What are the best anti-anxiety drugs )?

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1 There is no one answer. It all depends on your own brain chemistry, and you and your psychiatrist have to work to find the best one for you. In my case, none have worked, and I have been tried on over twenty of them!

Apparently, I'm one of the 30% of people for whom most drugs don't work.

2 I haven't tried anywhere as many as Marshall has. I've had the same problem though, none of them worked for me.

The medication relieves the anxiety, but it also blocks feelings of pleasure or pain. Despite their sedating properties, some people who take anti-anxiety medication experience paradoxical excitement. The most common paradoxical reactions are increased anxiety, irritability, and agitation.

While rare, these adverse effects are dangerous. Paradoxical reactions to these anxiety medications are most common in children, the elderly, and people with developmental disabilities. Because of the many safety concerns linked to anti-anxiety drugs, other medications for treating anxiety have gained in popularity.

The alternatives to the anti-anxiety tranquilizers include antidepressants, buspirone, and beta blockers. Many medications originally approved for the treatment of depression have been found to relieve symptoms of anxiety. These include certain selective serotonin reuptake inhibitors (SSRIs), tricyclic antidepressants (TCAs), monoamine oxidase inhibitors (MAOIs), and the newer atypical antidepressants.

Antidepressants are often preferred over the traditional anti-anxiety drugs because the risk for dependency and abuse is smaller. However, antidepressants take up to 4 to 6 weeks to begin relieving anxiety symptoms, so they can’t be taken “as needed.” For example, antidepressants wouldn’t help at all if you waited until you were having a panic attack to take them.

Their use is limited to chronic anxiety problems that require ongoing treatment. The antidepressants most widely prescribed for anxiety are SSRIs such as Prozac, Zoloft, Paxil, Lexapro, and Celexa. These work by regulating serotonin levels in the brain to elevate mood and have been used to treat panic disorder, obsessive-compulsive disorder (OCD), and generalized anxiety disorder (GAD).

Although physical dependence is not as quick to develop with antidepressants, withdrawal can still be an issue. If discontinued too quickly, antidepressant withdrawal can trigger symptoms such as extreme depression and fatigue, irritability, anxiety, flu-like symptoms, and insomnia. Buspirone, also known by the brand name BuSpar, is a newer anti-anxiety drug that acts as a mild tranquilizer.

Buspirone relieves anxiety by increasing serotonin in the brain as the SSRIs do and decreasing dopamine. Compared to traditional anti-anxiety medications like Xanax, buspirone is slow acting. It takes about two weeks to start working on anxiety.

However, it has several advantages over the older anti-anxiety drugs: it’s not as sedating, it doesn’t impair memory and coordination, it’s not very addictive, and the withdrawal effects are minimal. Since the risk of dependence is low and it has no serious drug interactions, buspirone is a good option for older individuals and people with a history of substance abuse. However, its effectiveness is limited.

It works for generalized anxiety disorder (GAD), but doesn’t seem to help the other types of anxiety disorders. Beta blockers are a type of medication used to treat high blood pressure and heart problems. However, beta blockers are also prescribed off-label for anxiety.

Beta blockers work by blocking the effects of norepinephrine, a stress hormone involved in the fight-or-flight response. This helps control the physical symptoms of anxiety such as rapid heart rate, a trembling voice, sweating, dizziness, and shaky hands. Because beta blockers don’t affect the emotional symptoms of anxiety such as worry, they’re most helpful for phobias, particularly social phobia and performance anxiety.

Beta blockers include drugs such as propranolol (Inderal) and atenolol (Tenormin). Beyond the common side effects, medication for anxiety comes with additional risks. While the tranquilizing anti-anxiety drugs are relatively safe when taken only occasionally and in small doses, they can lead to severe problems when combined with other substances or taken over long periods of time.

Furthermore, some people will have adverse reactions to any amount of anti-anxiety medication. They are not safe for everyone, even when used responsibly. Used alone, anti-anxiety medications such as Xanax or Valium rarely cause fatal overdose, even when taken in large doses.

But when combined with other central nervous system depressants, the toxic effects of these anxiety medications increase. Taking anti-anxiety medication with alcohol, prescription painkillers, or sleeping pills can be deadly. Dangerous drug interactions can also occur when anti-anxiety drugs are taken with antihistamines, which are found in many over-the-counter cold and allergy medicines.

Antidepressants such as Prozac and Zoloft can also heighten their toxicity. Always talk to your doctor or pharmacist before combining medications. Anyone who takes anti-anxiety medication can experience unpleasant or dangerous side effects.

People over 65. Older adults are more sensitive to the sedating effects of anti-anxiety medication. Even small doses can cause confusion, amnesia, loss of balance, and cognitive impairment that looks like dementia.

Anti-anxiety drug use in the elderly is associated with an increased risk of falls, broken hips and legs, and car accidents. Pregnant women. Expectant mothers should avoid anti-anxiety drugs.

Since these anxiety medications cross the placenta, their use during pregnancy can lead to dependence in the baby. Following birth, the baby will then go through withdrawal, with symptoms such as muscle weakness, irritability, sleep and breathing problems, and trembling. These anxiety drugs are excreted in breast milk, so they should be avoided while breastfeeding, too.

People with a history of substance abuse. Anyone with a current or former problem with alcohol or drugs should avoid anti-anxiety drugs or use them only with extreme caution. The greatest benefit of benzodiazepines is that they work quickly, but this also makes them addictive.

This can quickly lead to their abuse, often in dangerous combination with alcohol or other illicit drugs. If you’re trying to decide whether or not to treat your anxiety with medication, it’s important to weigh the pros and cons in conjunction with your doctor. It’s also important to learn about the common side effects of the anxiety medication you are considering.

Side effects of anxiety medication range from mild nuisances such as dry mouth to more severe problems such as acute nausea or pronounced weight gain. For any anxiety medication, you will have to balance the side effects against the benefits. Is medication the best option for my anxiety problem?

Am I willing to put up with unpleasant side effects in return for anxiety relief? What non-drug treatments for anxiety might help? Do I have the time and am I willing to pursue non-drug treatments such as cognitive-behavioral therapy?

What self-help strategies might help me get my anxiety under control? If I decide to take anxiety medication, should I pursue other therapy as well? How will the medication help my anxiety?

What are the drug’s common side effects? Are there any food and drinks I will need to avoid?

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