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The content of Moodletter is for informational purposes only. You should consult with your professional health care provider about your diagnosis and treatment.
Moodletter content may not be reprinted without express written permission and credit.
©2006-2012 Deborah Wiig
All rights reserved
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Anxiety Disorders
Different types
of medications are used to treat different anxiety disorders, such
as generalized anxiety disorder, panic disorder, social phobias
and others.
While medications
can be very effective in treating many of the symptoms of anxiety
disorders, such as worry, panic attacks, insomnia, and difficulty
concentrating, according to the Anxiety
Disorders Association of America, they have limitations. To
achieve complete remission of symptoms, you may need to make some
important changes in your life. You might also benefit from psychotherapy.
Side effects
with antianxiety medications depend on the drug and the dosage.
They occur only in some people and are often temporary, and include
dizziness, drowsiness, fatigue, tremors, dry mouth, headaches, nausea,
upset stomach, and reduced sexual drive or performance. Tell your
doctor if side effects persist. |
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GAD = Generalized
Anxiety Disorder,
OCD = Obsessive
Compulsive Disorder,
PD = Panic Disorder,
PTSD = Post
Traumatic Stress Disorder,
SAD = Social
Anxiety Disorder |
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Antidepressants,
especially SSRIs, are prescribed to treat many anxiety disorders.
See Antidepressants below. PD, OCD, SAD, GAD, PTSD
Anxiolytics
Azapirones:
BuSpar (G) * (Buspirone) |
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(G)
Generic
version available
* Although this medication has not been approved by the FDA
for this use, it has been found to be useful in the treatment of this
disorder. This practice is known as "off-label" use, which
is common and considered acceptable by the FDA. |
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Benzodiazepines GAD,
SAD, PD High-potency benzodiazepines combat anxiety and have few
side effects other than drowsiness. Because people can get used
to them and may need higher and higher doses to get the same effect,
benzodiazepines are generally prescribed for short periods of time.
Some people experience withdrawal symptoms if they stop taking benzodiazepines
abruptly instead of tapering off, and anxiety can return once the
medication is stopped. |
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Ativan (G) (Lorazepam)
Dalmane (G) (Flurazepam)
Klonopin (G) * (Clonazepam)
Halcion (G) (Triazolam)
Librium (G) (Chlordiazepoxide)
Restoril (G) (Temazepam)
Serax (G) (Oxazepam)
Tranxene (G) (Clorazepate)
Valium (G) (Diazepam)
Xanax (Alprazolam) |
Antihistamines
GAD
Atarax, Vistaril (G) (Hydroxyzine)
Anticonvulsants
These medications may be combined with other medications when necessary.
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Gabitril (Tiagabine)
Neurontin (Gabapentin)
Depakote (G) (Valproate)
Lamictal (Lamotrigine)
Topimax (Topiramate) |
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Noradrenergic
Agents
Beta Blockers Performance anxiety, possibly PD
Inderal (G) (Propranolol)
Tenormin (G) (Atenolol)
....................(Prazosin)
Atypical
Antipsychotics These medications may be used with other medications
when necessary.
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Alpha Blocker
PTSD (nightmares) Minipress (G) (Prazosin)
Catapres (Clonidine)
Tenex (Guanfacine)
Abilify Aripiprazole
Geodon Ziprasidone Risperdal Risperidone Seroquel Quetiepine Zyprexa
Olanzapine |
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Bipolar Disorder
Depending on
the medication, side effects, which occur only in some people and
are often temporary, may include weight gain, dry mouth, insomnia,
nausea, tremor, reduced sexual drive or performance, anxiety, or
movement problems. Tell your doctor if side effects persist. |
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(G)
Generic
version available
* Although this medication has not been approved by the FDA
for this use, it has been found to be useful in the treatment of this
disorder. This practice is known as "off-label" use, which
is common and considered acceptable by the FDA. |
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Mood Stabilizers
Medications
known as "mood stabilizers" are commonly prescribed to
help control the symptoms of bipolar disorder. Anticonvulsant medications
may be combined with lithium, or with each other, for maximum effect.
Other medications are added when necessary, typically for shorter
periods, to treat episodes of mania or depression. |
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Depakene (G) (valproic
acid)
Depakote (G)
Eskalith, Lithane, Lithobid, Lithium
(lithium carbonate) (G)
Lamictal * (lamotrigine)
Lithobid (G) (lithium)
Lithonate
Lithotabs
Neurontin * (gabapentin)
Tegretol (G) (carbamazepine)
Topamax * (topiramate) |
Antidepressants
for bipolar disorder
People
with bipolar disorder who take antidepressants are at risk of switching
into mania or hypomania, therefore antidepressants are usually prescribed
only in combination with mood stabilizing medications. Lithium and
valproate are the most commonly used mood-stabilizing drugs today.
However, research studies continue to evaluate the potential mood-stabilizing
effects of newer medications. |
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Seroquel
(quetiapine) (The only antidepressant approved for bipolar depression)
Symbyax (a combination of olanzapine, an atypical antipsychotic and fluoxetine,
a selective serotonin reuptake inhibitor) for the treatment of depressive episodes associated with Bipolar I Disorder.
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Antipsychotics
for mania
Abilify (Aripiprazole)
Haldol (G) (haloperidol)
Loxitane (loxapine)
Mellaril (G) (thioridazine)
Moban (molindone)
Navane (G) (thiothixene)
Prolixin(G) (fluphenazine)
Serentil (mesoridazine)
Seroquel (quetiapine)
Stelazine (G) (trifluoperazine)
Thorazine (G) (chlorpromazine)
Trilafon (G) (perphenazine) |
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Atypical
Antipsychotics for mania
Abilify (aripiprazole)
Clozaril (G) (clozapine)
Risperdal (risperidone)
Seroquel (quetiapine)
Zyprexa (olanzapine) |
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Depression
Antidepressants These
can lift the dark, heavy moods of depression. Many people with depression
do best with combined treatment: medication to gain symptom relief
and psychotherapy to learn more effective ways to deal with life's
problems, including depression.
Antidepressants
may take several weeks to become fully effective and it may take
more than one trial to find the most effective one for you. Side
effects of antidepressants, which occur only in some people and
are often temporary, may include: reduced sexual drive or performance,
headache, nervousness, sleeping problems, drowsiness. If side effects
persist, talk to your doctor.
Tricyclics
Anafranil * (G) (clomipramine)
Asendin (amoxapine)
Elavil(G) (amitriptyline)
Norpramin (G) (desipramine)
Pamelor (nortriptyline)
Sinequan (G) (doxepin)
Surmontil (trimipramine)
Tofranil (imipramine)
Vivactil(G) (protiptyline)
MAOIs- monoamine
oxidase inhibitors
Nardil (phenelzine)
Parnate (tranylcypromine) |
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(G)
Generic
version available
* Although this medication has not been approved by the FDA
for this use, it has been found to be useful in the treatment of
this disorder. This practice is known as "off-label" use,
which is common and considered acceptable by the FDA.
SNRIs -- Dual-uptake inhibitors
Cymbalta (duloxetine) Effexor (venlafaxine) Remeron (mirtazapine)
SSRIs--selective
serotonin re-uptake inhibitors:
Celexa (G) (citalopram)
Lexapro (escitalopram)
Paxil (paroxetine)
Prozac (G) (fluoxetine)
Zoloft (sertraline)
Symbyax (a combination of olanzapine, an atypical antipsychotic and fluoxetine,
a selective serotonin reuptake inhibitor) for the treatment of Treatment Resistant Depression.
Similar to SSRIs
Desyrel (G) (trazadone)
Serzone (nefazodone)
In a class by itself
Wellbutrin (G) (bupropion)
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Page updated January 1, 2011 |
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