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What is the Best Drug For Anxiety Disorder? While there are a lot of medications that can help with anxiety disorders, there has been little advancement in the development of new medications. Neuropeptides and other agents have shown potential in research. The most popular medication used to combat anxiety is a drug called benzodiazepine. These are fast-acting tranquilizers that include alprazolam (Xanax) and clonazepam (Klonopin). These drugs offer immediate relief, however they also can cause serious side effects. Benzodiazepines Benzodiazepines, such as Valium, Xanax and Lorazepam, work by enhancing the brain chemical GABA. They calm the nervous system and provide swift relief, but they can also become addictive if taken for long periods of time. You also run a higher risk of experiencing seizures when you mix them with other medications, including antidepressants. They are prescribed to treat a broad range of conditions, including alcohol withdrawal as well as agitation, aggression spasms, seizures and REM sleep disorder. They are also an effective anti-anxiolytic and hypnotic. However their use is a source of controversy since they are not suitable for everyone. They can trigger side effects like drowsiness, confusion and dizziness. Some people may become dependent on them. This could result in addiction. They may also trigger an extremely dangerous rebound. It is not recommended to use them for longer than two weeks. The drugs are absorbed rapidly and start to work within a matter of minutes. They help by blocking the neurotransmitters' activities, which can send over-stimulating signals to the brain. They also decrease the production of adrenaline, which is a hormone that is linked to stress. They also stop the formation of new memories that can cause anxiety and panic. There are many kinds of benzodiazepines, each with a slightly different effect. You'll know the difference by the way you feel. Your doctor will prescribe a benzodiazepine that is suitable for your needs. Some are short-acting, lasting only a few minutes while others can be used as needed. Another medication that may help to reduce anxiety and hypnotic symptoms is beta blocker Propranolol that is commonly prescribed for social anxiety and public speaking. It can also help reduce the adverse effects of benzodiazepines, like orthostatic hypotension (when your blood pressure decreases when you stand up) and bradycardia (low heart rate) and sedation. Antidepressants are slower to work but can help with anxiety, hypnotic symptoms, and anxiolytics for some people. They accomplish this by regulating and balancing the levels of neurotransmitters, such as serotonin and norepinephrine. They are not the first-line treatment, but they can be utilized as needed in conjunction with benzodiazepines treat acute anxiety. Sleeping Medicines It is normal to feel anxious or stressed occasionally. However, if these feelings are interfering with your everyday life it is recommended to speak with an expert in mental health. Psychologists have extensive experience in medication management and can help you select the right anxiety medications for you, taking into account your diagnosis, medical history and personal preferences. Selective serotonin reuptake inhibitors also known as SSRIs, are one of the first drugs doctors use to treat anxiety disorders and they can be effective for those suffering from depression too. SSRIs increase the amount of serotonin – the neurotransmitter that regulates appetite and mood. They can also improve your sleep and decrease anxiety. Sertraline, citalopram, and escitalopram are all typical SSRIs that are used to treat anxiety. SSRIs may require several weeks to begin working and may cause negative side effects, such as insomnia or sexual dysfunction. Benzodiazepines (or benzos) are fast-acting medications that give immediate relief from anxiety symptoms. Benzos, controlled substances that target gamma aminobutyric acid (GABA), can slow the brain and body down when feeling overexcited. They can also reduce seizures and pain, and are often used to treat conditions like PTSD, GAD, and panic disorder. Benzos can cause a habit and have dangerous adverse effects, such as memory problems and a higher chance of developing addiction. Benzos can also cause sedation and dizziness. They can also lead to confusion, a decreased heart rate, and dizziness. Beta blockers, including propranolol, are a different class of anti-anxiety medications that are prescribed off-label to reduce symptoms of anxiety. Usually, these medications are used to treat heart problems however they can be used to reduce heart rate and blood pressure in people with anxiety, and can also help reduce symptoms of asthma. Beta blockers can trigger serious side effects, including liver damage, hepatitis and heart attacks in people with certain preexisting conditions. Numerous new medications are in the process of being developed and evaluated for anxiety disorders. These include drugs that target glutamate, neuropeptides and other chemicals found in the brain. However, very few have advanced to Phase III trials for anxiety disorders, in comparison to the amount of new drugs in development and undergoing testing for PTSD, OCD, depression and bipolar disorder. Antidepressants Antidepressants are widely used to treat anxiety disorders. There are several types of drugs that health care providers employ to treat anxiety disorder s however, they all have similar effects on the brain and body. It is essential to consult an expert in health before taking any medication to treat anxiety. SSRIs like fluoxetine (Prozac) and paroxetine (Paxil) and sertraline (Zoloft) are usually the first choice for treating anxiety. These medications boost the levels of serotonin, a neurotransmitter in the brain that enhances communication between nerve cells. They may also boost the levels of norepinephrine, which helps regulate mood. SNRIs include venlafaxine (Effexor XR) and citalopram (Celexa), are also often prescribed. They work in a similar way as SSRIs however, they have fewer adverse effects. Atypical antidepressants like mirtazapine (Zoloft) and clonidine (Ursamin) are a different class of antidepressants that work in a similar way to SNRIs and SSRIs. They are effective, but take longer to begin working. Anticonvulsants like pregabalin, gabapentin and tiagabine can help with anxiety. GABAergic medications boost the activity of receptors that block neurotransmitters, reducing anxiety. Beta-blockers, which are traditionally used to treat heart problems, can also be used for anxiety. Propranolol, also known as Benadryl, is used to treat anxiety disorders, such as performance anxiety. Off-label, other medicines may also be prescribed to treat anxiety. One of these is the hydroxyzine (Visitor) which is a powerful antihistamine that can relax muscles and induce sleepiness. This is used to reduce anxiety when itching is present from allergies. More research is required for these drugs however, they have shown promise in initial studies. Other Medications Psychologists recommend that those suffering from anxiety who have been suffering for a long time, try other medications. They are typically a mix of antidepressants and other forms of drugs, including sleep medication or sedatives. These are usually used for a long time and have a lower risk of addiction than benzodiazepines but they can cause adverse effects, such as constipation and dry mouth. Antidepressants are the initial treatment for anxiety. These include selective serotonin-reuptake inhibitors (SSRIs) or selective norepinephrine reuptake inhibitors (SNRIs) that target brain chemicals serotonin, and norepinephrine. These include citalopram and escitalopram, sertraline and paroxetine. The antidepressants duloxetine (Cymbalta) and venlafaxine (Effexor XR) are also beneficial for treating anxiety disorders. In addition, tricyclic antidepressants, like mirtazapine (Remeron) could also aid. Antidepressants and medications that alter GABA, the neurotransmitter, have been shown to reduce anxiety. These include gabapentin, pregabalin and tiagabine as well as lamotrigine. They work by affecting the calcium channels in your nervous system, which decreases neurotransmitter release. These are also effective for the treatment of neuropathic pain, herpes neurogia and fibromyalgia, as well as some seizures. A benzodiazepine may also be prescribed for treating symptoms of anxiety that are acute. However it should be taken under medical supervision. These sedatives are addictive and can worsen the anxiety disorder in its initial. Psychologists are trained to evaluate your needs and formulate an appropriate medication plan suitable for you. MAOIs are an older kind of medicine that is used to treat anxiety disorders and social anxiety. They work by increasing the amount of neurotransmitters that your body produces. These drugs are usually prescribed at a low dosage and gradually increased to prevent negative side effects, such as nausea and low sodium levels. Ultimately, the best approach to anxiety disorder s is a three-pronged one, that includes exercise, psychotherapy and medication. Each person's combination of treatments is unique, however most people find relief combining these treatments. Your therapist will instruct you on cognitive behavioral therapy, which helps you learn to alter your thoughts, feelings and behavior. They might also suggest acceptance and commitment therapy, which helps you to accept your negative emotions and worries rather than trying to eliminate them.