Do not stop taking a medication without consulting with the prescribing physician abrupt discontinuation may cause other health risks. Although effective in the treatment of some anxiety disorders(but not Social Anxiety Disorder), they can cause significant side effects, including orthostatic hypotension (drop in blood pressure on standing), constipation, urinary retention, dry mouth, and blurry vision.Ĭontact your physician if you experience side effects, even if you are not sure a symptom is caused by a medication. Read this blog post about SSRIs and Benzodiazepines Tricyclic AntidepressantsĬoncerns about long-term use of the benzodiazepines led many doctors to favor tricyclic antidepressants (amitriptyline, imipramine, and nortriptyline). Long-term use may require increased doses to achieve the same effect, which may lead to problems related to tolerance and dependence. They are not recommended as a treatment for Post Traumatic Stress Disorder. Benzodiazepines (alprazolam, clonazepam, diazepam, and lorazepam) are highly effective in promoting relaxation and reducing muscular tension and other physical symptoms of anxiety. This class of drugs is frequently used for short-term management of anxiety and as an add on treatment, in treatment resistant anxiety disorders. These medications are considered as effective as SSRIs, so they are also considered a first-line treatment for the treatment of anxiety disorders, but not for obsessive compulsive disorder ,where SSRI’s are the preferred first line treatment. As with other medications, side effects may occur, including stomach upset, insomnia, headache, sexual dysfunction, weight gain and minor increase in blood pressure. The serotonin-norepinephrine reuptake inhibitor, or SNRI, class (venlafaxine and duloxetine) is notable for a dual mechanism of action: increasing the levels of the neurotransmitters serotonin and norepinephrine by inhibiting their reabsorption into cells in the brain. Read this blog about SSRIs and Benzodiazepines Serotonin-Norepinephrine Reuptake Inhibitors (SNRIs) They are considered an effective treatment for all anxiety disorders, although the treatment of obsessive-compulsive disorder, or OCD, typically requires higher doses. However, common side effects include insomnia or sleepiness, sexual dysfunction, and weight gain. SSRIs (citalopram, escitalopram, fluoxetine, paroxetine, and sertraline) generally produced fewer side effects when compared with tricyclic antidepressants. ![]() This leaves more serotonin available, which improves mood. SSRIs relieve symptoms by blocking the reabsorption, or reuptake, of serotonin by certain nerve cells in the brain. Variety of Medicationsįour major classes of medications are used in the treatment of anxiety disorders: Selective Serotonin Reuptake Inhibitors (SSRIs) Medications are commonly prescribed by physicians (family practice, pediatricians, OB-GYNs, psychiatrists), as well as nurse practitioners in many states. ![]() ![]() However, it often takes time and patience to find the drug that works best for you. Medication may be a short-term or long-term treatment option, depending on severity of symptoms, other medical conditions, and other individual circumstances. Medication treatment of anxiety is generally safe and effective and is often used in conjunction with therapy. Important Consumer Medication Resources and Patient Assistance Programs.Questions to Ask About a New Drug/Treatment on the Market.Discussing Medications: What You Need to Know.
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