Drug treatment of anxiety


  • Treating anxiety

  • Treating anxiety

    Anxiety (restlessness) is one of the most common disorders of the psyche. Manifested anxiety emotionally very painful experience internal discomfort of uncertainty prospects.

    Treatment of anxiety disorders
    it is often difficult, takes time, perseverance and creativity
    approach. An important task of any educated person is
    identification of anxiety, his explanationdisturbing to family and friends the pain of their experiences and the need for treatment. Simple deterrent to unfounded worries in such cases, as a rule, is not enough.
    The main approaches to the treatment of anxiety disorders are:
    • psychotherapy
    • drug therapy
    The treatment can be applied to simple relaxation techniques
    (Muscle relaxation, calm breathing, distraction).
    Improvement of the state also contributes to a friendly and encouraging
    The main groups of drugs for the treatment of anxiety:
    • Benzodiazepine tranquilizers (phenazepam, diazepam, alprazolam, clonazepam, etc.).
    • Antidepressants: Selective serotonin reuptake inhibitors (Paxil, Prozac, Zoloft, tsipramil, tsiproleks), tricyclic antidepressants (amitriptyline), double-acting drugs (Remeron, Excel, Cymbalta)
    • Antipsychotics (sonapaks, eglonil, tiaprid etc.)
    • Nebenzodivazepinovye tranquilizers (Atarax)
    Benzodiazepines - a powerful, fast cropped sleep disorders and anxiety symptoms. Among the shortcomings of treatment
    benzodiazepines should be called "impact" syndrome (rapid
    renewal or transient increase in symptoms after cancellation
    drug), the risk of addiction and the development of drug dependence,
    violation of cognitive functions (attention, concentration, memory)
    incoordination. Therefore benzodiazepine drugs group
    It should not take longer than 2-4 weeks
    Drug treatment of anxietyTricyclic antidepressants - powerfuldrugs, well removes all anxiety and depressive symptoms (acting as a corporal, and the mental manifestations of anxiety), sleep disorders. They can be used for long-term treatment and prevention of anxiety. Tricyclic antidepressants
    have more severe side effects (dryness of mucous membranes, constipation,
    cardiovascular disorders, transient cognitive disorders
    functions). This impairs the portability and increases the list
    contraindications for their use in the treatment of anxiety, particularly in patients with underlying medical illnesses.

    Selective reuptake inhibitors
    Serotonin - a relatively safe have a minimum range of side
    effects are not addictive and therefore may be used as
    long-term maintenance treatment. Their
    the relative disadvantage is the long period of "waiting" to
    beginning the clinical effect of the drug (2 to 4 weeks). In addition,
    antidepressants in this group there are side effects
    a gain of appetite and body weight gain, nausea, loose stool,
    constipation, sweating, sleep disturbances, sexual function (libido and orgasm).
    At this year's Congress of the AmericanPsychiatric Association had presented encouraging data on the benefits of "dual-action" of antidepressants in the treatment of anxiety and depression. Increasing evidence shows that the double-acting drugs inherited from previous generations of antidepressants high efficacy and good tolerability (minimum side effects), they act against a broad spectrum of symptoms of anxiety and depression.
    In some cases, a positive effect in the treatment of anxiety is achieved by the application of neuroleptics -. Sonapaksa, Eglon, tiapride etc. Typically, this is used
    small doses of these drugs. However, when assigning neuroleptics
    may cause weakness, lowering blood pressure, disturbance
    menstrual cycle, weight gain, isolation colostrum reduction
    Finally, the international recommendations give another drug to treat anxiety - Atarax. Which in its anxiolytic effect more
    inferior to the above drugs, but on different fast
    the onset of effect of lack of addiction and drug
    dependence, does not violate the cognitive functions, it has antipruritic
    and antiemetic activity. The main side effects of the drug -
    drowsiness and lethargy (pass usually within the first 5-7
    days of treatment), dry mouth, dizziness, and dyspepsia.

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