Anti depression and anxiety meds
Drug Options for Treating Depression and Anxiety Disorders
Written by WebMD Editorial Contributors
In this Article
- What Drugs Are Used to Treat Depression?
- What Medications Are Used to Treat Anxiety Disorders?
What Drugs Are Used to Treat Depression?
When treating depression, several drugs are available. Some of the most commonly used include:
- Selective serotonin reuptake inhibitors (SSRIs), such as citalopram (Celexa), escitalopram oxalate (Lexapro), fluoxetine (Prozac), fluvoxamine (Luvox), paroxetine HRI (Paxil), and sertraline (Zoloft).
- Selective serotonin & norepinephrine inhibitors (SNRIs), such as desvenlafaxine (Khedezla), desvenlafaxine succinate (Pristiq), duloxetine (Cymbalta), levomilnacipran (Fetzima), and venlafaxine (Effexor).
- Vortioxetine (Trintellix formerly Brintellix) and vilazodone (Viibryd) are newer medicines that both acts as SSRIs and also affect other serotonin receptors.
- Tetracyclic antidepressants that are noradrenergic and specific serotonergic antidepressants (NaSSAs), such as Remeron.
- Older tricyclic antidepressants, such as Elavil, imipramine (Tofranil), nortriptyline (Pamelor), and Sinequan.
- Drugs with unique mechanisms such as bupropion (Wellbutrin).
- Monoamine oxidase inhibitors (MAOIs), such as isocarboxazid (Marplan), phenelzine (Nardil), selegiline (EMSAM), and tranylcypromine (Parnate).
- N-methyl-D-aspartate (NMDA) Receptor Antagonist, such as esketamine (Spravato)
- While not technically considered a medication by the FDA, l-methylfolate (Deplin) has proven successful in treating depression. It is categorized as a medical food or nutraceutical, requires a prescription and is the active form of a B-vitamin called folate. L-methylfolate helps regulate the neurotransmitters that control moods.
Your health care provider can determine which drug is right for you. Remember that medications usually take four to eight weeks to become fully effective.
And if one medication does not work, there are many others to try.
In some cases, a combination of antidepressants may be necessary. Sometimes an antidepressant combined with a second antidepressant from a different class, or a different type of medication altogether, such as a mood stabilizer (like lithium) or atypical antipsychotic (like aripiprazole [Abilify], brexpiprazole [Rexulti] or quetiapine [Seroquel]) can boost the effect of an antidepressant alone.
Side effects vary, depending on what type of medication you are taking, and may improve once your body adjusts to the medication.
If you decide to stop taking your antidepressants, it is important that you gradually reduce the dose over a period of time recommended by your doctor. Quitting antidepressants abruptly can cause discontinuation symptoms such as headache or dizziness or increase the chance that symptoms will return. It is important to discuss tapering off (or changing) medications with your health care provider first.
What Medications Are Used to Treat Anxiety Disorders?
When treating anxiety disorders, antidepressants, particularly the SSRIs and some SNRIs (serotonin-norepinephrine reuptake inhibitors), have been shown to be effective.
Other anti-anxiety drugs include the benzodiazepines, such as as alprazolam (Xanax), diazepam (Valium), buspirone (Buspar), and lorazepam (Ativan). These drugs do carry a risk of addiction or tolerance (meaning that higher and higher doses become necessary to achieve the same effect), so they are not as desirable for long-term use. Other possible side effects include drowsiness, poor concentration, and irritability. Some anticonvulsant drugs (such as gabapentin [Neurontin] or pregabalin [Lyrica]), some blood pressure medications (such as propranolol), and some atypical antipsychotics (such as aripiprazole or quetiapine or Seroquel) are also occasionally used "off label" to treat anxiety symptoms or disorders.
Panic Attack Treatments: Medications & Remedies
Written by Steven Brown
In this Article
- First Step
- Counseling
- Medication
- What Else Helps
- Get Support
- Tap Into Patience
Many of us may have a panic attack or two during our lives, and the brief episodes don’t lead to anything else.
But for some people, they happen a lot more.
If you think someone is having a panic attack, here’s how you can help them right away:
- Ask them what you can do.
- Reassure them that the attack will probably pass in a few minutes.
- Encourage them to take slow, even breaths.
- Do not minimize their symptoms.
- If they've had a panic attack before, ask what helped them through it.
- If you can’t calm them, take them to see a health care provider right away.
If you’ve had more than one panic attack, it could lead to problems such as depression, agoraphobia (fear of open or public spaces), or substance abuse. If you’ve had multiple attacks, see a doctor. Treatment can do a lot to stop them.
Doctors generally treat panic attacks by setting people up with psychological therapy, medication, or both. Whichever route you and your doctor take, it will need time to work, so try to be patient. When people follow through with their treatment plan, the overwhelming majority find relief and have no permanent problems.
First Step
The racing heartbeat or other discomforts that go with an attack can resemble other illnesses, such as heart disease. So your doctor will probably start by giving you a complete physical exam. That way, they can make sure that the symptoms aren’t coming from a disease you didn’t know about.
If no medical condition like that shows up, your doctor may send you to talk to a psychologist or psychiatrist trained to recognize when someone has been having panic attacks.
Your doctor will combine the counselor’s input with their own observations to diagnose what’s wrong. When someone has attacks repeatedly, doctors call the condition panic disorder.
Counseling
The treatment may begin with “talk therapy.” You’ll sit down with a counselor who can help you understand what panic disorder is and how you can manage it.
As your treatment continues, therapy should help you figure out the situations, thoughts, or feelings that cause your attacks. Once you understand what’s happening, those triggers have less power to cause trouble.
Counseling should also show you that the attacks’ physical effects don’t actually hurt you. With your therapist, you’ll work through your symptoms in a safe, gradual way until they seem less scary. That also can help make the attacks go away.
You’ll also learn relaxation techniques that can help you handle attacks when they do happen. If you can control your breathing, for instance, that may make a panic attack less severe. It might also make the next one less likely. You have to practice these skills regularly in your daily life to get the benefit.
Medication
Your doctor may decide that medication should be part of your therapy, to lessen your attacks’ physical symptoms. It might be part of the first steps, for instance. They might prescribe:
- An antidepressant, which is generally the first choice to prevent future panic attacks.
- An anti-anxiety prescription drug such as a benzodiazepine. For people with substance use disorders, doctors may prescribe other medications.
You and your doctor may have to try more than one medication before finding what works best. Some people do best with more than one type.
What Else Helps
In addition to your treatment, you may also find that these everyday habits make a difference:
- Yoga or deep breathing may relax your body and lower stress.
- Exercise can help calm your mind and offset potential side effects of medication, such as weight gain.
- Stay away from alcoholic drinks, caffeine, smoking, and recreational drugs, which can trigger attacks.
- Get enough sleep, so you don’t feel draggy during the day.
Some research shows that acupuncture, the Chinese technique of inserting thin needles into the body to control the flow of energy, may help.
As for dietary supplements, there’s not enough research showing that they work to reduce panic attacks. One, called inositol, showed some promise in small studies, but it’s too soon to know how well it works.
Be sure to check with your doctor before trying any supplements, because they could have side effects or conflict with medication.
Get Support
While you’re working to get better, it helps to have people around you to help. If you join a support group, you could draw strength and encouragement from others who face the same challenges.
Your loved ones can pitch in, too. Health professionals more and more recommend treatment programs that include spouses, partners, or families. For instance, the people around you can help you practice relaxation techniques or other skills.
If you’re a friend or family member of someone who’s dealing with panic attacks, be patient with them. Never scold or judge. Learn their signs of stress, so you can watch for them and be a calming influence. If your loved one does have a panic attack, stay calm and help them get whatever aid they need.
Tap Into Patience
Conquering panic attacks takes time. If you have weekly therapy sessions, you should start to notice results in 10 to 20 weeks.
Some studies show improvement after just 12 weeks. After a year, you should feel a huge improvement.
It all depends on sticking with the treatment plan that you and your medical team create. Keep your eyes on the goal.
Anxiety & Panic Disorders Guide
- Overview
- Symptoms & Types
- Treatment & Care
- Living & Managing
Fighting depression: 10 modern drugs
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Fighting depression: 10 modern drugs
Depression is an urgent problem, the number of visits to doctors is growing every year. It can be solved by contacting a psychotherapist and taking antidepressants . These are drugs that regulate the production of hormones and biochemical processes in the body. It is strictly forbidden to prescribe them to oneself , as these are complex drugs with certain restrictions, side effects effects . The doctor must authorize
their appointment and control the intake. We will tell you which of them are the most effective and common in medicine, how many they have pluses and minuses.
What is meant by
depressionDoctors have known it since ancient Greece and Egypt. Hippocrates described it as melancholy - a condition that is accompanied by anxiety, despondency, insomnia, refusal of food, irritability. Most often, the cause is childhood trauma or severe, frequent stress in adulthood. There are many provoking factors: the death of a loved one, deterioration of living conditions, alcoholism, brain diseases. Such cases are referred to as psychogenic depression. nine0003
The second type is endogenous. The problem appears not from large external shocks, but because of internal causes. A person is constantly dissatisfied with himself, subjecting himself to criticism. Many patients have panic attacks , haunted by a feeling of fear, anxiety.
How long the period of depression lasts
Many people mistake ordinary periods of low mood for depression. If they do not last long and are quickly replaced by periods of recovery, then we are not talking about a depressive state.
The problem is obvious when the symptoms persist for months and dramatically change a person's life. Then you need to see a doctor. nine0003
What happens to the body
The most common theory is that there is a malfunction of neurotransmitters located in the brain. These substances transmit signals from neuron to neuron and are responsible for a person's mood. Dysfunction leads to a slowdown in the rate of this transmission and a decrease in the number of neurotransmitters themselves. Serotonin, which is called the "hormone of happiness", suffers the most. For clarity, this biochemical process can be compared, for example, with a drop in blood sugar levels in diabetes mellitus. nine0003
How is
treated depression Depression has been treated in different ways. In the ancient world - emetics and laxatives. In the Renaissance - wine and sunbathing. In the Age of Enlightenment - external stimuli, for example, insects. The 19th century brought new recipes - in particular, a solution of camphor in tartaric acid.
The treatment also included the use of drugs, which are now no longer allowed for sale, and some are recognized as narcotic.
Obviously, all these drugs had no effect on increasing the amount of serotonin. And the treatment is precisely to normalize its production. This was done after creating modern antidepressants , which have a minimum of side effects, are safe for the body and are not addictive. These are medicines, whose action is aimed specifically at balancing the disturbed balance of neurotransmitters: serotonin, norepinephrine, dopamine.
Prescription
If a healthy person takes antidepressants , there will be no effect . For a depressed patient, taking them will help:
- improve psychological state;
- get rid of irritability;
- panic fear;
- increase mental and physical activity;
- overcome the dreary mood.
Psychiatrists prescribe antidepressants for chronic back pain, headaches. And also with irritable bowel syndrome, incontinence and other cases when the body stops producing its own painkillers. Medication helps restore pain suppression mechanisms. nine0003
These drugs can only be taken with a doctor's prescription, as many of them are strong stimulants. Self-administration may cost dearly - the condition may worsen. Only a doctor will correctly calculate how many medicines to take per day. In parallel with the treatment by a psychiatrist, a neurologist, a consultation of a psychotherapist is required.
Precautions
- Prescribed drug start drinking from a small dose - the first couple of days they take a quarter of a tablet. Gradually increase the dose to normal.
So the body adapts better. Finish the course by reducing the dose. - The first effect of appears only 2 weeks after the start of administration. Sustained action - after six months. All this time, you need to take remedy, without making passes, breaks.
-
Products are not combined with melatonin, St. John's wort, products and dietary supplements based on sibutramine, 5-HTP. Their combination can raise serotonin to dangerous levels. Also, you can not combine them with monoamine oxidase inhibitors, for example, Cipralex. When writing a prescription, the doctor takes these points into account. nine0003
- Drinking antidepressants is better in parallel with visits to a psychotherapist. If the drugs normalize the biochemical processes in the body, then this doctor will help normalize the psychological state after depression.
The best antidepressants
In medicine, they have long argued that some drugs give only a placebo effect.
The purpose of the study was to find out which of them are the most effective and valid . The project involved 116 thousand patients, and its results were published by the authoritative edition of the Lancet. We offer a list of the best.
1. Agomelatine
New generation drug. Agomelatine is used for severe depressive disorders, high levels of anxiety. Enhances the release of dopamine and norepinephrine, stimulates melatonin receptors. The standard therapeutic dose is 25-50 mg 1 time / day. Helps to restore the normal structure of sleep, get rid of anxiety and panic attacks attacks
Pros
+ Does not adversely affect attention and memory.
+ No lethargy during the day.
+ No sexual deviations.
+ No relation to blood pressure.
+ Do not reduce dosage upon discontinuation.
Cons
— In 1-10% of cases, increased sweating, diarrhea, constipation.
- Possible increased fatigue, drowsiness.
- There are no evidence-based safety studies in people with renal or hepatic insufficiency, therefore, such patients are advised to refrain from taking drugs with active ingredient agomelatine.
2. Amitriptyline
Tricyclic antidepressant. Moreover, the World Health Organization considers Amitriptyline the most reliable in this group. The standard dose is 200-250 mg / day. The action is to block the reuptake of neurotransmitters. A good remedy for moderate to severe disorders of the endogenous type. Additionally, it has a sedative and hypnotic effect. Effective in the treatment of neuropathic pain, for the prevention of migraine. nine0003
Pluses
+ Preparations with active ingredient amitriptyline are inexpensive.
+ High reliability, minimum side effects.
+ Relatively safe during breastfeeding.
Cons
- Possible side effect in the form of blurred vision, dry mouth.
- Lowering blood pressure.
- Some patients experience constipation.
- Drowsiness. nine0003
3. Escitalopram
It belongs to the group of modern serotonin reuptake inhibitors (SSRIs). Most often, it is recommended to take for anxiety, panic attacks. It is taken once, the standard dose is 10 mg per day. Escitalopram has a milder effect and is prescribed to patients for whom tricyclic drugs are contraindicated.
Pluses
+ Lasting effect comes after 3 months. nine0003
+ Indicated for patients with disorders of the cardiovascular system.
+ Soft action.
Cons
- In some patients, the functions of the gastrointestinal tract are disturbed, which is most often expressed in diarrhea.
- Anxiety may increase during the first 2 weeks, therefore it is recommended to start treatment with low doses and gradually increase them.
- Contraindicated in pregnancy and lactation.
4. Mirtazapine
A drug of the tetracyclic group. Mirtazapine - good stimulant for anxious depressions, has a moderate sedative effect. The average amount is 30 mg / day, it must be consumed once. Usually it is prescribed to patients who lose interest in life, cease to experience joy, pleasure. Effective in the correction of sleep, in particular, early awakenings.
Pros
+ Earlier onset of action than SSRIs (1 week).
+ Works well with most general medicines. nine0003
+ Full effect in 4 weeks.
+ Does not affect sexual function.
Cons
- The active substance mirtazapine is contraindicated in diabetes mellitus, arterial hypotension, increased intraocular pressure.
— During the appointment, you must drive carefully and engage in potentially hazardous types of work.
- 18% of patients experience drowsiness, 15% dry mouth, 5% weight loss. Other side effects occur in 1-3% of cases.
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5. Paroxetine
Belongs to the SSRI group, is used most often for severe anxiety, panic, social phobia, nightmares, stress after trauma. Paroxetine can resolve the problems of anxious depression, anxiety-phobic disorders. Take once a day at a dose of 20 mg.
Pros
+ The most powerful stimulant among SSRIs.
+ Anxiety and insomnia pass quickly.
+ Minimal side effects in the form of vomiting, diarrhea. nine0003
+ Suitable for patients with cardiovascular problems.
Cons
— Not suitable for patients with severe motor, mental inhibition.
- Reduces libido.
- Harmful to the fetus when taken during pregnancy.
6. Fluoxetine
One of the most commonly used antidepressants in the SSRI group. Known as Prozac. Fluoxetine is also known as a good mood stimulant. Patients have a feeling of fear, tension, anxiety, gloomy dislike for others. Pluses + There is practically no effect on the work of the heart. + Does not cause sedation. + Effective for patients with motor retardation and excessive daytime sleepiness. Cons - May cause weight loss. — Hypoglycemia is possible in diabetes mellitus. - Contraindicated in severe renal impairment. Another SSRI drug. Fluvoxamine is similar to Prozac Fluoxetine but is fast acting and may cost cheaper. The effect is in a more active slowing down of the reuptake of serotonin by neurons. It is indicated for depression of various origins, as well as obsessive-compulsive disorders. The average daily dose is 100 mg. Pros + Lower price than traditional Prozac. + Faster action than him. + Relatively minor side effects (diarrhea, dry mouth, drowsiness). Cons - Contraindicated in diabetes. - Pregnant women - with caution, lactation - prohibited. - Causes nausea in some patients. One of the widely used and universal drugs of the SSRI group. They treat almost any depressive condition, panic disorder, social phobia. However, in severe clinical cases, sertraline may not be effective enough. The standard dose is 50 mg/day. Pros + No cardiotoxicity. nine0003 + The patient's psychomotor activity does not change. + Does not increase body weight. + Combines well with other groups of antidepressants. Cons — In the first 2 weeks there may be problems with sleep, diarrhea. - Side effects of a sexual nature. - Contraindicated in pregnant women. The drug is classified as an SSRI. Its difference is in its effectiveness in depression, which is accompanied by involuntary movements (tic, tremor, chewing, smacking). Pluses + Effective in tardive dyskinesia. + One of the most powerful SSRIs. + More pronounced thymoleptic effect (improvement of mood) compared to many antidepressants of the same group. Cons - In some patients, anxiety increases within 2 weeks after starting treatment. — Gastrointestinal disorders, insomnia, agitation are possible. — Use during pregnancy only in extreme cases, incompatible with feeding. nine0003 Belongs to the SNRI group. In addition to blocking the reuptake of serotonin, venlafaxine has a similar effect on another neurotransmitter, norepinephrine. The medicine is prescribed for depressive conditions of various origins, social phobias, anxiety, panic. Usually take 150 mg per day. Pros + Better tolerated by patients than most tricyclics. + More pronounced effect than classic SSRIs. nine0003 + Fewer contraindications. Cons - Traditional side effects of most antidepressants: nausea, drowsiness, dry mouth, diarrhea or constipation. - May increase eye pressure. - The most severe withdrawal syndrome among antidepressant drugs. This list is not to be used as a recommendation. In any case, consult your doctor before purchasing. Be healthy! The best treatment for depression is complex. A specialist (psychotherapist or psychiatrist) creates an individual treatment plan and, based on the examination, selects only those components that correspond to the indications and contraindications. Typically, these are antidepressants combined with some other medication for depression, stress, and anxiety. The patient takes the prescribed drugs for depression until there is a therapeutic effect or a stable remission. Drugs for depression and anxiety have a pronounced effect, they are potent drugs that have a number of contraindications and side effects if the doctor's prescription and instructions for use are not followed. That is why drugs for depression without prescriptions cannot be bought in our country. It is impossible to both prescribe and stop taking drugs against depression on your own, this can affect mental health, lead to the development of depressive conditions and even suicidal thoughts. nine0003 Therefore, it is very important to follow all the doctor's recommendations, take drugs for depression and stress in the dosage prescribed by the doctor. Even if a person's mood improved after a week and the main symptoms disappeared, you should not stop taking the drug. The drug method is quite effective in anxiety-depressive disorders and neurotic conditions. Should I take antidepressants for severe depression? Many people believe that these drugs are addictive. If earlier drugs that could cause addiction and drug dependence were used in psychotherapy, today new generation drugs are used that affect the human body and psyche more gently and sparingly. Among the reasons for distrust in the use of antidepressants for depression, one can single out the fact that if the course of treatment is interrupted, a person may feel worse. If abstinence occurs, this indicates an incorrect withdrawal of the prescribed drug. If the artificial synthesis of brain neurotransmitters is stopped, their quantity in the human body will drop sharply. Patients feel that the depression or anxiety disorder is returning as anxiety increases. Any changes in the condition should be reported to the attending physician. The specialist knows how to smoothly cancel the prescribed medication. In combination with psychotherapy, pharmacotherapy works excellently, giving a long-term result. There are several classes of drugs for anxiety and depression. nine0003 The first group includes drugs that have a tricyclic structure, they do not belong to sedatives and prevent the instant breakdown of neurotransmitters (serotonin and norepinephrine). They do not disappear from the nerve endings, their synthesis increases, as does the amount of serotonin. These drugs have a number of contraindications, they are not recommended for people who have kidney and liver diseases, glaucoma, atherosclerosis, and drugs are taken. MAOIs are monoamine neurotransmitters that regulate our emotions, as well as a number of processes in the brain: attention, cognitive functions, memory, arousal. Due to the inhibition of leasing, there is an increase in the amount of monoamines and their accumulation in the nerve endings. Some groups of these drugs are contraindicated for pregnant women and people who work that requires concentration, as well as hypertensive patients. The third group of drugs for the treatment of depression are serotonin selective uptake inhibitors. Medications are prescribed in order to replenish the "hormones of happiness." Do not think that this happens quickly, the process of restoring neurotransmitters is gradual. SSRIs have one important advantage - with the abrupt withdrawal of drugs, there is no withdrawal syndrome. Among the contraindications to their use are diseases of the genitourinary system, as well as alcoholism and drug addiction. If a person develops alcoholism against the background of a depressive state, he should not take antidepressants, since alcohol increases the side effects of the depression medication. Symptoms of the disorder can increase significantly, and the condition can worsen. Quite often, psychological causes cause the development of alcohol dependence, the risk of depression in alcoholics is many times higher than in healthy people. The first group of drugs against depression is especially dangerous to combine with ethanol, as this leads to a sharp increase in pressure. nine0003 Which antidepressant is best for anxiety and depression? The doctor will answer this question for you, the choice of medicines should always take into account the individual characteristics of the patient's body. Species: sleeping pills; sedatives; muscle relaxants. In the first case, there is a significant reduction in anxiety, improved quality and increased sleep duration. Sedative drugs have a positive effect on the central nervous system, they can be both herbal and synthetic and have a rather mild effect on the central nervous system. They help to restore the balance between the systems of excitation and inhibition, give a person the opportunity to more calmly respond to stressful situations and eliminate sleep problems. Muscle relaxants - drugs that reduce the tone of the muscles of the skeleton and reduce motor activity. They block H-cholinergic receptors and stop the supply of impulses to the muscles, due to which they stop contracting. nine0003 Tranquilizers are used for depression and panic attacks, sleep problems, as well as for: In some cases, these psychotropic drugs are given to children. Do not use drugs of this group for people with alcohol or drug intoxication. Doctors do not advise drugs for the treatment of neurosis and depression and during work associated with increased concentration of attention, including drivers. As with the treatment of depression with antidepressants, in order to reduce the risk of withdrawal symptoms upon discontinuation of the drug, it is necessary to reduce the dosage gradually. Your doctor should tell you about this. In addition, a long course of its use is fraught with the development of drug dependence, so the course is divided into short periods. Pregnant and lactating women should not use tranquilizers. nine0003 Preparations help to cope with stress, to endure traumatic situations more easily, eliminate fears, phobias, panic attacks without inhibiting cognitive functions. Quite often, tranquilizers help eliminate sleep problems, frequent awakenings, insomnia at night, and daytime sleepiness. Tranquilizers are quite dangerous drugs, some of them are classified as pharmacy drugs, since if the duration of treatment and dosage are violated, psychophysical dependence can occur. Their use is also known for recreational purposes. If you notice that your loved one has been taking the same medication for a long time, you should seek help from the Center for Healthy Youth. After all, it is possible that he became addicted and now needs drug addiction treatment. We work throughout Russia. The appeal is free and anonymous. nine0003 Today, drugs such as neuroleptics are actively used in the treatment of depression and neuroses. Doctors classify them according to their chemical structure. There are 2 types of antipsychotics: typical and atypical (as well as those with prolonged and non-prolonged action). In the first case, these are drugs that are already a thing of the past, they really did a good job with their main task - the relief of psychotic symptoms, but they had a rather large number of undesirable side effects. In the second case, the use of atypical antipsychotics is more modern. These are drugs of the latest generation, antipsychotics, which have practically no side effects. If drugs have a prolonged effect, this means that they have a long-term effect on the body, for example, within a month. Nootropic drugs, also known as cerebroprotectors or neurometabolic stimulants, are an effective tool for a specific effect on the higher functions of the psyche. It increases the resistance of the central nervous system to the effects of negative factors of traumatic episodes. Nootropics have a positive effect on the intellectual and cognitive abilities of a person, help him improve memory, focus on the important, increase learning and stress resistance. nine0003 These psychotropic drugs are divided into the following groups: They have various effects: anticonvulsant, muscle relaxant, mnestic, antihypoxic, help with ischemia and intoxication, improve metabolism and metabolic processes in the central nervous system, neurotransmitter metabolism. Among the contraindications are pregnancy and lactation, stomach ulcers, kidney and liver diseases, allergic reactions to the components of the drug. Before their appointment, the doctor examines the patient, during the course of therapy he will take a urine test to obtain accurate data on the results of treatment. nine0003 This is perhaps the most common drug in narcology and psychiatry. However, it is popular not only because it is highly effective in the treatment of anxiety disorders, but also because it is a dangerous pharmacy drug that causes addiction. That is why the doctor controls the duration of the course of treatment and the dosage. It will not be possible to buy Phenazepam in a pharmacy without a doctor's prescription. Innovative modern drug used for depression and neurosis. It eliminates anxiety, anxiety, relieves tension and stress, does not cause drowsiness, and has a minimum of side effects. The drug is a neuroprotector, protects nerve cells, stabilizes GABA receptors. The purpose of antioxidants is to protect the body from dangerous substances that damage cells and adversely affect human health. The drug is prescribed to patients after TBI, in the presence of deviations from the cerebral circulation, stress. Mexidol is used in the treatment of encephalopathy, coronary artery disease and VVD. nine0003 Our bodies cannot function properly without magnesium. This substance is involved not only in metabolic processes, but also affects the work of the central nervous system. To a greater extent, the agent acts on serotonin receptors than on dopamine receptors. Therefore, depression is prescribed quite rarely, or in minimal doses. Most often used for more severe diseases, dementia, Alzheimer's or Parkinson's disease. Contraindications are oncology, hypotension, heart attack, diseases of the cardiovascular system, liver. nine0003 The drug increases the concentration of norepinephrine and serotonin and inhibits their reuptake. It is used in the presence of psycho-emotional disorders, psychosis, anxiety, insomnia, depression. It is not recommended to take in the presence of hard drinking and alcoholism, diseases of the gastrointestinal tract, pregnancy. Inhibits the work of the central nervous system, is prescribed for mental disorders, psychomotor agitation, nervousness, anxiety, irritability. Don't think you can buy stress and depression medications without a prescription. Also, do not be mistaken about self-treatment. Depression is not just a bad mood or spleen, but a real deviation in the psyche, which is treated not only with medication, but also with long-term work with psychologists, psychotherapists or psychiatrists. If you regularly have suicidal thoughts, lack of appetite, disturbed sleep patterns, you should contact a specialist. nine0003 However, you can improve your mood and avoid illness if you use as a preventive measure: Physical education and exercise help synthesize new neural connections that have a beneficial effect on the functioning of the nervous system and human mood.
Depending on the indications, the average daily dose is 20-60 mg. nine0003 7. Fluvoxamine
nine0003 8. Sertraline
9. Escitalopram
Escitalopram is prescribed to patients with panic, anxiety, phobias, obsessive thoughts or actions. The daily dose is 20 mg. nine0003 10. Venlafaxine
Treatment of depression takes a long time. As a rule, therapy lasts from 1.5 to 7 months. nine0003 Prescribing drugs for calming nerves and against depression
It is important that the diagnosis of depression be made by a specialist, since taking medications simply to cheer up in the absence of deviations from the psyche can cause only a number of side effects. Antidepressants, neuroleptics and tranquilizers are potent drugs that are prescribed only with a diagnosis confirmed by a doctor. Self-medication is unacceptable. Next, consider the main drugs for stress and depression that are prescribed to patients. nine0003 Antidepressants
Do not take such a reaction of the body as an addiction to pills. nine0003 Tricyclic
nine0003 Monoamine oxidase inhibitors (MAOIs)
Selective serotonin uptake inhibitors (SSRIs)
Tranquilizers for depression and neurosis
Doctors do not recommend taking sleeping pills for a long time or independently extending the period of admission prescribed by a specialist, since drugs in this group can cause drug dependence. Because of this feature, sleeping pills are popular with drug addicts. nine0003
nine0086 
In the treatment of psychosis, these medications are used as part of a complex therapy that helps eliminate the side effect of antipsychotics. But the drugs themselves have various side effects, including muscle weakness, lethargy, decreased concentration of reactions, libido, memory impairment, a drop in blood pressure, and nausea. nine0003 Antipsychotics for depression and anxiety
They eliminate panic fears, anxiety, normalize sleep patterns.
nine0003 Nootropics for depression and asthenia
Effective drugs for depression
Phenazepam
This is a benzodiazepine that acts on the central nervous system and is a potent drug. Today, the tranquilizer is used less and less, as it has a rather large list of side effects, including drug dependence. It has a sedative and hypnotic effect. nine0003 Afobazole
Mexidol
Magnesium
That is why it is necessary for depressive disorders to make up for the existing magnesium deficiency. Quetiapine
Amitriptyline
Atarax
It is not used during pregnancy and individual intolerance to the components of the drug. nine0003 Over-the-counter depression treatment
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