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Medications For Anxiety Disorder and Depression Medications help many people manage anxiety, but they're not the only option. Exercise and psychotherapy are effective treatments, too. Certain antidepressants are effective in treating anxiety, as well as SSRIs like citalopram (Celexa) and Escitalopram (Lexapro), the fluoxetine (Prozac) and paroxetine (Paxil) and sertraline (Zoloft). Others, like histamine blockers such as Vistaril (hydroxyzine) can provide relief. Antidepressants Your doctor might prescribe medication to treat depression. Antidepressants are among the most commonly prescribed drugs, come in many different kinds. The type of antidepressant that 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. They work by altering the way your brain's nerve cells communicate. The drugs increase the amount neurotransmitters in your brain which improves your mood and anxiety. Antidepressants may take a few weeks to show results, so be patient and stick to your regimen. Benzodiazepines are another option your doctor might use to treat anxiety and depression. These are very fast-acting medications, and they can be utilized as a short-term remedy to ease the immediate symptoms of anxiety and depression. The Benzodiazepines include lorazepam, alprazolam and other. They block the actions of adrenaline and noradrenaline, which are hormones that are involved in the body's fight or flee response. Monoamine oxidase inhibitors are an older type of antidepressant that is also effective in treating anxiety and depression. They are usually prescribed to patients who have not had a response to other antidepressants. They also require dietary changes in order to avoid hypertensive effects caused by the amino acid tyramine. Tell your doctor if are taking an antidepressant with a prescription. This includes vitamins and supplements. You may have to decrease the dosage if other medications are affecting how well antidepressants work, or if they cause negative side effects. If you suspect you're having thoughts of suicide, get help right away from a medical professional. You might have different symptoms of anxiety and depression, or you may have a comorbidity of depression and anxiety. People who have comorbid depression and anxiety suffer from a worse medical outlook than those who have either disorder alone. Some psychiatric medications have been found to be particularly helpful in treating both disorders for people with a comorbidity of anxiety and depression. Benzodiazepines Anxiety-related symptoms can be alleviated by benzodiazepines, including alprazolam (Xanax), Clonazepam (Klonopin) as well as chlordiazepoxide (Librium), diazepam (Valium) and lorazepam (Ativan). These medications act on the central nervous system's benzodiazepine receptors, which are proteins that consist of 5 transmembrane subunits that shape a benzyl chloride channel in the center. The benzodiazepine receptors also have a site that binds the inhibitory neurotransmitter gamma aminobutryic type A (GABA A). The benzodiazepines decrease nerve activity by increasing GABA-A levels. Benzodiazepines have a rapid time to begin their action, however they pose a risk of dependence and addiction. Antipsychotics and antidepressants, as well as anticonvulsants as well as buspirone have a slower time of action, but are still beneficial for long-term use, as they don't cause tolerance or addiction. Depression is often found to be a comorbidity of anxiety disorders , and antidepressants can help reduce the depressive symptoms caused by anxiety. However, many people with depression experience a combination of depressive and anxious symptoms and will need a combination of medication and therapy for talk to manage all their symptoms. In these situations benzodiazepines are often employed for a brief period to treat depression or anxiety symptoms while other medications are in effect. These medications are usually prescribed for a brief period of time, and not for daily. When taking benzodiazepines over a long period of time may cause withdrawal symptoms such as shaking and trouble sleeping, so these medications should only be taken according to the prescription of your physician. Tell your doctor if you have ever had issues with substance abuse, dependence or mental health. Your doctor can inform you about possible adverse effects, and recommend other drugs if required to treat depression. If you have never used benzodiazepines before, or if you take them in excess they can lead to grave and sometimes fatal complications. If you are pregnant or nursing or have a history of liver disease, respiratory or digestive issues or liver disease your doctor may reduce the duration of treatment or prescribe lower doses. Alcohol can interact with benzodiazepines, and could increase the risk of side effects and dependence, therefore you should not drink alcohol while taking them. Beta-blockers Beta-blockers are a drug that can be used to help control anxiety symptoms. They are a form of medication distinct from benzodiazepines, such as Xanax and are effective by blocking the receptors to which adrenaline binds. They also slow brain and nervous system functions. They can be used in lieu of benzodiazepines, which are more addictive and carry greater risk of 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. However, they're not specifically FDA-approved for the treatment of anxiety disorder. They are frequently used “off label” to treat this condition, and are a good alternative if other anti-anxiety drugs do not offer relief or have intolerable adverse effects. They are especially effective in cases of performance anxiety and social anxiety, where physical symptoms may occur when an event triggers anxiety. They can also be utilized in combination with other treatment options for example, CBT or SSRIs. They are particularly effective as an addition therapy for people suffering from GAD, which is characterized by constant and persistent anxiety that affects daily activities. They can also aid in managing physical symptoms of anxiety, such as a racing heart or increased sweating. Beta-blockers may help reduce physical symptoms of anxiety, they don't solve the psychological issues that contribute to the anxiety. They are most effective as a supplement to other treatments such as benzodiazepines and SSRIs. Before you start taking beta-blockers, it is important to discuss with your doctor your medical history as well as any other health concerns. The use of these drugs is associated with a decrease in suicidal and psychiatric hospitalisations, but the results vary by specific psychiatric diagnosis and the psychiatric history of the past. In some patients, they may also increase the risk of heart attacks. Some natural ingredients have the same properties as beta-blockers, but are not as effective. They include antioxidants, garlic, Saffron, and potassium. These natural products are not entirely comprehended. Certain of these supplements can cause serious adverse side adverse effects, therefore it is recommended to consult an expert prior to taking them. Monoamine oxidase inhibitors Monoamine oxidase inhibitors (MAOIs) work by changing the way your brain functions. They inhibit the activity of an enzyme called monoamine oxidase. It reduces the chemical compounds serotonin and norepinephrine, which allow your brain cells to communicate with each other. By blocking monoamine oxide, MAOIs allow more of these chemical messengers to stay in your brain. This enhances brain cell communication and improves your mood. These medications are also effective in treating anxiety disorders. This includes anxiety as well as mixed depression and anxiety states. However, they are not as effective in pure anxiety states and may not help with panic attacks. The effectiveness of MAOIs has been linked to their ability to boost serotonin, dopamine and norepinephrine levels inside the brain. These neurotransmitters are naturally produced by your body, and are then released into the bloodstream, where they are transported to nerve cells and act as messengers between neurons. Iproniazid was the first antidepressant to be developed in 1950. It blocked monoamine oxidease. This led to the development of other MAOIs like tranylcypromine or isocarboxazid, which have long been 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 could trigger serious withdrawal symptoms if suddenly stopped. They can also have serious drug and food interactions. A newer MAOI known as a selective, irreversible MAOA-A inhibitor is being researched for its potential use in treating depression that is not responding to treatment. It is not recommended to use in bipolar disorder since it could trigger manic symptoms. Another newer MAOI, selegiline (Eldepryl or Zelapar) is being investigated for treatment of Parkinson's disease. panic anxiety disorder monoamine oxidase however, it does not interfere with other enzymes which break down levodopa, the primary treatment for Parkinson's. These medications can be used either alone or in combination with other antidepressants. In certain patients, MAOIs may cause a reaction involving increased neuromuscular excitability and hyperreflexia. This may manifest as eyelid twitching, and other symptoms. These reactions could be more frequent if these drugs are taken with certain foods like aged cheeses or preserved meats.