Anxiety Disorders, Stress When Should You Take Medicine?

In the case of long-term stress and anxiety disorders that greatly affect health and quality of life, medication can be used to improve. However, it is necessary to use the right drug with the right dose to bring about high efficiency and minimize risks and unwanted effects.

Stress, anxiety disorder when to use the drug?

Anxiety and stress are an inevitable part of life. On the positive side, these states promote self-development, helping you to overcome life’s challenges and difficulties. In addition, stress also creates a motivation for each person to improve themselves more and more.

However, in some people, anxiety and stress can develop over a long period of time with many effects on health and quality of life. Persistent, excessive and persistent stress is a manifestation of an anxiety disorder – a common mental disorder today. People with this condition are completely unable to control excessive stress and anxiety – even when they perceive their emotions as irrational and unnecessary.

With normal stress and anxiety, the situation will quickly improve after only a short time. However, if these conditions persist for many weeks or months, it is advisable to actively seek a doctor for a timely examination and diagnosis.

Most cases of long-term, permanent anxiety that greatly affects the quality of life have indications for medication. The drugs used have the ability to reduce anxiety, insecurity, stress, excessive anxiety. In addition, these drugs also improve some health problems caused by nervous tension such as shoulder pain, insomnia, headache, high blood pressure, flushing, etc.

Besides the benefits, using the drug also has many potential risks. Therefore, ordinary cases of stress and anxiety should adopt some stress-reduction strategies to release negative emotions and stabilize moods.

Medications for anxiety and stress disorders

The drugs used in the treatment of anxiety and stress disorders mostly affect the central nervous system. Therefore, besides improving mood, these drugs also have many potential risks and side effects. To be on the safe side, use the drug only when prescribed by your doctor.

Depending on the level of anxiety, stress and health status of each case, the doctor will consider using the following drugs:

1. Anxiolytics (sedatives)

Sedatives (anxiolytics) are commonly used to treat neurological and psychiatric problems. Of these, benzodiazepines are the most widely used in the treatment of stress and anxiety disorders.

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This class of drugs inhibits the limbic thalamus activating reticular system along with neurons. From there, it brings sedative, anxiolytic, sleep-inducing, anti-convulsant, muscle relaxant effects and reduces aggressive and agitated behaviors. Immediately after using about 60 minutes, symptoms caused by anxiety disorders such as nervousness, palpitations, nervousness, restlessness, etc. will quickly subside.

anxiety reliever

Anxiolytics (sedatives) are used short-term to limit the risk of addiction

However, tranquilizers are potentially addictive and prone to dependence if used long-term. Therefore, this class of drugs is mainly used in low doses for limited periods of time. Contraindicated in people with severe respiratory failure, myasthenia gravis, chronic psychosis and hypersensitivity to any ingredient in the drug.

Commonly used anxiolytics include:

  • Lorazepam
  • Diazepam
  • Clonazepam
  • Nitrazepam

Anxiolytics are a group of drugs with potential risks and side effects when used – especially in the case of long-term use. The drug can cause marked memory loss and cause drug addiction syndrome (occurs when stopping the drug suddenly in the case of high doses and prolonged use). Drug dependence syndrome is characterized by nausea, vomiting, restlessness, insomnia, palpitations, lethargy, nervousness, and the desire to use the drug again.

2. Antidepressants

Antidepressants are commonly used in the treatment of anxiety disorders and excessive stress. These drugs act on neurotransmitters in the brain to regulate mood and improve negative emotions. Antidepressants are a relatively safe, low-dependency group of drugs, so they should be considered for long-term use in patients with generalized anxiety disorder, obsessive-compulsive disorder, etc.

The most common classes of antidepressants today are:

Selective serotonin reuptake inhibitors (SSRIs):

SSRIs are the most commonly used antidepressants today. This class of drugs is highly effective, has few side effects, and can be used long-term for people with chronic stress and anxiety disorders. Selective serotonin reuptake inhibitors, thereby increasing serotonin levels in the brain. As serotonin levels increase, negative emotions such as stress, anxiety, insecurity, pessimism, depression, and restlessness are significantly reduced.

Because of their high effectiveness and relative safety, SSRIs can be used for postpartum depression, anxiety disorders, and excessive stress during pregnancy. This class of drugs provides marked improvement in most forms of anxiety disorders, chronic stress, depression and many other mental problems. However, SSRIs only start to work after 3-5 weeks and need to be used long-term to prevent recurrence.

anxiety reliever

Selective serotonin reuptake inhibitors are commonly used in the treatment of anxiety and stress disorders

Commonly used selective serotonin reuptake inhibitors include:

  • Citalopram
  • Paroxetine
  • Fluoxetine
  • Sertraline
  • Escitalopram

When used, this group of drugs can cause some mild side effects such as nausea, headache, sexual dysfunction and insomnia. However, these side effects will gradually subside after a period of use of the drug.

– Serotonin and norepinephrine reuptake inhibitors (SNRIs):

SNRIs are also commonly used antidepressants in the treatment of nervous tension and anxiety disorders. This class of drugs works by reuptake of serotonin and norepinephrine. In particular, serotonin inhibitory effects are more limited than SSRIs. In addition, some drugs belonging to the group of SNRIs have weak dopamine reabsorption effects. This class of drugs is often used when SSRIs are not effective or provide little to no improvement.

By inhibiting serotonin and norepinephrine reuptake, SNRIs have the ability to balance transmitters in the brain. As a result, negative emotions such as stress, anxiety, restlessness, insecurity, etc. will be significantly improved. This class of drugs is considered relatively safe but is still more risky than SSRIs, so it is used less often.

anxiety reliever

Desvenlafaxine is a serotonin and norepinephrine reuptake inhibitor used in the treatment of anxiety disorders.

Commonly used serotonin and norepinephrine reuptake inhibitors (SNRIs) include:

  • Venlafaxine
  • Levomilnacipran
  • Duloxetine
  • Desvenlafaxine

Through serotonin and norepinephrine reuptake inhibitory activity, SNRIs can improve symptoms caused by stress and anxiety disorders. However, this group of drugs also causes some side effects such as agitation, sweating, nausea, constipation, taste changes, increased blood pressure, dry mouth, etc.

Tricyclic antidepressants (TCAs):

Tricyclic antidepressants are the classic class of antidepressants. This class of drugs carries more risks and risks than SSRIs. However, tricyclic antidepressants are highly effective and should be considered in cases of poor response or no response to other drugs.

Tricyclic antidepressants inhibit the reuptake of many neurotransmitters such as norepinephrine, serotonin, histamine, acetylcholine, muscarin, dopamine, etc. Therefore, this group of drugs brings high efficiency and rapid effect compared to other drugs. with SSRIs, SNRIs. Through the above mechanism, the drug helps to balance the transmitters in the brain, thereby improving negative emotions such as stress, anxiety, restlessness, insecurity, fear, panic, etc.

Commonly used tricyclic antidepressants include:

  • Amitriptyline
  • Tianeptine
  • Clomipramine

Among them, Amitriptyline is the most commonly used drug thanks to its high effectiveness, low cost and fewer side effects than other drugs in the same class. Tricyclic antidepressants affect many neurotransmitters, so the risk is higher than other drug classes. Some side effects that may be experienced while taking the drug include excessive drowsiness, low blood pressure, constipation, difficulty urinating, dry mouth, etc.

Monoamine oxidase inhibitors (MAOIs):

Monoamine oxidase is responsible for breaking down neurotransmitters in the brain such as dopamine, serotonin, and norepinephrine. For people with stress and anxiety disorders, low levels of neurotransmitters cause mood instability, anxiety, depression, panic and fear. Through monoamine oxidase inhibition, MAOIs can improve emotional, memory, thinking, and physical symptoms in people with anxiety disorders.

Monoamine oxidase inhibitors are a group of drugs that bring high efficiency and marked improvement. However, this group of drugs has many potential risks and risks, so it should only be used when other drugs are not effective. MAOIs not only interact with medications, but also with many foods and beverages. Therefore, when using, it is necessary to pay close attention to this issue to avoid dangerous situations arising.

anxiety reliever

Monoamine oxidase inhibitors (MAOIs) are used only when other antidepressants have not worked.

Commonly used monoamine oxidase inhibitors (MAOIs) include:

  • Phenelzine
  • Tranylcypromine
  • Selegiline
  • Isocarboxazid

This group of drugs causes a lot of side effects when used, the most common are low blood pressure, dry mouth, sleepiness during the day, insomnia and nighttime, weight gain, dizziness, men may experience symptoms. erectile dysfunction, etc. In addition, the drug also causes many other adverse effects when it interacts with food and drink.

Other anti-depressants:

Currently, in addition to the above drugs, a number of antidepressant drugs have also been put into use such as:

  • Norepinephrine and dopamine reuptake inhibitors (NDRIs) include Dexmethylphenidate, Bupropion, Methylphenidate, etc.
  • Mirtazapine
  • Trazodone

These drugs all affect neurotransmitters in the brain, thereby improving mood and reducing physical symptoms caused by stress and anxiety disorders.

3. Antipsychotics

In the past, antipsychotics were mainly used in the treatment of schizophrenia. However, now, this class of drugs can also be used for patients with depression and anxiety disorders who have psychotic manifestations such as delusions, hallucinations, hallucinations, panic, agitation, anxiety, and speech. speaking incoherently…

Antipsychotics work by blocking dopamine to increase levels of neurotransmitters in the brain. The drug is usually given at a low dose, then gradually increased until an effect is achieved, then a maintenance dose is used. This group of drugs can be effective after 2-4 weeks of use.

Antipsychotics are mainly used in the treatment of panic disorder, obsessive-compulsive disorder, and phobias. Medications are rarely used in people with chronic stress and generalized anxiety disorder (GAD). This group of drugs can cause some side effects such as constipation, acne, amenorrhea, gynecomastia in men, high fever in the whole body, etc.

anxiety reliever

Antipsychotic drugs can reduce panic, fear, agitation, etc., caused by excessive stress and anxiety

Commonly used antipsychotic drugs:

  • Levomepromazine
  • Chlorpromazine
  • Olanzapine
  • Amisulpride
  • Aripiprazole
  • Clozapine

In particular, Clozapine is a drug used for cases of poor response to other drugs. This group of drugs causes many negative effects on the cardiovascular system, motor function and memory. In addition, taking the drug also increases the risk of stroke and death, so it is rarely used in the elderly.

4. H1 . Antihistamines

H1 antihistamines are commonly used to treat allergies and motion sickness. In addition, some drugs are also used in the treatment of anxiety and stress disorders, such as Hydroxyzine. Hydroxyzine has anti-histamine, sedative and anticholine effects. Therefore, this drug can reduce mild symptoms of anxiety disorders.

Compared with other drug classes, Hydroxyzine has high safety and fewer side effects. So if anxiety and stress are mild, your doctor will prescribe this medication to limit the risk. During use, the drug may cause some side effects such as confusion, accommodation disorders in the elderly, dry mouth, constipation, agitation and drowsiness.

5. Other drugs

In addition to the above drugs, the doctor may also prescribe beta-blockers and psychotropic tablets in cases of stress and anxiety disorders.

anxiety reliever

Nerve nourishment tablets are often used to prevent nervous breakdowns caused by prolonged stress

  • Beta-blockers: Beta-blockers (Propranolol) are used to improve high blood pressure, facial flushing, trembling hands and feet, arrhythmia, etc., caused by anxiety and excessive stress. This class of drugs only relieves physical symptoms in people with anxiety disorders, so they are mainly used for short periods of time.
  • Nerve nourishment pills: Prolonged stress and anxiety can cause nervous breakdown. Therefore, in addition to drugs that improve symptoms, the doctor may also prescribe some nerve tonic tablets such as Nicergoline, Choline alfoscerate, Vinpocetin, Ginkgo biloba, Piracetam, etc.

In addition to using drugs, patients should develop a reasonable diet, exercise regularly, balance working time – rest and get enough sleep to help relieve stress, reduce anxiety and worry. so late.

Psychotherapy – “Golden solution” for anxiety and stress disorders

The source of anxiety disorders is stress, problems and situations in life. These problems are not thoroughly resolved leading to anxiety, depression, insecurity, restlessness and anxiety. Over time, these conditions will increase in intensity and frequency, causing a variety of effects on physical, mental health and quality of life.

Medication can improve emotional, thinking, behavioral, and physical disturbances, but does not affect the underlying cause at all. Therefore, after a short period of discontinuation, stress and anxiety disorders may recur. To control anxiety thoroughly, patients need to coordinate with psychotherapy – the golden solution for people with anxiety and stress.

Psychotherapy is a method of using verbal, nonverbal communication to change distorted thoughts, behaviors, perceptions, and emotions. Through this therapy, the therapist will create appropriate stimuli to influence the psychology of the patient. In addition, psychotherapy also equips patients with necessary skills to cope with stress and easily adapt and overcome stressful situations in life.

Therapeutic Center   is the leading unit in applying psychotherapy for customers experiencing psychological problems such as stress, anxiety, depression, etc. The center is invested and built on a large scale along with 100% of experts are trained abroad. Professionals with high expertise, rich experience, always dedicated and dedicated to customers.

After a lot of research, NHC Vietnam Therapy Center has developed an exclusive therapy with a scientific route, personalized according to each client’s condition. The course of treatment for stress and anxiety disorders here is completely drug-free, safe and effective.

After completing the course of treatment, customers may notice positive improvements such as:

  • Stress, anxiety, depression, anxiety, … are completely relieved. Feel the positive energy and optimism.
  • Find balance in life, know how to control emotions and unexpected situations.
  • Better understand your psychological needs and values. Thereby helping customers to love, take care of themselves and make more efforts to improve themselves.
  • Get guidance from experts on how to create healthy habits to build a more positive and healthy life.
  • Improve physical symptoms caused by stress and anxiety such as insomnia, joint pain, headache, dizziness, body fatigue, poor diet.

Using medication can improve nervous tension and reduce symptoms caused by anxiety disorders. However, medication does not affect the cause. Therefore, in addition to the question “When does anxiety disorder need medication?”, patients need to pay attention to psychotherapy and build a healthy and scientific lifestyle.

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