Anxiety Disorder and Medication Information

By Funmi Salami

When treating anxiety, many psychiatrists reach for benzodiazepines, a class of anti-anxiety drugs. These drugs include Ativan (lorazepam) and Xanax (alprazolam). However, options for treatment include drugs not originally created for anxiety relief.

Certain antidepressants are also used in the treatment of anxiety. These medications are different from anti-anxiety medications in several different ways such as a low risk of dependency and abuse. In addition, antidepressants can take anywhere from four to six weeks to fully take effect. These medications can not be used for sudden symptoms of anxiety either.

The most commonly prescribed antidepressant medication to treat anxiety is SSRIs or selective serotonin reuptake inhibitors. Medications such as Prozac, Zoloft, Paxil, Celexa, and Lexapro are the most common. SSRIs are commonly prescribed to treat general anxiety disorders as well as more severe anxiety such as OCD or obsessive compulsive disorder. As with any medications these come with a risk of side effects. These include weight gain, stomach upset and nausea, sexual problems, sleepiness and dizziness, nervousness, and headaches. In addition, there may also be certain severe side effects involved such as suicidal thoughts, hostility, and aggression. Furthermore, antidepressants and benzodiazepines can increase symptoms of anxiety and depression.

How SSRIs work:

These types of antidepressant medications attempt to correct the chemical imbalance of serotonin in the brain. It accomplishes this by making more of the neurotransmitter available to the receptor sites of the post-synaptic nerve.

Buspirone (BuSpar) is a newer anti-anxiety drug that acts like an SSRI by increasing serotonin in the brain (subsequently reducing brain activity). BuSpar also reduces dopamine, a neurotransmitter (also a medicated substance) that increases heart rate and blood pressure. It starts working in half the time of antidepressant drugs, and lacks many of the side effects of anti-anxiety drugs, such as sedation. BuSpar also doesnt cause loss of memory or coordination and is not habit-forming, two problems with drugs such as Ativan. BuSpars effectiveness is limited to generalized anxiety disorder.

Oftentimes, Beta Blockers are prescribed as a treatment for anxiety as this disorder is known for increasing blood pressure and creating heart problems. They are also beneficial in alleviating other symptoms of anxiety including dizziness, sweating, trembling voice, and rapid heart rate. The most optimum use of this medication is in the treatment of phobias. Beta Blockers also come with a risk of side effects which include nausea, sleepiness, lightheadedness, and a very slow pulse.

Your doctor will be able to determine whether medications such as the ones listed above are necessary. He or she will ask you a series of questions as well as perform some physical tests to decide which medication will befit you the most. It is very important that these drugs take time to work at their optimum capacity and there may be a series of medication changes dependent upon any side effects endured. - 30309

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