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What is the Best Drug For Anxiety Disorder? Although there are plenty of medications that can help with anxiety disorders however, there has been very little advancement in the development of new medications. Neuropeptides and agents have demonstrated potential in studies. The most common medication to treat anxiety is a benzodiazepine. These are fast-acting tranquilizers that include alprazolam (Xanax) and clonazepam (Klonopin). They provide immediate relief, but may have severe side effects. Benzodiazepines Benzodiazepines, such as Valium and Xanax help by increasing GABA, a brain chemical. They calm the nervous system and provide quick relief, but they can also become addictive if taken for long periods of time. They also increase the chance of having a seizure when you combine them with certain other medications, like 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 also work as anxiolytics and hypnotics. However their use is a source of controversy because they aren't suitable for all people. They can trigger side effects like drowsiness or confusion. Certain people are at risk of becoming dependent on them, which could cause addiction and they may cause the potential for a harmful rebound effect. They are not recommended for use for more than two weeks. The drugs are absorbed rapidly and begin to work within a matter of minutes. They block neurotransmitters that could send excessively stimulating signals to the brain. They also decrease the production of adrenaline, which is a stress-related hormone. They also stop the formation of new memories, which can lead to anxiety and panic. There are a variety of different kinds of benzodiazepines, each having a slightly different effect. You'll be able to determine the difference by the way you feel. Your doctor will prescribe a benzodiazepine prescription that is suitable for your needs. Some are short-acting, lasting only a few minutes, while others are able to be used whenever needed. Another medication that can reduce anxiety and hypnotic signs is the beta blocker Propranolol which is typically prescribed for anxiety related to social situations and public speaking. It can also reduce the effects of benzodiazepine, such as orthostatic hypnotic hypotension (when blood pressure decreases when standing up) as well as bradycardia and sedation. Antidepressants take a lot longer to take effect, but can reduce anxiety and hypnotic and anxiolytic symptoms in certain people. They do so by regulating and balancing the levels of neurotransmitters such as serotonin and norepinephrine. They aren't the first-line treatment however they can be used as required in conjunction with benzodiazepines to alleviate anxiety that is acute. Sleeping Medicines It is normal to feel stressed or anxious from time to time. However, if these feelings are interfering with your day-to-day activities it is recommended to consult an expert in mental health. Psychologists are trained in medication management and can help you choose the appropriate anxiety medication according to your medical history, diagnosis and personal preferences. Selective serotonin reuptake inhibitors also known as SSRIs are among the first drugs that doctors prescribe to treat anxiety disorders, and they work well for those suffering from depression as well. SSRIs boost the levels of serotonin, which is a neurotransmitter that regulates mood and appetite. They also help improve sleep and reduce anxiety and fears. Sertraline, citalopram, as well as Escitalopram are the most common SSRIs used to treat anxiety. SSRIs may take several weeks to start working and may cause adverse effects like insomnia or sexual dysfunction. Benzodiazepines (or benzos) are fast-acting medications that provide immediate relief from the symptoms of anxiety. Benzos are controlled substances which target gamma aminobutyric acid (GABA), can slow the brain and the body down when feeling overly excited. They also help relieve pain and seizures, and they are often used to treat ailments such as PTSD, GAD and panic disorder. Benzos are a substance that can become habit-forming and have dangerous adverse effects, such as memory problems and a higher chance of becoming addicted. Benzos can also cause dizziness, sedation, confusion, and a decrease in pulse rate. Beta blockers such as propranolol are a different class of anxiety medication that can be prescribed to treat anxiety-related symptoms. Typically, these medications are used to treat heart problems however they can be used to reduce heart rate and blood pressure in those suffering from anxiety and they can also reduce symptoms of asthma. Beta blockers can trigger serious side effects, including liver damage, hepatitis and heart attacks in those who have certain preexisting medical conditions. Many new medications are in the process of being developed and tested for anxiety disorders. They include medications that target glutamate, neuropeptides and other chemical compounds in the brain. However, few have made it to Phase III trials for anxiety disorders, in comparison to the number of new medications in development and testing for PTSD, OCD, depression and bipolar disorder. Antidepressants Treatments for anxiety disorders are usually called antidepressants. There are a variety of classes of medication that health care providers prescribe to treat anxiety disorders. However, they all have similar effects on the brain and body. Before you take any medication to treat anxiety, it's important to speak with a doctor. SSRIs such as fluoxetine (Prozac), paroxetine (Paxil) and sertraline (Zoloft), are often the first treatment option for anxiety. These medications boost levels of the neurotransmitter serotonin in the brain, which improves communication between nerve cells. They may also increase the levels of norepinephrine which helps regulate mood. SNRIs such as venlafaxine, (Effexor XR) and citalopram (Celexa) are also frequently prescribed. They work in the same manner to SSRIs however they have fewer side effects. Atypical antidepressants, like mirtazapine (Zoloft) and Clonidine (Ursamin) are a second class of anxiety medications that work similarly to SSRIs and SNRIs. They are effective, but take a long time to start working. Anticonvulsants such as gabapentin, pregabalin and tiagabine could help with anxiety. GABAergic medications boost the activity at receptors that block neurotransmitters, which reduce anxiety. Beta-blockers can be used to treat anxiety as well as heart problems. Propranolol, also known as Benadryl can be used to treat anxiety disorders, such as performance anxiety. Off-label, other medications may also be prescribed to treat anxiety. One of them is the hydroxyzine (Visitor) which is a powerful antihistamine which can relax muscles and induce sleepiness. This is used to treat anxiety when itching is present due to allergies. More research is required for these medications however they are promising in preliminary studies. Other Medical Treatments For people with long-term anxiety, psychiatric professionals recommend that they try other medication. These are usually a combination of antidepressants and other types of drugs, including sedatives or sleep medications. They are typically used for a long time and have a lower chance of addiction than benzodiazepines but they can cause side effects such as constipation and dry mouth. Antidepressants are the initial line of treatment for anxiety. They include selective serotonin-reuptake inhibitors (SSRIs) or selective norepinephrine reuptake inhibitors (SNRIs), which target brain chemicals serotonin, and norepinephrine. These include citalopram and sertraline, escitalopram, and paroxetine. The antidepressants duloxetine (Cymbalta) and venlafaxine (Effexor XR) are also useful for treating anxiety disorders . Tricyclic antidepressants such as mirtazapine (Remeron) are also able to be helpful. Antidepressants and medications that alter GABA which is a neurotransmitter have been proven to decrease anxiety. These include gabapentin, pregabalin and tiagabine as well as lamotrigine. They affect the calcium channels of your nervous system, which decreases neurotransmitter release. They are also effective in treating herpes and neuropathic neuralgia, the fibromyalgia syndrome, some seizures and fibromyalgia. Another alternative is a benzodiazepine which can be useful for acute anxiety symptoms on a short-term basis however, it should only be administered under medical supervision. These sedatives can be addictive and can cause more anxiety disorders. Psychologists have extensive experience in assessing your needs and putting together an effective medication management plan that works for you. The final medication that can be prescribed is an MAOI, which is an older type of drug that treats panic disorder and some social fears by increasing the amount of neurotransmitters that are present in your body. These medications are typically prescribed at a low dosage and gradually increased to prevent adverse effects, like nausea and low sodium levels. The best way to tackle anxiety disorders is by using a three-pronged approach, which includes psychotherapy, medication and exercise. Every person's treatment combination is different, but the majority find relief by combining these treatments. Your therapist can help you develop a cognitive behavioral therapy program that can help you change your beliefs, emotions and behaviours. They might also recommend acceptance and commitment therapy, which will teach you to accept your negative emotions and worries instead of trying to eliminate them.