How is the treatment of anxiety and anxiety disorders? What medicines are used to treat? The answers to these questions can be found in the article.
Content
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.
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
conversation.
(Muscle relaxation, calm breathing, distraction).
Improvement of the state also contributes to a friendly and encouraging
conversation.
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)
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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
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
Tricyclic 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 antidepressantshave 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).
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
libido.
small doses of these drugs. However, when assigning neuroleptics
may cause weakness, lowering blood pressure, disturbance
menstrual cycle, weight gain, isolation colostrum reduction
libido.
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.
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.
