use because they do not cause tolerance or create addiction.
Depression can be a comorbidity of anxiety disorders, and antidepressants can help reduce the depressive symptoms that are a result of anxiety. Many people suffering from depression suffer from an amalgamation of depressive and anxious symptoms. They will need to mix medication and talk therapy to control their symptoms.
In these instances, benzodiazepines may be used for a short time to control depression or anxiety symptoms while other medications work. Typically, these drugs are prescribed for only a few weeks at a stretch and are not prescribed daily. When taking benzodiazepines over a long period of time could cause withdrawal symptoms, like shaking and sleeplessness and insomnia, so these drugs should only be taken according to the instructions of your doctor.
Tell your doctor if you have ever had issues with dependence, addiction, or mental health. Your doctor can talk about possible side effects and recommend other treatment options for your depression, if required.
Benzodiazepines can create serious and even life-threatening complications if you take too much or haven't previously used them. If you are pregnant or breastfeeding or have a history with liver disease or respiratory or digestive disorders or liver disease, your doctor may reduce the duration of treatment or require lower doses. Alcohol can interact negatively with benzodiazepines and increase the risk of side-effects and dependence. It is recommended to avoid drinking alcohol while taking these drugs.
Beta-blockers
Beta-blockers are a drug that can be used to reduce anxiety symptoms. They are a different type of drug than the benzodiazepines like Xanax, and they are able to block receptors that adrenaline binds to. They also slow brain and nervous system functions. They can be utilized as an alternative to benzodiazepines which are more addictive and have a higher dependency risk.
Beta blockers, which reduce blood pressure and slow the heart rate, are often prescribed to treat heart problems. They are also beneficial in treating anxiety. However, they're not specifically FDA-approved for the treatment of anxiety disorders. These medications are used "off-label" to treat anxiety disorders. They are a great alternative if other antianxiety drugs aren't working or have undesirable adverse side consequences. They are particularly effective in situations of social and performance anxiety, in which physical symptoms may occur when an event triggers anxiety.
They can be utilized in combination with other treatment options such as CBT and SSRIs. They are particularly effective as an adjunct therapy for people suffering from GAD. GAD is characterized by persistent and frequent anxiety that affects everyday activities. They can also aid in reducing physical symptoms of anxiety, like a racing heart or increased sweating.
Although beta-blockers can assist in helping reduce physical symptoms of anxiety, they don't solve the mental issues that cause the condition. They are designed to supplement other treatments, such as SSRIs or benzodiazepines. It is crucial to discuss your medical history and other health concerns with your doctor prior to taking beta-blockers.
The use of these drugs is associated with a decrease in suicidal and psychiatric hospitalisations however, the outcomes vary according to the specific psychiatric diagnosis and past psychiatric history. In certain patients, they may also increase the risk of heart attacks.
There are a few natural ingredients that have beta-blocker properties, however, they aren't as effective as prescription drugs. These include antioxidants, as well as garlic, saffron and potassium. The effectiveness of these natural supplements isn't fully realized. Certain of these products can cause serious side-effects, therefore it is recommended to consult with a physician before taking them.
Monoamine oxidase inhibitors
MAOIs work by altering the way your brain works. They interfere with the monoamine oxide enzyme which breaks down chemical compounds such as serotonin, norepinephrine and other chemicals that help brain cells to communicate with one another. By blocking monoamine oxidase MAOIs keep more of these chemical messengers in your brain, which elevates your mood through improved brain cell communication.
These drugs are also effective in treating anxiety disorders, specifically anxiety disorders like agoraphobia and mixed depression and anxiety states. However, they are not as effective in pure anxiety states and might not help with panic attacks. The effectiveness of MAOIs has been due to the fact that they increase levels of norepinephrine, dopamine and serotonin in the brain. These neurotransmitters are naturally produced in the body are released into bloodstreams where they are transported to nerve cells and serve as messengers.
The first antidepressant that was developed in the 1950s was Iproniazid, which inhibited monoamine oxidase. This led to other MAOIs like tranylcypromine isocarboxazid, and fluoxetine, that are used to 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 have interactions with food and drugs and may cause severe withdrawal syndrome if stopped abruptly, MAOIs are typically only used for patients who fail to respond to other treatments.
A newer type of MAOI, dubbed a selective and irreversible MAO-A inhibitor, is being studied for use in treating resistant depression. https://www.iampsychiatry.com/anxiety-disorders is not recommended for treatment of bipolar disorder because it could trigger manic symptoms. Selegiline, a more recent MAOI (also called Zelapar or Eldepryl), has been studied for treatment of Parkinson's disease. It blocks monoamine oxidase, but does not affect the other enzymes that breakdown levodopa, which is the main treatment for Parkinson’s. These medications can be taken in conjunction with other antidepressants. MAOIs can cause hyperreflexia and increased neuromuscular excitation in some patients. This can manifest itself as eyelid twitching or muscle twitching. These reactions are more common when these medications are taken along with certain foods such as aged cheeses or cured meats.