MENTAL HEALTH

Anxiety Medications: Types, and Uses

February 8, 2020

Symptom Guides > Mental Health > Anxiety Medications: Types, and Uses

by

Dr. Chris Bodle

Dr. Bodle is a board certified emergency medicine physician. He received his medical degree from Indiana University School of Medicine, and completed his residency in emergency medicine at Emory University. In addition to K Health, he currently works as an Emergency Medicine physician in an Urban, Level 1 Trauma Center in the south east.

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At some point or another, you have probably experienced anxiety symptoms like racing thoughts, sweaty palms, or shortness of breath. Anxiety is the body’s way of responding to stress, so it is normal to feel physically or mentally anxious from time to time. However, if fear and worry are persistent and interfere with your everyday life, you could be experiencing an anxiety disorder.

 

Anxiety disorders are the most common mental illness in the U.S., impacting 40 million adults—that’s more than 18% of the population. There are a number of treatment options for anxiety, including medication.

 

In this article, I’ll explore:

• What Is Anxiety?
• Types of Anxiety Medications
• List of Common Anxiety Medications
• How Anxiety Medications are Prescribed
• Anxiety Medication Side Effects
• Alternative Treatment Options
• When to See a Doctor
• How K Health Can Help

What Is Anxiety?

Anxiety is a normal response to stress involving fear and worry about the future. While it is common for people to feel anxious from time to time, some people experience more debilitating and persistent worry. If ongoing, anxiety can interfere with someone’s everyday life, and a doctor might diagnose them with an anxiety disorder. Anxiety disorders are more common in women than men, and they usually develop due to a number of factors, including someone’s life events, genetic makeup, brain chemistry, and personality.

 

Common symptoms of anxiety include:

 

  • Difficulty controlling worry
  • Feeling nervous or restless
  • Trouble concentrating due to worrying
  • Experiencing a sense of impending danger or panic
  • Difficulty sleeping
  • Rapid breathing and increased heart rate
  • Feelings of weakness
  • Feeling tired
  • Experiencing gastrointestinal (GI) problems like nausea, diarrhea, upset stomach

 

 

Types of anxiety

 

There are several kinds of anxiety that may respond to anti-anxiety medication, including:

 

  • Generalized anxiety disorder (GAD): GAD usually involves persistent worry and anxiety that are often out of proportion to activities, events, or circumstances.

 

  • Social anxiety disorder: Social anxiety disorder causes people to feel fearful and anxious about being around other people in social situations.

 

  • Agoraphobia: People with agoraphobia avoid going places with many people where they may have panic attacks, feel trapped, or be embarrassed.

 

  • Panic disorder: Panic disorder causes ongoing episodes of intense anxiety called panic attacks, which can come with overwhelming physical symptoms like a racing heart, dizziness, shortness of breath, and an overall feeling of impending doom.

 

  • Obsessive compulsive disorder (OCD): OCD has two components; intrusive and unwanted thoughts or images that cause anxiety (obsessions) and behaviors someone feels compelled to do to ease anxiety (compulsions). Usually, people with OCD experience a variety of obsessions and compulsions.

 

  • Specific phobias: Phobias, or strong fear reactions, cause people to irrationally avoid specific places or situations.

 

Types of Anxiety Medications

Selective serotonin reuptake inhibitors (SSRIs)

 

A common medication for anxiety and depression, SSRIs are considered by many doctors to be the first line of treatment for anxiety and obsessive compulsive disorder (OCD). SSRIs work by blocking the removal of serotonin from the brain and thereby increasing serotonin levels. The increase in serotonin can help the brain cells send and receive messages more efficiently. According to studies, SSRIs typically take between two and six weeks to work.

 

 

Serotonin and norepinephrine reuptake inhibitor (SNRIs)

 

Similar to SSRIs, SNRIs help balance your brain chemistry by blocking the removal of neurotransmitters. Rather than just increasing serotonin levels, SNRIs also increase norepinephrine, which impacts how brain cells communicate.

 

 

Monoamine oxidase inhibitors (MAOIs)

 

MAOIs inhibit a brain enzyme called monoamine oxidase, which breaks down serotonin and other neurotransmitters. The end result is similar to SSRI and SNRI medications; an increase in serotonin, norepinephrine, and other neurotransmitters. However, MAOIs interact with many other medications and foods, so doctors usually prescribe them only when someone isn’t responding to other anxiety medications.

 

 

Tricyclic anxiety medications (TCAs)

 

Tricyclic antidepressant medications are also used to treat anxiety disorders. These medications are known to cause more severe side effects in some people, but they can help manage anxiety. They function to increase neurotransmitter levels in the brain in a similar manner to the other classes of medications listed above. They are called “tricyclic” antidepressants because there are three rings in their chemical structure.

 

 

Beta blockers

 

Beta blockers are drugs that are commonly used to treat high blood pressure and heart conditions. Some doctors use these drugs for anxiety—most often, panic disorder and social anxiety disorder—since they can help calm physical symptoms of anxiety like a racing heart rate and shortness of breath.

 

 

Anxiolytic

 

Anxiolytic drugs are medications that can be taken to decrease anxiety by targeting specific receptors in the pain. They work quickly but can be habit forming. Doctors generally only prescribe them for short-term use in panic disorder or generalized anxiety disorder.

 

List of Common Anxiety Medications

Depending on factors like your symptoms, current medications, and health history, along with potential side effects, your doctor may prescribe any of the below anxiety medications:

 

 

SSRIs

 

  • Celexa (citalopram)
  • Lexapro (escitalopram)
  • Prozac (fluoxetine)
  • Paxil (paroxetine)
  • Zoloft (sertraline)

 

 

SNRIs

 

  • Cymbalta (duloxetine)
  • Effexor (venlafaxine)
  • Pristiq (desvenlafaxine)

 

 

MAOIs

 

  • Parnate (tranylcypromine)
  • Nardil (phenelzine)
  • Marplan (isocarboxazid)

 

 

Tricyclic anxiety medications

 

  • Tofranil (imipramine)
  • Pamelor (nortriptyline)
  • Elavil (amitriptyline)
  • Norpramin (desipramine)

 

 

Beta blockers

 

  • Tenormin (atenolol)
  • Inderal (propranolol)

 

 

Anxiolytic

 

Xanax (alprazolam)

Klonopin (clonazepam)

Ativan (lorazepam)

Valium (diazepam)

 

How Anxiety Medications are Prescribed

There are no over-the-counter (OTC) drugs for anxiety. Anxiety medications need to be prescribed by a doctor. To make sure you get the medication that will work best for your symptoms, your doctor will likely ask you questions about your anxiety and make a diagnosis.

 

Anxiety Medication Side Effects

Most people notice relief within several weeks of starting anxiety medication. But bear in mind that as with most medicines, anxiety medication can come with a variety of side effects. The side effects you experience depend on the type of medication you take:

 

 

SSRI and SNRI side effects

 

  • Dizziness
  • Blurred vision
  • Fatigue or drowsiness
  • Agitation or restlessness
  • Dry mouth
  • Weight gain
  • Headaches
  • Nausea
  • Sexual problems
  • Sleep problems

 

 

MAOIs

 

  • Gastrointestinal upset
  • Difficulty urinating
  • Dizziness
  • Drowsiness
  • Sweating
  • Dry mouth
  • Low blood pressure
  • Headaches
  • Nausea
  • Sexual problems
  • Weight gain
  • Food interactions

 

 

Tricyclic anxiety medications

 

  • Blurred vision
  • Increased appetite and weight gain
  • Difficulty urinating
  • Dizziness or lightheadedness
  • Sexual problems
  • Constipation
  • Excessive sweating
  • Low blood pressure when standing up
  • Tremors

 

 

Beta blockers

 

  • Depression
  • Fatigue
  • Shortness of breath
  • Weight gain
  • Cold hands and feet
  • Low blood pressure

 

 

Anxiolytics

 

  • Drowsiness
  • Nausea
  • Diarrhea
  • Sedation
  • Confusion
  • Dependence or withdrawal

 

Your doctor will work with you to determine whether these side effects outweigh the potential benefit of an anxiety medication. If you are having trouble with any side effects from a medicine you’re on, talk to your health care provider or chat with a doctor on K about different medication options.

 

Alternative Treatment Options

Your doctor may think anxiety medication is the best way to improve your mental health—but medicine isn’t the only way to manage anxiety. There are a number of lifestyle changes that can be helpful to treat anxiety:

 

  • Mindfulness and meditation
  • Psychotherapy
  • Exercise
  • Getting ample sleep
  • A nutritious diet
  • Avoiding substances like caffeine, nicotine, and alcohol

 

When to See a Doctor

Everyone experiences worry from time to time; however, if you’re feeling overwhelmed by anxiety or you find that worry interferes with your everyday life, it may be time to talk to a doctor.

 

It’s also important to talk with your doctor if you’re experiencing negative side effects on your current medication, want to change prescriptions, or you’d like to try a new anxiety treatment.

 

How K Health Can Help

Anxiety and depression are among the most under-reported and under-treated diseases in America. Nearly 20% of adults in the US suffer from mental health illness and fewer than half receive treatment. Our mission is to increase access to treatment for those suffering in silence.

 

You can start controlling your anxiety and depression and get access to the treatment you need with K Health. Starting at $19/month get prescriptions for mental health medications plus unlimited doctor visits through the K Health app. Start your free assessment to see if you’re eligible.

 

Do you want to talk to a doctor about your anxiety?

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“Anxiety disorders are the most common mental illness in the U.S., impacting 40 million adults—that’s more than 18% of the population.”

Want to feel better fast? Get personalized answers about your symptoms.

Anxiety treatment starting at $19/month. Start free assessment to see if you’re eligible.

by

Dr. Chris Bodle

Dr. Bodle is a board certified emergency medicine physician. He received his medical degree from Indiana University School of Medicine, and completed his residency in emergency medicine at Emory University. In addition to K Health, he currently works as an Emergency Medicine physician in an Urban, Level 1 Trauma Center in the south east.

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