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Medications For Anxiety Disorder and Depression Many people discover that medications help them manage anxiety. However they're not the only option. Psychotherapy and exercise can be powerful treatments too. Certain antidepressants, such as SSRIs (citalopram, Lexapro, fluoxetine, Prozac, paroxetine, Zoloft) also help with anxiety. Other medications, such as histamine blockers such as Vistaril (hydroxyzine) may also help relieve anxiety. Antidepressants If you're diagnosed with depression, your doctor might prescribe medication as part of your treatment plan. Antidepressants are among the most common prescription drugs and there are a variety of kinds to pick from. The type of antidepressant your doctor prescribes will depend on your symptoms, other medical conditions and treatment goals. Selective serotonin reuptake inhibitors (SSRIs) and serotonin-noradrenaline reuptake inhibitors (SNRIs) are among the most commonly prescribed antidepressants. They work by altering the way your brain's nerve cells communicate. They work by increasing the number of neurotransmitters that are present in your brain, which improves your mood and anxiety. Antidepressants may take a few weeks to show results, so take your time and stick to your regimen. Benzodiazepines may also be prescribed by your physician to treat anxiety or depression. These are very fast-acting medications and are employed as a temporary solution to reduce the symptoms of depression and anxiety. Benzodiazepines are lorazepam, alprazolam and other. They inhibit the action of adrenaline and noradrenaline which are hormones that play a role in the fight or flight response. Monoamine oxidase inhibitors are an older type of antidepressant which can also be effective in treating depression and anxiety. These are often prescribed to patients who have not had a response to other antidepressants. They also require dietary changes to prevent hypertensive reactions caused by the amino acid tyramine. If you're taking a prescription antidepressant, tell your doctor about all other medicines you're taking, including vitamins and supplements. high functioning anxiety disorder may need to lower the dosage if other medications interfere with how antidepressants work, or if there are negative side effects. If you suspect you're having thoughts of suicide, get help right away by a health professional. You may have different signs of depression and anxiety or you may have a comorbidity of depression and anxiety. Those with comorbid depression and anxiety have a less favorable medical outlook than those who have only one disorder. 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 alleviated by drugs known as benzodiazepines. These include alprazolam (Xanax), the clonazepam (Klonopin), chlordiazepoxide (Librium) diazepam (Valium) and lorazepam (Ativan). These medications affect the central nervous system's benzodiazepine receptors, which are protein molecules comprised of five transmembrane subunits which shape a benzyl chloride channel in the center. The benzodiazepine-receptors also possess one that binds to the inhibitory neurotransmitter Gamma aminobutryic type A (GABA A). The benzodiazepines decrease nerve activity by increasing levels of GABA-A. The benzodiazepines have a fast start of action, but they are also at risk for dependence and addiction. Antidepressants and antipsychotics, along with anticonvulsants and buspirone are slower in the onset of action, however they are still beneficial for long-term usage, since they don't cause tolerance or create addiction. Anxiety and depression are often comorbid, and antidepressants may help reduce depression symptoms that are associated with anxiety. Many people suffering from depression experience an amalgamation of depressive and anxious symptoms. They'll have to combine medication and talk therapy in order to manage their symptoms. In these situations, benzodiazepines can be utilized for brief intervals of time to control anxiety and depression symptoms until other medication takes effect. These medications are usually prescribed for a brief period of time, not daily. These medications should not be used for extended periods of time as they may trigger withdrawal symptoms such as shaking or trouble sleeping. If you're considering taking benzodiazepines, tell your doctor about any past dependency or substance abuse issues, as well as any other mental health problems you have. Your doctor can discuss possible side effects and recommend alternative medications to treat your depression, if required. If you have never used benzodiazepines in the past or are taking them in excess they could cause serious and sometimes fatal side effects. If you are pregnant or nursing, or if you have a history with liver disease or respiratory or digestive issues or liver disease your doctor may reduce the duration of treatment or require lower doses. Alcohol can interact negatively with benzodiazepines, increasing the risk of side effects and dependence. Avoid drinking alcohol while taking these medications. Beta-blockers Beta-blockers can be used as an option to treat anxiety symptoms. They are a different kind of drug than the benzodiazepines, such as Xanax and work by blocking receptors that adrenaline bonds to. They also slow down the activity of the nervous system and brain. They can be used in lieu of benzodiazepines which are more addictive and carry a higher dependency risk. Beta blockers, which reduce blood pressure and slow heart rate, are commonly prescribed to treat heart conditions. They can also be helpful for treating anxiety. However, they are not specifically FDA-approved for the treatment of anxiety disorders. They are frequently used “off label” for this purpose and are a viable alternative when other anti-anxiety medications do not offer relief or do not have acceptable side effects. They are particularly effective in cases of social and performance anxiety, in which physical symptoms can be experienced during events that trigger anxiety. They can be used in combination with other treatment options like CBT and SSRIs. They are especially effective as an add-on treatment for people suffering from GAD, which is characterized by constant and persistent anxiety that can interfere with daily activities. They can also assist in managing physical symptoms of anxiety such as a racing heart or increased sweating. Although beta-blockers can assist in helping alleviate physical symptoms of anxiety, they don't address the underlying psychological issues that contribute to the condition. They are most effective as a supplement to other treatments such as SSRIs and benzodiazepines. It is essential to discuss your medical history and other health issues with your doctor before taking beta-blockers. The use of these medications is associated with a decrease in psychiatric hospitalisations and suicidal behaviour, but the results vary according to the specific psychiatric diagnosis and past psychiatric history. Additionally, they are linked to an increased risk of cardiovascular events in certain patients. Certain natural products have the same properties as beta-blockers, but are not as effective. They include antioxidants, garlic the saffron plant and potassium. These natural products are not completely understood. Certain of these supplements can cause serious adverse side effects, so it's best to consult with an expert prior to taking these supplements. Monoamine oxidase inhibitors MAOIs work by altering the way your mind works. They block an enzyme known as monoamine oxide, which breaks down chemicals like serotonin, norepinephrine and other chemicals that help your brain cells communicate with eachother. By blocking monoamine oxide, MAOIs allow more of these chemical messengers to remain in your brain. This improves brain cell communication, and elevates your mood. These medications are also effective for treating anxiety disorders. This includes anxiety mixed depression and anxiety states. They are less effective in treating pure anxiety, and they may not help in a panic attack. The effectiveness of MAOIs is linked to the fact that they raise levels of dopamine, norepinephrine, and serotonin in the brain. These neurotransmitters, naturally produced by the body and released into bloodstreams where they are transported to nerve cells and function as messengers. The first antidepressant that was developed in the 1950s was iproniazid, which inhibited monoamine oxidase. This led to the development of other MAOIs, such as tranylcypromine isocarboxazid, and fluoxetine, that are known 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. MAOIs can trigger severe withdrawal symptoms if abruptly stopped. They may also cause dangerous interactions with food and drugs. A newer form of MAOI, known as a selective and irreversible MAO-A inhibitor, is being studied for use in treating resistant depression. It is not recommended for use in bipolar disorder because it can cause manic symptoms. Selegiline, a brand new MAOI (also called Eldepryl or Zelapar), has been studied for treatment of Parkinson's disease. It blocks monoamine oxidese but it does not interfere with other enzymes that break down levodopa the main treatment for Parkinson's. These drugs can be used as a stand-alone treatment or in conjunction with other antidepressants. MAOIs can trigger hyperreflexia as well as increased neuromuscular excitation in some patients. This can manifest itself as a twitching of the muscles or eyelid moving. These reactions are more common when these medications are used in conjunction with certain food items such as aged cheeses or preserved meats.