Different Anti-Anxiety Drugs:
There are several types of anti-anxiety drugs available. They are prescribed as per the type of anxiety one is suffering from, as well as some other factors, such as preexisting health conditions and other medications.
Some of the anti-anxiety drugs are:
Benzodiazepines such as Valium, Xanax, Ativan, and Klonopin are used for a short-term period. They are mainly used in the treatment of GAD. They have also been proven to be particularly useful as second-line treatment in cases of panic disorders and SAD, with antidepressants being the first choice, usually.
Benzodiazepines work by increasing gamma-aminobutyric acid (GABA), which is a chemical that is used by neurons to communicate with each other and it is also known for reducing brain activity. Excessive activity in the brain has been found to lead to anxiety, therefore, by increasing the GABA levels, benzodiazepines help reduce anxiety.
Benzodiazepines are mainly used for short term as they tend to cause addiction.
BuSpar (Buspirone) is used in the treatment of chronic anxiety and is the recognized medication for GAD. It works by increasing the serotonin levels in the brain, thus bringing about an improvement in mood and reducing anxiety.
It can be used for long-term treatment because it does not cause addiction. It also takes some time to show its effect, therefore, it cannot be used for immediate relief that is required in the case of anxiety attacks.
Buspirone comes with some side effects that include headache, dizziness, and trouble with sleeping. It is, however, less sedating than the other anxiolytics.
Antidepressants also prove to be useful in the treatment of anxiety disorders. This is because they help in increasing the levels of neurotransmitters such as serotonin in the brain, thereby enhancing mood and reducing anxiety.
Different classes of antidepressants are used in the treatment of different anxiety disorders as mentioned below:
Selective Serotonin Reuptake Inhibitors (SSRIs) and Serotonin Norepinephrine Reuptake Inhibitors (SNRIs) are used in the treatment of GAD, SAD, OCD, PTSD, and panic disorder.
Tricyclic antidepressants are used in the treatment of GAD, panic disorder, and PTSD. Anafranil, a tricyclic antidepressant (TCA), can be used in the treatment of OCD as well.
These drugs are mainly used in the treatment of heart disease. They reduce blood pressure and heart rate by inhibiting the effects of epinephrine which is a stimulant that is naturally produced by the body. Because of this, they are also used in treating certain symptoms of anxiety like trembling, sweating, and other physical symptoms.
Some examples include Sectral, Tenormin, and Inderal.
They are only used for short-term treatment as they come with side effects like weight gain, cold hands and feet, and fatigue. They are not prescribed for those suffering from asthma or diabetes.
Apart from the above, other drugs that are used to treat anxiety disorders include antihistamines, anticonvulsants, antipsychotics, and alpha-blockers.
Advantages of Anti-Anxiety Drugs:
Anti-anxiety drugs or anxiolytics work by targeting special chemical messengers in the brain, by reducing their abnormal excitability.
Anxiolytics help by reducing anxiety, which enables one to calm down and focus. Along with anxiolytics, psychotherapy and counseling also help reduce symptoms of anxiety. A combination of these two is often used to alleviate the symptoms of anxiety.
Risks and Other Considerations:
Anti-anxiety drugs or anxiolytics are not without their side effects. Common side effects include nausea, headache, constipation, diarrhea, and weight gain, while the more severe side effects include dry mouth, high or low blood pressure, blurred vision, irregular heartbeat, and even suicidal thoughts.
Anxiolytics are also infamous for their drug interactions. That is, they may interact with other drugs which may either increase or decrease their effectiveness as well as their side effects. They may also be addictive, like benzodiazepines, for example. Abrupt stoppage of anxiolytics can result in withdrawal symptoms, while overdose can result in coma or even death.
Therefore, they must only be taken with prescription, and any alterations in the usage of these drugs must be done only after consulting a doctor.
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