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Medications For Anxiety Disorder and Depression Many people find that medications aid in managing anxiety. However they're not the only solution. Psychotherapy and exercise can be effective treatments. Certain antidepressants, including SSRIs (citalopram, Lexapro, fluoxetine, Prozac, paroxetine, Zoloft) also help with anxiety. Others, such as histamine blockers such as Vistaril (hydroxyzine) can help relieve anxiety. Antidepressants Your doctor might prescribe medication to treat depression. Antidepressants, one of the most commonly prescribed medications, come in many different kinds. The type you choose by your doctor depends on the severity of your symptoms, any other medical conditions you suffer from, as well as your 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 accomplish this by increasing the amount of certain neurotransmitters, which enhances mood and anxiety. Antidepressants can take a while to yield results, so take your time and stick with your regimen. Benzodiazepines may also be prescribed by your physician to treat depression or anxiety. These medications are fast-acting and can be used to alleviate depression and anxiety symptoms in a short period of time. best medicine for anxiety disorder of benzodiazepines are lorazepam and alprazolam. They block the actions of adrenaline and noradrenaline which are hormones that are involved in the body's fight or flee response. Monoamine oxidase inhibiters are an older antidepressant type that can be effective for treating anxiety and depression. They are usually prescribed to those who have not had a response to other antidepressants. They also require dietary changes to prevent hypertensive reactions caused by the amino acid tyramine. Tell your doctor if are taking an antidepressant on prescription. This includes supplements and vitamins. You may need to reduce the dose if other medications interfere with how antidepressants function or if there are negative side effects. Get help immediately if you have thoughts of suicide. You may have different symptoms for depression and anxiety, or you may have comorbid anxiety and depression. People with comorbid anxiety and depression are more likely to have a negative medical prognosis as compared to those who only have one disorder. Certain psychiatric medications have been found to be especially helpful in treating both disorders for those who suffer from depression and anxiety comorbidly. Benzodiazepines Benzodiazepines can ease anxiety symptoms, such as alprazolam, clonazepam and chlordiazepoxid diazepam, lorazepam, and diazepam. These medications work on the benzodiazepine-receptors in the central nervous system that are transmembrane protein molecules that make up an benzylchloride channel in the center. The benzodiazepine-receptors also have an area that binds to the inhibitory neurotransmitter, GABA A (GABA A). The benzodiazepines work by increasing the concentration of GABA-A, thereby decreasing nerve activity and relaxing muscles. Benzodiazepines are renowned for their rapid onset, but also high risks of dependence and addiction. Antipsychotics and antidepressants as well as anticonvulsants and buspirone have a slower time of action, however they are still beneficial for long-term use because they do not produce tolerance or create addiction. Anxiety and depression are often co-occurring, and antidepressants can help decrease depressive symptoms that are associated with anxiety. Many people suffering from depression experience a combination both of depressive and anxious symptoms. They will need to mix medication and talk therapy in order to control their symptoms. In these instances benzodiazepines can be used for a short time to control depression or anxiety symptoms while other medications work. Typically, these medications are prescribed for only just a few weeks at a stretch and are not prescribed daily. When taking benzodiazepines over a long period of time could cause withdrawal symptoms such as shaking and difficulty sleeping and waking up, so these medications should only be taken according to the prescription of your doctor. If you're considering taking benzodiazepines, tell your doctor about any prior substance abuse or dependence issues and any other mental health problems you suffer from. Your doctor will be able to talk to you about possible adverse effects, and recommend other medications if needed to treat depression. If you've never used benzodiazepines before or if you take them in excess, they can cause grave and sometimes fatal complications. If you are breastfeeding, pregnant or have a history of liver disease or respiratory or digestive disorders your doctor may suggest lower doses or restrict the duration of treatment with these medications. Alcohol can interact with benzodiazepines, and can increase the risk of adverse effects and dependence, so you should not drink alcohol while taking these medications. Beta-blockers Beta-blockers are a drug that can be used to reduce anxiety symptoms. They are a different kind of drug than the benzodiazepines, such as Xanax, and they work by blocking receptors that adrenaline binds. They also slow down the activity of the nervous system and brain. They can be used as an alternative to benzodiazepines that are more addictive and have a higher dependency risk. Beta blockers are frequently prescribed to treat heart problems and may be beneficial in treating anxiety as they reduce blood pressure and slow down the heart rate. However, they are not specifically approved by the FDA for the treatment of anxiety disorder. These drugs are used “off-label” to treat anxiety disorders. They are an excellent alternative if other antianxiety drugs do not work or cause unacceptable adverse side effects. They are especially effective in situations of performance anxiety and social anxiety, in which uncomfortable symptoms can occur during events that trigger anxiety. They can also be utilized in combination with other treatment modalities like CBT or SSRIs. They are particularly effective as an addition therapy for those suffering from GAD. GAD is characterized by persistent and frequent worry that interferes in 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 do not address the underlying mental issues that cause the anxiety. They are designed to complement other treatments, like benzodiazepines and SSRIs. Before you begin taking beta-blockers it is crucial to talk with your doctor about your medical history and any other health issues. These medications are associated with decreased psychiatric admissions and suicidal behaviors, however the results may differ based on the specific psychiatric diagnosis and the psychiatric history of the past. Additionally, they are linked to an increased risk of cardiovascular events in certain patients. Some natural ingredients contain similar properties to beta-blockers, but are not as efficient. They include antioxidants, garlic Saffron, and potassium. These natural products are not fully comprehended. Some of these supplements may cause serious side effects, so it is best to consult with a physician prior to taking these supplements. Monoamine oxidase inhibitors MAOIs affect the way that your brain functions. They interfere with an enzyme known as monoamine oxide that breaks down chemicals like serotonin, norepinephrine and other chemical compounds that let brain cells to communicate with eachother. By blocking monoamine oxidase MAOIs help to keep more chemical messengers in your brain, which boosts your mood by enhancing brain cell communication. These medications are also effective in treating anxiety disorders. This includes agoraphobia, mixed depression and anxiety states. However, they are not as efficient in the case of anxiety that is pure and may not help with panic attacks. The MAOIs' effectiveness has been linked to their ability to increase dopamine, serotonin, and norepinephrine levels in the brain. These neurotransmitters are naturally produced in your body and then released into the bloodstream, where they travel to nerve cells and act as a messenger 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 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. MAOIs can cause serious withdrawal symptoms if suddenly stopped. They can also have serious drug and food interactions. A newer type of MAOI, called MAO-A, a selective and irreversible inhibitor, is being studied for use in treatment resistant depression. It is not recommended to use in bipolar disorder because it may cause manic symptoms. Another newer MAOI, selegiline (Eldepryl or Zelapar) is being investigated for the treatment of Parkinson's disease. It blocks monoamine oxidase, but does not affect the other enzymes which breakdown levodopa, which is the main treatment for Parkinson’s. These medications can be used either on their own or in conjunction with other antidepressants. In certain patients, the MAOIs can cause a reaction involving increased neuromuscular excitability and hyperreflexia. This can manifest itself as a twitching of the muscles or eyelid twitching. These reactions are more frequent when these medications are taken together with certain foods like aged cheeses and preserved meats.