How To Know When Its Time To Take Medication For Anxiety
Until a couple years ago, I didnt think I was an anxious person. On the outside, Im easygoing. Im adventurous, spontaneous and social. Im not afraid of flying, public speaking or crowds.
But throughout my entire life, I have worried, silently and constantly, about almost everything. Ive worried about possibilities that I knew, deep down, werent at all rational. Ive always feared that worst-case scenarios would come true even though they hardly ever do.
I didnt realize that these thoughts stemmed from mental illness. Since I never had full-on panic attacks, I didnt think that I had anxiety. I thought it was normal to feel this way. I thought I was fine that is, until I went on anti-anxiety medication at 29 years old. And it changed my life.
Little did I know, I was one of the 40 million Americans adults dealing with an anxiety disorder about 18% of the population. And up until last year, I was also part of the majority of people with anxiety who dont receive treatment.
Anxiety Medication Combined With Therapy
The other evidence-based treatment for anxiety is cognitive behavioral treatment and its important to understand that in our big study, where we compared combination treatment of cognitive behavioral therapy and medication with either one of those treatments alone, that the combination beat them all handily. So when youre thinking about the very best treatment youve got to be thinking in terms of medication plus a psychological intervention.
What Are Anxiety Disorders
Anxiety disorders affect 31.9 percent of people between the ages of 13 and 18, and women are twice as likely to develop an anxiety disorder as men. Common examples of anxiety disorders include generalized anxiety disorder, panic disorder, social anxiety disorder, substance-induced anxiety disorder and specific phobias.
An anxiety disorder does more than make you anxious. They can affect your entire life. Plus, untreated anxiety can lead to other mental health disorders and physical conditions, Alonzo said. We have no way of predicting what will cause someone to develop an anxiety disorder. However, you can take steps to reduce the impact of symptoms such as getting help from a health care professional early and avoiding the use of non-prescribed drugs and alcohol.
Also Check: Does Pristiq Help With Anxiety
Warnings For People With Certain Health Conditions
For people with glaucoma: Taking this drug may trigger a glaucoma attack. If you have glaucoma, talk to your doctor before taking this drug.
For people with bipolar disorder: Taking this drug may trigger a manic episode. If you have a history of mania or bipolar disorder, talk to your doctor before using this drug.
For people with seizures: Taking this drug increases your risk for seizures. If you already have seizures, talk to your doctor before taking this drug. If you have a seizure while using this drug, you should stop taking it.
For people with kidney problems: If you have kidney problems or a history of kidney disease, you may not be able to clear this drug from your body well. This may increase the levels of this drug in your body and cause more side effects. This drug may also decrease your kidney function, making your kidney disease worse.
For people with liver problems: If you have liver problems or a history of liver disease, your body may not be able to process this drug as well. This may increase the levels of this drug in your body and cause more side effects.
Referral To A Specialist
If you have tried the treatments mentioned above and have significant symptoms of GAD, you may want to discuss with your GP whether you should be referred to a mental health specialist.
A referral will work differently in different areas of the UK, but you’ll usually be referred to your community mental health team.
These teams include a range of specialists, including:
- psychiatrists
- occupational therapists
- social workers
An appropriate mental health specialist from your local team will carry out an overall reassessment of your condition.
They’ll ask you about your previous treatment and how effective you found it.
They may also ask about things in your life that may be affecting your condition, or how much support you get from family and friends.
Your specialist will then be able to devise a treatment plan for you, which will aim to treat your symptoms.
As part of this plan, you may be offered a treatment you haven’t tried before, which might be one of the psychological treatments or medications mentioned above.
Alternatively, you may be offered a combination of a psychological treatment with a medication, or a combination of 2 different medications.
Read Also: Can Dehydration Cause Panic Attacks
Sertraline May Interact With Other Medications
Sertraline oral tablet can interact with other medications, vitamins, or herbs you may be taking. An interaction is when a substance changes the way a drug works. This can be harmful or prevent the drug from working well.
To help avoid interactions, your doctor should manage all of your medications carefully. Be sure to tell your doctor about all medications, vitamins, or herbs youre taking. To find out how this drug might interact with something else youre taking, talk to your doctor or pharmacist.
Drugs You Should Not Use With Amitriptyline/chlordiazepoxide
Dont take monoamine oxidase inhibitors while taking amitriptyline/chlordiazepoxide or within 2 weeks of stopping amitriptyline/chlordiazepoxide.
Taking amitriptyline/chlordiazepoxide and an MAOI too close together could lead to a life threatening condition called serotonin syndrome. This can cause uncontrolled muscle spasms, stiff muscles, high fever, sudden changes in heart rate or blood pressure, and confusion. It may be fatal.
Also Check: What Are The Three Stages Of Schizophrenia
Are There Any Non
Anxiety can consume peoples lives and prevent them from living fully. It is a challenging issue and can be a clinical mood disorder that demands medication. Its important that along with anti-anxiety medication, you also utilize the other therapy that can help manage anxiety. Its understandable to look for alternatives for your anxiety based on the benzodiazepines addiction rate. There are anti anxiety herbs on the market that may help ease the body and mind from stress. Natural supplements may not cause addiction but they are still potentially harmful. Kava, for example had promise of being a viable natural anxiety medication. Reports found that it caused serious liver damage even when its used for a short period of time. Herbs like kava are somewhat sedating which is why they can relax you. They are non-addictive relaxants. Some will consume excessive herbs to try to get to a relaxed place in their mind. Passionflower, chamomile, and lavender are all means of relaxing. If someone has an anxiety disorder, these options probably arent potent enough to prevent panic attacks and other serious anxiety symptoms.
Paroxetine Can Also Cause Other Side Effects
The more common side effects of paroxetine oral tablet can include:
- nausea
- infection
- yawning
If these effects are mild, they may go away within a few days or a couple of weeks. If theyre more severe or dont go away, talk to your doctor or pharmacist.
If these effects are mild, they may go away within a few days or a couple of weeks. If theyre more severe or dont go away, talk to your doctor or pharmacist.
Also Check: Does Pristiq Work For Anxiety
Interactions That Increase Your Risk Of Side Effects
Taking amitriptyline/chlordiazepoxide with certain medications raises your risk of side effects. Examples of these drugs include:
- Topiramate. Increased side effects of amitriptyline/chlordiazepoxide could include drowsiness, dizziness, and constipation. If you need to take topiramate with this drug, your doctor may reduce your dosage of amitriptyline/chlordiazepoxide.
- Opioids, such as morphine, codeine, hydrocodone, and oxycodone. Taking these drugs with amitriptyline/chlordiazepoxide puts you at serious risk of severe drowsiness, slowed breathing, coma, or death. Your doctor will only prescribe opioids with amitriptyline/chlordiazepoxide if other medications are not effective. Theyll monitor you closely.
- Flecainide and propafenone. Taking these drugs together could increase your risk of irregular heart rate.
- Sertraline, fluoxetine, and paroxetine. Taking these drugs together can increase the side effects of amitriptyline/chlordiazepoxide. These can include dizziness, confusion, and heart attack.
- Cimetidine and quinidine. These drugs could increase the amount of the amitriptyline in your body. This could lead to dangerous side effects. These can include dizziness, confusion, and heart attack.
This drug comes with several warnings.
Risks Of Anxiety Disorder Medications
Like any medication, those designated for anxiety disorders can carry some risks. There are a range of side effects, which, depending on the medication, can include dry mouth, diarrhea/constipation, lower appetite, sleep issues, nausea and heartburn. Some medications can also spark feelings of nervousness, irritability or, in severe cases, suicidal thoughts. Because these side effects can pose significant health problems, a doctor should be consulted if any of them appear.
Patients should also make sure their physicians know about anything they may be taking that could interfere with anxiety disorder medications. That includes over-the-counter drugs, herbal or vitamin supplements, other medications or even regular consumption of caffeine or alcohol.
Finally, anxiety disorder medications such as benzodiazepines carry the risk of abuse and addiction. Some medications can have a powerful effect on the brain and if they are taken frequently, a tolerance can develop. That means more of the medication needs to be taken to obtain the desired effect, and continued, accelerated use can lead to dependency. If the medication dependency interferes with a persons daily life and take the drug becomes the sole focus, it can indicate a possible addiction. People who abuse antidepressants and benzodiazepines over a long period of time may also suffer withdrawal symptoms when they attempt to stop using the medication.
Nothing changes if nothing changes.
Nothing changes if nothing changes.
Recommended Reading: How To Cure Schizophrenia Permanently
Talking To Your Doctor
It is important to communicate regularly with your doctor when you are anxiety medications, especially if you are prescribed any other medications. Keep track of your symptoms so that they can find the best medication for you, and also keep track of any side effects you experience. If you are having trouble finding a medication that works, drug-genetic testing can help your doctor determine appropriate options. If you become pregnant or are breastfeeding, be sure to ask what medication is safest.
Some anxiety medications carry warnings that they may increase suicidal thoughts, particularly among young people. Be sure to communicate with your doctor if you experience any suicidal thoughts while on the medication or monitor your child if they are taking them. Also, if you are taking any anxiety medications that have habit-forming potential, be sure to talk to your doctor if you feel that you are becoming dependent on the medication or have a history of substance abuse.
Above all, its important to not get discouraged if an anxiety medication isnt the right fit for you. With patience, observation, and communication, you and your doctor can find the medication that best fits your symptoms and needs.
Can You Use Other Medications To Treat Symptoms Associated With Social Anxiety Disorder
Other medications may be used off-label to treat social anxiety disorder. According to the Anxiety and Depression Association of America , other SSRIs such as , , and may also be effective in treating social anxiety disorder. These might be prescribed if youve tried sertraline, paroxetine, or extended-release venlafaxine, and they havent seemed to help enough.
Benzodiazepines, including clonazepam and alprazolam , may sometimes be second-choice treatments for people with social anxiety disorder. Because many of these medications help calm anxiety symptoms within a few hours of a dose, they can be helpful when first starting SSRIs or venlafaxine until they kick in.
However, people taking benzodiazepines long-term may develop dependence on the medication and experience withdrawal symptoms when attempting to stop them. Its best to discuss the safest way to take benzodiazepines with your healthcare provider if they prescribe them for you.
Medications used to treat seizures or nerve pain, such as gabapentin and pregabalin , are also sometimes used off-label to treat social anxiety disorder. However, research suggests that these medications are less effective in relieving symptoms than SSRIs or venlafaxine.
Some medications may be particularly effective in treating specific symptoms of social anxiety disorder, such as performance anxiety. People with performance anxiety may have an intense fear or worry while speaking or performing in public.
You May Like: What’s The Phobia Of Long Words
The Role Of Medication In Anxiety Treatment
When youre overwhelmed by heart-pounding panic, paralyzed by fear, or exhausted from yet another sleepless night spent worrying, youll do just about anything to get relief. And theres no question that when anxiety is disabling, medication may help. But are drugs always the best answer?
Many different types of medications are used in the treatment of anxiety disorders, including traditional anti-anxiety drugs such as benzodiazepines and newer options like SSRI antidepressants . These drugs can provide temporary relief, but they also come with side effects and safety concernssome significant.
They are also not a cure. In fact, there are many questions about their long-term effectiveness. According to the American Academy of Family Physicians, benzodiazepines lose their therapeutic anti-anxiety effect after 4 to 6 months of regular use. And a recent analysis reported in JAMA Psychiatry found that the effectiveness of SSRIs in treating anxiety has been overestimated, and in some cases is no better than placebo.
Whats more, it can be very difficult to get off anxiety medications without difficult withdrawals, including rebound anxiety that can be worse than your original problem.
Who Should Use Over
A study of 690 German pharmacists determined that people seeking over-the-counter treatments for anxiety and depression:
- Were more likely to be younger
- Had a shorter duration of illness
- Had less severe symptoms
- Were skeptical about psychopharmacology
However, the study wondered whether this was a logical or cost-effective solution to these problems. Most people purchasing over-the-counter treatments for anxiety would probably benefit from professional help in the form of talk therapy or prescribed medication. The exception might be for cases of very mild anxiety that seem to be helped by herbal remedies that offer relaxation at bedtime.
Also Check: What Is A Depression On A Topographic Map
Which Medications Work Best For Social Anxiety Disorder
Although many medications may be prescribed for social anxiety disorder, SSRIs and extended-release venlafaxine are considered first-choice medications. Research shows that more than half of those taking these medications experienced an improvement in their symptoms.
SSRIs and venlafaxine also have a lower risk of side effects than other antidepressants, such as tricyclic antidepressants . These medications can help treat other symptoms that people with social anxiety disorder may experience, such as depression. Among sertraline, paroxetine, and venlafaxine, there is no particular medication that has been found to be more effective than the others for social anxiety disorder.
Dosage For Social Anxiety Disorder
Adult dosage
- The typical starting dose is 25 mg per day. This is usually increased to 50 mg per day after 1 week.
- Your doctor will slowly increase your dose every week, as needed.
- The maximum dose is 200 mg per day.
Child dosage
The use of this drug to treat children with this condition has not been studied. It should not be used in people younger than 18 years.
Senior dosage
The kidneys of older adults may not work as well as they used to. This can cause your body to process drugs more slowly. As a result, more of a drug stays in your body for a longer time. This raises your risk for side effects. Your doctor may start you on a lowered dose or a different dosing schedule. This can help keep levels of this drug from building up too much in your body.
Read Also: Panic Attack Blurry Vision
Special Benzodiazepine Risk Factors
Anyone who takes benzodiazepines can experience unpleasant or dangerous side effects. But certain individuals are at a higher risk:
People over 65. Older adults are more sensitive to the sedating effects of benzodiazepines. Even small doses can cause confusion, amnesia, loss of balance, and cognitive impairment that looks like dementia. Benzodiazepine use in the elderly is associated with an increased risk of falls, broken hips and legs, and car accidents. Long-term benzodiazepine use also increases the risk of Alzheimers disease and dementia.
People with a history of substance abuse. Because theyre physically addicting and on their own and dangerous when combined with alcohol and other drugs, anyone with a current or former substance abuse problem should use benzodiazepines only with extreme caution.
Pregnant and breastfeeding women. Benzodiazepine use during pregnancy can lead to dependence in the developing baby, with withdrawal following birth. Benzodiazepines are also excreted in breast milk. Therefore, pregnant women need to have a thorough discussion about the risks and benefits of these medications with their prescribing doctor. If medication is necessary, the goal is the smallest effective dose.
The connection between benzodiazepines and accidents
Who Needs Medication For Anxiety
Feeling anxious now and then is part of life. It is a component of the bodyâs natural self-defense system and linked closely with the fight or flight response. But there is a difference between feeling anxious prior to performing in front of a crowd, and being afraid to leave your house because you might encounter people outside. Just as there is a difference between jiggling the doorknob once as you leave your home to make sure it is locked, and checking the doorknob two dozen times.
Essentially, anyone who suffers from an anxiety disorder is a potential candidate for anxiety medication. But, just because someone might benefit from anxiety medication, it does not mean they necessarily should take one. They may be served just as effectively by a combination of psychotherapy and exercise. The most important thing is that the decision to use an anxiety medication is arrived at only after careful consultation with your doctor.
Read Also: What Is The Meaning Of Phobia