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Medications For Anxiety Disorder and Depression The use of medication can help a lot of people manage anxiety, but they're not the only option. Psychotherapy and exercise can be effective treatments. 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) can also offer relief. Antidepressants Your doctor may prescribe medication to treat depression. Antidepressants are one of the most frequently prescribed drugs, and there are many kinds to choose from. The type of antidepressant your doctor prescribes will depend on your symptoms, any other medical conditions, and the goals of your treatment. Selective serotonin reuptake inhibitors (SSRIs) and serotonin-noradrenaline reuptake inhibitors (SNRIs) are among the most commonly prescribed antidepressants. These medications alter the way your brain's nerve cells communicate. They accomplish this by increasing the amount of certain neurotransmitters, which helps improve mood and anxiety. It could take up to several weeks for antidepressants start working, so be patient. Benzodiazepines may also be prescribed by your doctor to treat anxiety or depression. They are quick-acting and can help reduce depression and anxiety symptoms within a short amount of time. Benzodiazepines include alprazolam, lorazepam and other. They block the actions of adrenaline and noradrenaline, which are hormones that play a role in the fight or flight response. Monoamine oxidase inhibitors are an antidepressant type older that is effective in treating depression and anxiety. These are often prescribed to patients who have not had a response to other antidepressants. They also require changes to diet to prevent hypertensive effects caused by the amino acid tyramine. If you're taking an antidepressant prescription be sure to inform your doctor of the other medications you're taking, including vitamins and supplements. You may need to lower the dosage if you are taking other medications that interfere with how antidepressants work, or if they cause adverse effects. If you suspect you're having thoughts of suicide, get assistance right away by a health professional. There are many different signs for depression and anxiety or you could have a comorbidity of depression and anxiety. disorders anxiety with comorbid depression and anxiety suffer from a worse medical prognosis than people who suffer from either disorder on their own. Certain psychiatric medications have been found to be particularly helpful in treating both disorders for people who suffer from comorbid depression and anxiety. Benzodiazepines Anxiety symptoms can be alleviated through benzodiazepines. They include alprazolam (Xanax) as well as the clonazepam (Klonopin), chlordiazepoxide (Librium), diazepam (Valium) and lorazepam (Ativan). These drugs act on the central nervous system's benzodiazepine receptors which are protein molecules comprised of five transmembrane components that form a benzyl chloride channel in the center. The benzodiazepine receptors also possess an affinity site for the inhibitory neurotransmitter, gamma-aminobutryic acid type A (GABA-A). The benzodiazepines increase the GABA-A concentration, thus decreasing nerve activity and relaxing muscles. The Benzodiazepines are famous for their rapid onset, but also high risks of dependence and addiction. Antidepressants, anticonvulsants, antipsychotics and buspirone have a longer duration of action, but are more suitable for long-term use, as they don't cause tolerance or addiction. Depression and anxiety disorder s are often co-occurring, and antidepressants can help decrease depression symptoms that are associated with anxiety. Many people with depression have an overlapping of anxious and depressive symptoms. They'll need to combine medication with talk therapy in order to manage their symptoms. In these cases, benzodiazepines may be utilized for a short period of time to treat depression or anxiety symptoms while other medications are in effect. Typically, these drugs are only prescribed for several weeks at a time and are not taken daily. When taking benzodiazepines over a long period of time may cause withdrawal symptoms, like shaking and difficulty sleeping and waking up, so these medications are only to be used according to the prescription of your doctor. If you're considering taking benzodiazepines in the future, inform your doctor about any past dependency or substance abuse issues, as well as any other mental health problems you may have. Your doctor can talk to you about possible side effects, and recommend other drugs if required to treat depression. Benzodiazepines can cause serious, even life-threatening problems in the event that you consume too much or have never used them before. If you are pregnant or breastfeeding or have a history with liver disease or respiratory or digestive disorders or liver disease, your doctor might limit the duration of treatment or prescribe lower doses. Alcohol can interact negatively with benzodiazepines, thereby increasing the risk of side effects and dependence. You should avoid drinking alcohol while taking these drugs. Beta-blockers Beta-blockers can be utilized as a medication to control anxiety symptoms. They are a type of medication different from benzodiazepines such as Xanax and they block the receptors that adrenaline bonds to. They also reduce the activity of the nervous system and brain. They are a viable alternative to benzodiazepines that come with a higher risk of addiction and dependence. Beta blockers, which lower blood pressure and slow heart rate, are commonly prescribed to treat heart conditions. They can also be helpful for treating anxiety. They are not FDA-approved for treating anxiety disorders. These drugs are used “off-label” to treat anxiety disorders. They are a great alternative if other antianxiety drugs do not work or cause unacceptable side effects. They are particularly efficient in cases of social and performance anxiety, in which physical symptoms can be experienced when an event triggers anxiety. They can be utilized in conjunction with other treatment methods like CBT and SSRIs. They are especially effective as an alternative therapy for people with GAD. GAD is characterized by constant and recurring anxiety that can hinder everyday activities. They can also aid in reducing physical symptoms of anxiety, such as a racing heart or increased sweating. Beta-blockers can ease physical symptoms of anxiety but they do not address the underlying psychological issues that cause the condition. They are designed to complement other treatments, such as SSRIs or benzodiazepines. It is crucial to discuss your medical history as well as any other health issues with your doctor before taking beta-blockers. These drugs are linked to reduced psychiatric admissions and suicidal behavior, but the results may differ based on the specific psychiatric diagnosis and previous psychiatric histories. In certain patients, they may also increase the risk of having cardiovascular events. Certain natural products contain similar properties to beta-blockers but aren't as efficient. These include antioxidants, garlic, saffron, and potassium. These natural supplements are not fully understood. Certain of these supplements can cause serious adverse side effects, so it's best to consult an expert prior to taking these supplements. Monoamine oxidase inhibitors Monoamine oxidase inhibitors (MAOIs) work by changing the way your brain functions. They inhibit the function of an enzyme known as monoamine oxidase. This enzyme breaks down the chemical serotonin and norepinephrine that enable brain cells to communicate with one and each other. By blocking monoamine oxide, MAOIs allow more of these chemical messengers to stay in your brain. This improves brain cell communication, and elevates your mood. These drugs are also effective in treating anxiety disorders , specifically anxiety-related disorders such as agoraphobia, mixed depression and anxiety. However, they are less efficient in the case of anxiety that is pure and might not help with panic attacks. The effectiveness of MAOIs is linked to the fact that they raise levels of norepinephrine, dopamine and serotonin in the brain. These neurotransmitters, which are naturally produced in the body, are released into the bloodstream, where they are absorbed by nerve cells and act as messengers. Iproniazid was the first antidepressant to be discovered in 1950. It blocked monoamine oxidease. This led to the development of other MAOIs such as tranylcypromine, isocarboxazid, and fluoxetine, that are widely 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 suddenly, MAOIs are typically only used for patients who fail to respond to other treatments. A newer MAOI called a selective, irreversible MAOA-A inhibitor is being investigated for its use in treating depression that is not responding to treatment. It is not recommended to use in bipolar disorder because it could trigger manic symptoms. Another MAOI that is newer, selegiline (Eldepryl or Zelapar) is being investigated for treatment of Parkinson's disease. It blocks monoamine oxidase, but it does not affect other enzymes that break down levodopa the primary treatment for Parkinson's. These medications can be taken in conjunction with other antidepressants. In some patients, MAOIs may cause a reaction involving hyper-reflexia and neuromuscular excitability. This may manifest as muscle twitching, eyelid twitching, and other symptoms. These reactions are more prevalent when these medications are taken in conjunction with certain food items such as aged cheeses or preserved meats.