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Can I benefit from medication?  

Many people benefit from the use of antianxiety medications. Medication can help calm your symptoms.

There is no need to think less of yourself if you take a medication for anxiety or depression (i.e. an antidepressant or other prescribed drug).

If you are taking medication or planning on doing so, the best strategy would be use a combination of drug treatment and cognitive behavioral therapy or self-help strategies such as Anxiety The Cool Way

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NOTE: Almost ALL antidepressants and many medications potentiate the effect of alcohol. Anxiety Medications may cause drowsiness or mental slowing. Anti-anxiety medication may also impair driving. Medications are meant to help you feel better, but many people are not aware that one medication may interact with another one and cause other problems. At worst, drug interactions can be fatal; but they can also cause psychiatric symptoms such as confusion and memory impairment. Therefore, if you are are taking more than one medication, you should make sure that at least one physician (if you have more than one) knows everything you are taking.   


Actual dosages for treating anxiety disorders must be determined by your physician!

SELECTIVE SEROTONIN REUPTAKE INHIBITORS (SSRIs) Selective Serotonin Reuptake Inhibitors (SSRIs) Selective Serotonin Re-uptake inhibitors are the latest in the treatment of anxiety disorders. They are used in the treatment of panic disorder, depression, OCD and other challenges usually require one does per day. They are now the most widely used drugs on planet earth. Studies have show a great improvement in individuals using the medication. Some common side-effects do include nausea, sexual difficulties and nervousness. s

Example medications:Celexa, Desryl, Fluvoxamine, Paxil, Paxil CR, Prozac, Serzone, Zoloft , Lexapro

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SERETONIN-NONREPINEPHRINE REUPTAKE INHIBITORS (SNRIs)

Serotonin-norepinephrine Reuptake Inhibitors (SNRIs) – In addition to serotonin, SNRIs act on the brain chemical norepinephine.

Example medications:Effexor & Wellbutrin

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BENZODIAZEPINES Benzodiazepines are highly effective against panic disorder, generalized anxiety disorder and social phobia. They are fast acting but can make you drowsy. Note: They can initiate withdrawal symptoms when discontinued. Working with your doctor can always help to reduce this issue.

The most commonly used benzodiazepine is Xanax. Other commonly used benzodiazepines are Klonopin and Valium. Your doctor will probably start you out taking a low dosage. Then your doctor will gradually increase the dosage until anxiety is controlled. It will usually be prescribed for a short period (maybe 2 to 4 weeks) and then stop them as soon as possible. The habit-forming potential is high. Long-term use is not recommended because it can lead to dependence and withdrawal reactions when stopped. Never stop taking a Benzodiazepines suddenly if you have been taking it for more than a couple weeks. Your doctor will help you taper off the medicine.

Example medications:Ativan, Centrax, Dalmane, Klonopin, Librium, Paxipam, Restoril, Serax, Tranxene, Xanax

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Azaspirones:Azaspirones is a class of drug effective in the treatment of Generalized Anxiety Disorder (GAD) It works gradually over 2 to 4 weeks. It doesn't have any harsh side-effects and doesn't seem to cause sedation, nor memory and balance problems. It has not been said to cause that "out of it!" feeling. It also does not potentate alcohol. Azaspirones work slowly and people should not switch to benzodiazepines immediately.

Example medications:BuSpar

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BETA BLOCKERS Beta Blockers By reducing the effect of adrenaline, The Beta Blockers are used to calm certain anxiety symptoms such as shaking, palpitations and sweating all over yourself. However, they do reduce blood pressure and slow the heartbeat so always talk to your doctor about the entire picture. The medication is fast acting and non-habit forming but should not be taken with other preexisting medical conditions (e.g. asthma, congestive heart failure, diabetes, vascular diseases, hyperthyroidism and angina). Beta-blockers are not FDA approved for the treatment of anxiety but are generally used to do so. Never take a double dose.

Example medications:Inderal, Tenormin

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TRICYCLIC ANTIDEPRESSANTSTricyclics (TCAs) Tricyclics are a non-addictive medication used to treat depression, mood disorders, bulimia, narcolepsy and anxiety-related disorders. There are studies showing its effective in reducing panic attacks. TCAs work very similar to SSRIs.

Although, they have been known to produce weight gain in people using them - they can be very helpful in treating post-traumatic stress disorder and obsessive-compulsive disorder. TCAs help to return the levels of neurotransmitters toward a normal state. Remember, Tricyclics are highly dangerous in overdose.

Example medications: Adapin , Anafranil, Elavil, Janimine, Ludiomil, Pamelor, Pertofrane, Sinequan, Surmontil, Tofranil, Vivactil

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Tetracyclic Antidepressants

A tetracyclic antidepressant is an antidepressant drug from the tetracyclic drug group. The name tetracyclic is derived from the drug's molecular structure which consists of a T-shape. Instead of inhibiting the reabsorption of certain neurotransmitters, tetracyclic antidepressants prevent neurotransmitters from binding with nerve cell receptors called alpha-2 receptors. Thus, increasing norepinephrine and serotonin in the brain.


MONOAMINE OXIDASE INHIBITORS (MAOIs) MonoAmine Oxidase Inhibitors (MAOIs) MAOIs should rarely be used as first line treatment. Often, an MAOIs is indicated for patients who have failed to respond to some of the more commonly used drugs for depression and anxiety. It is then used in the treatment panic disorder, post traumatic stress disorder, social phobia, other phobias, and hypochondriacal features. Depressed patients who are clinically characterized as having "atypical" or "nonedogenous" symptoms usually have a mix of anxiety and depression. This is when your doctor may issue an MAOIs.

An issue that your doctor should talk to you about is the harsh interactions with many different foods and medications, wines and beer. Even cheese has Tyramine in it which will interact negatively with MAOIs. The specific foods & medications MUST be avoided while taking the drug. Other side-effects of MAOIs is a decrease in blood pressure, insomnia, moderate weight gain and reduced sexual response.

Example medications: Eldepryl, Marplan, Nardil, Parnate

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ANTICONVULSANTS: Anticonvulsants were used for years in the treatment of epilepsy. Research has now shown anticonvulsants can be helpful in treating panic attacks and other psychiatric challenges and improve mood stabilization

Example medications:Neurontin  Valproic acid

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Sedatives/Hypnotics (Other) Sedative and hypnotics are drugs which slow down functions. Examples are: tranquilizers and sleeping pills. Their effects range from calming down anxiousness to promoting sleep. Antihistamines are also known to cause sedative effects. Benzodiazepines are sedative and hypnotics. (see Benzodiazepines)

Example medications:

Ambien, Lunesta, Sonata, Rozerem, Vistaril


The list of Anti-anxiety medications:         

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Actual dosage must be determined by the physician.

Benzodiazepines

Ativan (Lorazepam)

Ativan is an anti-anxiety sedative in the Benzodiazepinesclass. It is used in the treatment for the symptoms of anxiety or anxiety associated with depressive symptoms. Some people suffering with insomnia due to anxiety may find this drug to be beneficial. The doctor may start you on 2 to 3 milligrams per day or at bedtime.

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Centrax

Centrax is a Benzodiazepine which enhances the function of GABA and can help to calm the symptoms of General Anxiety GAD, Panic Disorder and Social Phobia. It is fast-acting and can make someone start to feel better within a couple days of treatment. Centrax and other benzodiazepines are potentially habit-forming and can cause drowsiness.

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Dalmane (Flurazepam)

Dalmane is a Benzodiazepine and a hypnotic agent that can be used to treat some of the symptoms of anxiety - though it is also used in the treatment for insomnia characterized by difficulty in falling asleep and/or nocturnal awakenings.

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Klonopin (Clonazepam)

Klonopin is an anticonvulsant Benzodiazepine used primarily in the treatment of seizure disorder but may also be used in the treatment of panic disorder and depression. Klonopin tablets have a K-shaped perforation in them. It is believed to work because of its ability to enhance the activity of GABA, the major inhibitory neurotransmitter in the central nervous system.

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Librium (Chlordiazepoxide hydrochloride )

Librium is a Benzodiazepine. It is used in the treatment of anxiety disorders or for the short-term relief of they symptoms of anxiety. It can also be used for withdrawal symptoms of alcoholism.

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Paxipam (Halazepam)

Paxipam is a Benzodiazepine used in the short-term treatment of anxiety. Doctors sometimes use it to relieve anxiety before surgery as well as the control of agitation used by alcohol withdrawal. Halazepam is not commercially available in the United States.

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Restoril (Temazepam )

Restoril is a Benzodiazepine used in the treatment of insomnia and sometimes used as a hypnotic sedative to relieve symptoms of anxiety.

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Serax (Oxazepam)

Serax is one of the first benzodiazepines. It is used in the short-term management of anxiety, tension, irritability, agitation and anxiety associated with depression.

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Tranxene (Also known as Clorazepate and Azene)

Tranxene is a Benzodiazepine used in the short-term treatment of anxiety, nervousness and tension associated with an anxiety disorder. It has also been used to relieve the symptoms of acute alcohol withdrawal as well as certain types of seizures. Tranxene works by balancing the chemicals that cause anxiety, withdrawal symptoms and seizures. The usual dosage your doctor might prescribe is 30 milligrams in small doses.

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Xanax (Alprazolam)

Xanax is a Benzodiazepine used in the short-term relief of mild to moderate anxiety, nervousness, tension (related to anxiety) and may be used to treat panic and depression. It has been also prescribed to help tremor, agoraphobia and certain symptoms of PMS. Xanax doesn't stay as long in your body as Valium does.

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Beta Blockers

Inderal (Propranolol)

Inderal is a beta blocker used in the management of symptoms in anxiety, panic attacks, phobias and aggressive behavior. It can also be used in the treatment of various medical problems such as high blood pressure, migraines, irregular heartbeats and to prevent a second heart attack.

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Tenormin (Atenolol)

Because Tenormin is a beta blocker used in the management of symptoms in anxiety, panic attacks, phobias and aggressive behavior. It can also be used in the treatment of various medical problems such as high blood pressure, migraines, irregular heartbeats and to prevent a second heart attack, This specific drug can also be prescribed to help treat abnormally rapid heart rhythms and stimulate the pace of the heart.

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Azaspirones

BuSparBuSpar is an antianxietyAzaspirone medication that has some of the properties of a Benzodiazepine It is used for the short-term relief of generalized anxiety disorder. It does not exert anticonvulsant or muscle relaxant effects. Top

 


Monoamine Oxidase Inhibitors

Eldepryl (Selegiline Hydrochloride)

Eldepryl is Monoamine-oxidase inhibitor (MAOIs). Edepryl also helps to conserve dopamine in your system. It is used sometimes in the treatment of anxiety if other treatments have failed.  It is also used for treating Extrapyramidal Movement Disorders.

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Marplan (Isocarboxazid) 

Marplan is a Monoamine-oxidase inhibitor (MAOIs) used as an antidepressant which is non habit forming. It is usually administrated in 10-mg tablets. It is used to treat some forms of anxiety (such as panic and/or phobic symptoms) as well as major depressive disorder.

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Nardil (Phenelzine)

Nardil is a potent MAO inhibitor especially helpful for people who have panic disorders in which other treatments have failed. It is also used to treat depression and Parkinson’s Disease.

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Parnate (Tranylcypromine Sulfate)  

Parnate is a Monoamine Oxidase inhibitor in the antidepressant class working to increase chemicals in your brain to help treat panic disorder, OCD, social anxiety disorder, symptoms of depression and insomnia. It is sometimes recommended as an alternative to Nardil which has different side effects. Top

 


SSRIs

Celexa (Citalopram HBr) 

Celexa is an FDA-approved selective serotonin reuptake inhibitor similar to Prozac, Paxil, etc. It is used to help treat panic disorder, OCD, depression, Post Traumatic stress disorder and social phobia. With it's minimal side effects it is sometimes a favorable drug in initial treatment of anxiety. Higher doses are usually issued for OCD.

Lexapro is unique in that it was created based on an advanced technique. Lexapro was developed by isolating the medicinal component of CELEXA® (citalopram HBr)

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Lexapro (Escitalopram Oxalate)
*Also sold as CipralexLexapro is a well tolerated selective serotonin reuptake inhibitor (SSRI). Lexapro was created and developed by isolating the medicinal component of CELEXA (citalopram HBr)

Lexapro appears to relieve the symptoms of depression and generalized anxiety disorder by increasing serotonin with minimal effect on many of the other chemicals in the brain. . It takes about 1 to 2 weeks to show results. It has also been indicated for social anxiety disorder, panic disorder and obsessive-compulsive disorder.

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Desryl (Trazodone HCl) 

Desyrel (Desirel) is an antidepressant (chemically unrelated to Tricyclics or other known antidepressants) used in the treatment of general anxiety disorder and depression.

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Effexor (Venlafaxine)

Effexor is an antidepressant which has been effective in the short-term treatment of patients with GAD (generalized anxiety disorder) without MDD (major depressive disorder). It's also used to treat depression.

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Wellbutrin, Wellbutrin SR, Wellbutrin XL (Bupropion)
* Another form of Bupropion called, Zyban, helps people quit smoking.

Wellbutrin is often prescribed for major depression. There is a risk of seizure with WELLBUTRIN XL. Wellbutrin tends to have a somewhat stimulating effect.

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Fluvoxamine Maleate
* Also sold as Luvox, Faverin

Fluvoxamine is a prozac-like serotonin reuptake inhibitor (antidepressant / anti-obsessional medication) used widely for the treatment of obsessive-compulsive disorder (OCD) but currently and gradually being used to help treat other anxiety-related disorders and depression.  Because hypochondriacal neurosis (Health Anxiety) is very similar to OCD, Fluvoxamine may help it. According to the New England Journal of Medicine, Fluvoxamine works well in relieving anxiety disorders in children and teenagers.  With it's minimal side-effects, Fluvoxamine is approved by the U.S. Food and Drug Administration for use in children.

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Paxil ( 4 Paroxetine HCI)

Paxil is a fairly new serotonin reuptake inhibitor antidepressant which are issued to some people suffering from GAD. It's chemical structure is unrelated to other selective serotonin reuptake inhibitors or tricyclic antidepressant agents. It is also a good medication in the treatment of major depressive episode.

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Paxil CR

Paxil CR is a selective serotonin reuptake inhibitor used to treat panic, OCD, PTSD, depression, and severe forms of premenstrual syndrome. The "CR" in Paxil CR stands for controlled release. The medicine is slowly released into your system.

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Prozac (Fluoxetine Hydrochloride)

Prozac is one of the world's most widely prescribed antidepressants. Prozac is a serotonin reuptake inhibitor. Prozac significantly reduces the symptoms of panic disorder, OCD, phobic symptoms, anxiety and depressive symptoms, hypochondria, and has little side effects in comparison with other antidepressant agents. It is a serotonin reuptake inhibitor.

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Serzone (Nefazodone Hydrochloride)

Serzone is a an antidepressant sometimes recommended for the anxious type of depression. It helps to alleviate symptoms of sleeplessness and anxiety - as well as depression. Top

 


Zoloft (Sertraline HCl)

Zoloft is an antidepressant used in the treatment of panic disorder (with or without agoraphobia), depression, social phobia, obsessive-compulsive disorder (OCD) & obesity.  It is very similar to Paxil and is sometimes used in patients who do not respond well to Paxil.

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Tricyclic Antidepressants

Adapin (Doxepin Hydrochloride)  

Adapin is a tricyclic antidepressant used in the treatment of mixed depression anxiety, panic disorders, peptic ulcer disease, post traumatic stress disorder (PTSD), sleep disorders, chronic pain, major depression and other forms of depression.Top

 


Anafranil (Clomipramine Hydrochloride)

Anafranil is an anti-obsessional/antidepressant heterocyclic medication.  It is used in the treatment of OCD. Anafranil has also been used in the treatment of health anxiety (hypochondriasis), phobias, panic attacks, hair pulling and depression. Top

 


Elavil (Amitriptyline Hydrochloride)

Amitriptyline is another heterocyclic antidepressant used in the treatment of certain anxiety symptoms, hypochondria, and insomnia. With it's sedative effects, it is also a helpful agent in treating chronic pain and spontaneous endogenous depression.

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Janimine (see Tofranil)
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Ludiomil (Maprotiline)

Ludiomil is a tetracyclic antidepressant with anti-anxiety (and antihistamine) properties. Also used as a sedative and a helpful sleep agent, the drug is mainly used to treat endogenous depression, anxiety associated with depression, bipolar depression, psychotic depression and involutional melancholia. Top

 


Pamelor (Nortriptyline)

Pamelor is a mood elevating tricyclic antidepressant. It is used in the relief of symptoms of depression and sometimes used for anxiety, panic and OCD. It is not addictive but an overdose is extremely dangerous. Top

 


Pertofrane (Desipramine)

Pertofrane is an antidepressant in the tricyclic class. It can be used to treat Panic disorder, PTSD, OCD and bulimia. The danger of overdose is high.

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Sinequan (Doxepin hydrochloride)  

Sinequan is a trycyclic antidepressant used in the treatment of anxiety, depression, bipolar disorder, somatic disorders (such as Hypochondria), alcoholic patients with anxiety and involutional melancholia. The drug works by bringing the levels of the levels of the neurotransmitter, norepinephrine back to normal.

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Surmontil (Trimipramine)

Surmontil are a tricyclic antidepressant with sedative properties. By potentiating the sympathetic response, it blocks the reuptake of norepinephrine which has been released by the presynaptic neurons. It has an effect similar to that of other tricyclic antidepressants. Top

 


Tofranil (Imipramine)

Tofranil is a tricyclic antidepressant drug which has the longest track record for treating panic attacks. Tofranil also has pain relieving properties. It may also be useful in treating hypochondria (health anxiety), depression, CFS (Chronic Fatigue Syndrome), bed wetting in children and sleeplessness.

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Vivactil

Vivactil is a tricyclic antidepressant which has been used in the treatment of Panic Disorder, PTSD, bipolar disorder and depression. It works by restoring certain neurotransmitters, norepinephrine and serotonin to normal levels.Top

 


Anticonvulsants

Neurontin (Gabapentin)

Neurontin is an anticonvulsant used primarily for epilepsy and alcohol withdrawal. Recently, gabapentin may be prescribed by a doctor for the treatment of anxiety and bipolar disorder if other medications have not helped.

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Depakote (Valproic acid)

Used as an epilepsy medication, Valproic acid is an anticonvulsant that is now used in the treatment of panic attacks.

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Sedatives/Hypnotics

Ambien (Zolpidem)

Ambien is a prescription drug used for the short-term treatment of insomnia. It works fairly quickly and has a short half-life (2-3 hours).

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Lunesta (Eszopiclone)

Lunesta, is a nonbenzodiazepine hypnotic used as a medication in treatment of insomnia. Lunesta is FDA approved for long-term use; trials suggest that patients do not get addicted to Lunesta.

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Sonata (Zaleplon, Starnoc)

Sonata is a nonbenzodiazepine sedative/hypnotic, mainly used for treatment for patients who have short-term or transient insomnia. Sonata works fast and clears fast.

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Rozerem

Similar to drugs like Ambien CR, Lunesta, and Sonata. Ramelteon is used for delayed sleep onset (and insomnia). Ramelteon is the only sleep-aid that features little chance for dependence, and the withdrawl that is typical with other GABA modulators is not known to be present.

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Vistaril (Hydroxyzine)

Vistaril is an antihistamine that reduces the natural chemical histamine in the body. Vistaril can also be used to control nausea, tension, and anxiety. It can also be used with other medications given for anesthesia.


 

 

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