Tuesday, October 11, 2005

A Look at the Different Depression and Anxiety Medications - By Charles Donovan

While it may be easy to recite the various brand names and generalize their benefits enough to know they put us (or are supposed to put us) in a better mood, for lack of a better term, the drugs themselves can all be categorized individually, each working in a slightly different way.

The following is a list and very brief description, by category, of depression and anxiety medications currently prescribed by physicians.

Selective Serotonin Reuptake Inhibitors (SSRIs)

SSRIs, which are fairly new to the arsenal of depression and anxiety medications, have gained immense popularity among prescribing psychiatrists within the past 10 years. They are usually prescribed during the early stages of depression, if a person has sought help and behavioral and/or psychotherapy has not proven effective enough. With appropriate dosage, SSRIs can "catch" depression before it becomes severe. Although they do not work for 20% to 40% of people who try them, their ability to work for people with minor (and even major) depressive illnesses makes them attractive enough to prescribing psychiatrists to try them first before moving on to more serious depression and anxiety medications and methods, if need be. SSRIs work on serotonin, one of the brain's three neurotransmitters.

SSRIs Brand name (chemical name)

Celexa (citalopram), Lexapro (escitalopram oxalate), Luvox (fluvoxamine), Paxil (paroxetine), Prozac (fluoxetine), Zoloft (sertraline)

Monoamine Oxidase Inhibitors (MOAIs)

MAOIs are the type of depression and anxiety medications that work for people who are mildly depressed, develop mild depression over a long period of time, are overly sensitive to their environment, or who are easily able to emerge from periods of depression. People who demonstrate an excess of a particular activity (ie, overeating, oversleeping, emotional overreaction) as compensation with stress can benefit from MAOIs, which work on the three neurotransmitters (called monoamines) found in the brain: norepinephrine, serotonin, and dopamine. These are usually only prescribed when a person hasn't responded to any of the other types of depression and anxiety medications.

A strict diet must be followed if taking an MAOI, because in conjunction with certain foods, the body can react with elevated blood pressure, headaches, fluctuating blood sugar (for people with diabetes), and in more severe cases, brain hemorrhage. Because of these risks, MAOIs were taken off the American market for a while, but were reintroduced for patients who haven't had luck with any other depression and anxiety medications.

MAOIs Brand name (chemical name)

Nardil (phenelzine), Parnate (tranylcypromine)
Tricyclic Antidepressants (TCAs)

Tricyclics have been available longer than any other depression and anxiety medications. In 1958, the first tricyclic, imipramine (Tofranil), was released to help combat major depression, and physicians saw a 70% positive response within their patients. Previously the only treatments for severely depressed patients were amphetamines and electroshock therapy. TCAs increase the brain's supply of serotonin and norepinephrine, two of the brain's three neurotransmitters, but it also affects some of the brain's other nerve impulses as well, and this allows for more side effects.

Severely depressed and/or hospitalized patients see the most benefit from taking TCAs because of its sedative effect. In the past, patients were usually prescribed tricyclics before anything else, but with the movement of psychiatrists (and patients!) toward heading off depression before it becomes severe and/or chronic, TCAs are now usually only prescribed if the other types of depression and anxiety medications don't work.

TCAs Brand name (chemical name)

Adapin (doxepin), Anafranil (clomipramine) , Elavil (amitriptyline), Endep (amitriptyline), Ludiomil (maprotiline), Norpramin (desipramine) , Pamelor (nortryptyline), Pertofrane (desipramine), Sinequan (doxepin), Surmontil (trimipramine), Tofranil (imipramine), Vivactil (protriptyline)

Non-specified or "Other" depression and anxiety medications Because their chemical make-ups do not fit into any of the other categories, the following list of depression and anxiety medications can only be termed as "other." Wellbutrin, Desyrel, Remeron, and Effexor are prescribed most. Each of the four drugs affects at least one of the brain's three neurotransmitters (norepinephrine, serotonin, dopamine), and as a result, each has its own particular set of side effects. As a result, psychiatrists are much more likely to prescribe one of the other types of depression and anxiety medications (SSRIs, MAOIs, TCAs) before switching to one of these. In some instances, a patient's regimen is augmented by combining an SSRI or TCA with an"other" depression and anxiety medications, but because of an MAOI's particular chemical make-up and dietary requirements, it is prescribed alone.

Brand names (chemical names) of Non-specified depression and anxiety medications

Buspar (buspirone), Cymbalta (duloxetine), Desyrel (trazodone) , Effexor (venlafaxine), Edronax, Vestra (reboxetine), Remeron (mirtazapine), Serzone (nefazodone), Wellbutrin (bupropion).

In August of 2004, the FDA approved the investigational drug CymbaltaĆ¢„¢ (duloxetine HCl), which demonstrated rapid relief of anxiety symptoms associated with depression that was sustained for the length of the study period, according to new data published in the journal Depression and Anxiety. In clinical studies, researchers attribute the medication's effect on a broad spectrum of depression symptoms, which include emotional and painful physical symptoms as well as anxiety, to its dual reuptake inhibition of both serotonin and norepinephrine.

Learn more about treating depression at http://www.e-mentalhealth.com

Charles E. Donovan

Author

Out of the Black Hole: The Patient's Guide to Vagus Nerve Stimulation and Depression (You can purchase a copy of this book on the right)

Article Source: http://EzineArticles.com/

6 comments:

Anonymous said...

Everyone has days when they are down, worn out, treating anxiety and just not feeling all that happy.

That's OK, you need to have days like this, otherwise how would you know when you are happy. You need to have something to contrast your happiness with. What is black without white?

Even though you know that sadness (treating anxiety) is a part of life, let's try to make it a small part of life.

With that said, here are a few tips to help you feel better when you are feeling down in the dumps. They are easy to do, easy to practice every day and they work!

1. Stand up straight, sit up straight. When your body is in alignment your energy can flow and when your energy is flowing freely, you can flow.

2. Smile! Yes, just smile. Easy to do and effective.

3. Repeat positive affirmations. Things like "I feel good", "Positive energy flows through my body", "I see the good in all".

4. Listen to some music that you like. It doesn't have to be anything specific, just something you enjoy. Certain types of music work better than others, but experiment and see what works for you. Studies have shown that Classical music and new age music work best.

5. Take some time out for yourself, relax and read a book, do something for yourself.

6. Meditate. Meditation is an excellent habit to develop. It will serve you in all that you do. If you are one who has a hard time sitting still, then try some special meditation CDs that coax your brain into the meditative state. Just search for "Meditation music" on Google or Yahoo and explore.

Our outside work is simply a reflection of our inside world. Remember there is no reality just your perception of it. Use this truth to your advantage. Whenever you are sad, realize that it is all in your mind and you do have the power to change your perception.

These tips will lift you up when you are down, but don't just use them when you are sad or treating anxiety . Try and practice them everyday, make them a habit. You will be surprised at how these simple exercises will keep the rainy days away.

On a final note, if you are in a deep depression that you can't seem to shake, please go see a doctor. This is your life and don't take any chances. treating anxiety

Google Page Rank 6 said...

Increase your Adsense Earnings

I noticed you have adsense ads on your page, Would you like to increase your earnings from them, Free and Legitimate way to make your clicks increase.
Come see my Blogger blog and it will tell you more.

Anonymous said...

Everyone has days when they are down, worn out, health anxiety and just not feeling all that happy.

That's OK, you need to have days like this, otherwise how would you know when you are happy. You need to have something to contrast your happiness with. What is black without white?

Even though you know that sadness (health anxiety) is a part of life, let's try to make it a small part of life.

With that said, here are a few tips to help you feel better when you are feeling down in the dumps. They are easy to do, easy to practice every day and they work!

1. Stand up straight, sit up straight. When your body is in alignment your energy can flow and when your energy is flowing freely, you can flow.

2. Smile! Yes, just smile. Easy to do and effective.

3. Repeat positive affirmations. Things like "I feel good", "Positive energy flows through my body", "I see the good in all".

4. Listen to some music that you like. It doesn't have to be anything specific, just something you enjoy. Certain types of music work better than others, but experiment and see what works for you. Studies have shown that Classical music and new age music work best.

5. Take some time out for yourself, relax and read a book, do something for yourself.

6. Meditate. Meditation is an excellent habit to develop. It will serve you in all that you do. If you are one who has a hard time sitting still, then try some special meditation CDs that coax your brain into the meditative state. Just search for "Meditation music" on Google or Yahoo and explore.

Our outside work is simply a reflection of our inside world. Remember there is no reality just your perception of it. Use this truth to your advantage. Whenever you are sad, realize that it is all in your mind and you do have the power to change your perception.

These tips will lift you up when you are down, but don't just use them when you are sad or health anxiety . Try and practice them everyday, make them a habit. You will be surprised at how these simple exercises will keep the rainy days away.

On a final note, if you are in a deep depression that you can't seem to shake, please go see a doctor. This is your life and don't take any chances. health anxiety

FDF said...

If Ativan is stopped suddenly after several weeks of continuous use. Seizures may be a side effect of sudden discontinuation of the medication. Your doctor may recommend a gradual reduction in dose.

FDF said...

If you are over 65 years of age, you may be more likely to experience side effects from Carisoprodol. Your doctor may prescribe a lower dose of the medication.

Diazepam-Kym said...

Naproxen Just a side note always Store at room temperature away from moisture and heat.