Anxiety disorder is a type of neurosis, and in the process of diagnosis and treatment, we must pay attention to psychological **, do a good job of psychological transformation, and mobilize the subjective initiative of patients. It is important to note that simple symptomatic medication** does not work well. The effect and psychological effects of buying medicine at a pharmacy are different from those under the guidance of a doctor. This article describes several common medications for anxiety disorders.
BenzodiazepinesIt has a wide range of applications, strong anxiolytic effect and fast onset. According to the length of the half-life, it can be divided into long-term, medium-term and short-term acting drugs. Long-term drugs include diazepam, nitrazepam, clonazepam, etc.;Medium-range acting drugs include apu**, norhydroxyepam, chlorrazepam, etc.;Short-range acting drugs such as **lun and so on.
In general, short-acting drugs are used for episodic anxiety;For persistent anxiety, drugs with medium and long-term effects are often usedPatients with difficulty falling asleep are generally treated with short- and medium-range acting drugsFor those who are easy to wake up or wake up early, medium and long-term acting drugs are selected. Clinical application generally starts with a small dose, gradually increases to the optimal amount, and gradually stops the drug after 2 to 6 weeks to prevent addiction. The course of discontinuation of the drug should not be shorter than 2 weeks to prevent symptoms from rebounding.
There are many possible effects of medications, including the lack of affirmative effect on comorbid depressive symptoms;Cognitive impairment: attention, memory, speech, manipulation, etc.;Excessive sedation;Traffic accidents: 5-7 times higher than antidepressants in the first two weeks;Muscle relaxant effect: falls (especially clonazepam);Pro-intoxicating effect: patients with functional somatic symptoms are prone to alcohol dependence;Long-term medication is easy to cause dependence, addiction and withdrawal syndrome, etc.;
Buspirone (Buspirone) is a novel azaspirocyclodecanedione (non-benzodiazepine) anxiolytic drug. The drug was launched in 1985 and is now widely used in many countries around the world. It is a 5-HT1A partial agonist and has a good ** effect on all types of anxiety symptoms. It is mainly used for generalized anxiety and other anxiety disorders, without drug resistance, no risk of abuse, and no obvious sedative effect while anti-anxiety. It is also used abroad for withdrawal anxiety symptoms in drug addicts.
Characteristics (five nos): no sedation, no cognitive impairment, no sexual dysfunction *** no abuse risk, no interaction with alcohol.
Tricyclic antidepressantsTricyclic antidepressants such as imipramine, noripramine, and chlorimipramine** have a good effect on anxiety and are effective for both generalized anxiety and panic attacks. However, the onset of action is slower than that of benzodiazepines. The advantage is that there is no dependency.
Serotonin reuptake inhibitors (SSRIs).Paroxetine and sertraline of this class of drugs have strong anxiolytic and anti-panic effects. However, it has a slow onset of action like tricyclic antidepressants, so it should be used in combination with benzodiazepines in the early stage. This type of drug is characterized by the fact that it is not toxic to the cardiovascular system***, but in the early stage, some patients may have restlessness, nervousness, nausea, bloating, or insomnia, which can exacerbate anxiety symptoms.
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