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Elyn Saks, who herself battles with schizophrenia, is a writer, professor, and spokesperson for schizophrenia. Saks, in her book, Refusing Care, helps the reader to appreciate that, even in serious situations, the patient still has the right to refuse certain types of medical care, in this case drug treatment. She feels that it would be rare situations where forced drug treatment would be appropriate. She is an elequent and dignified, humorous speaker, and spoke at Columbia University earlier in 2009 on subjects related to schizophrenia. Her ideas on the subject are worth taking note of.

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Anti Anxiety Medication: Effects and Side Effects

 
Anti Anxiety Medication (minor tranquilizers)

Psychiatric Drugs-Types, Side Effects


Ativan - One of many anti-anxiety drugs
Ativan - Photo: Nsaum75. Wikimedia Commons

Most of the medications used to treat anxiety or promote sleep are classed as benzodiazepines, which include drugs such as Xanax and Valium, along with others.

Benzodiazepines are sometimes prescribed for those with bipolar disorder (manic depression) to help regulate sleep, to alleviate anxiety, and to help with extreme manic episodes.

Benzodiazepine medications all act to depress the central nervous system. Various medications in the family are used.


  • Anxiety - but not the type of anxiety brought about by everyday stresses and strains

  • Insomnia - short-term treatment only

  • Relieve or reduce muscle spasms

  • Alcohol withdrawal symptoms

  • Panic disorders

  • Epilepsy and other convulsive disorders
  • Above use list: About.com


    Anti Anxiety Medication:

    Generic: meprobamate
    Trade Name: Miltown, Equanil (rarely used today).

    Generic: diazepam
    Trade Name: Valium

    Generic: chlordiazepoxide Librium

    Generic: flurazepam Dalmane

    Generic: oxazepam Serax

    Generic: clorazepate Tranxene

    Generic: alprazolam Xanax

    Generic: clonazepan Klonopin

    Generic: triazolan Halcion

    Generic: temazepan Restoril

    Generic: lorazepan Ativan


    Use: Nonpsychotic personality problems in which anxiety, tension or panic attacks are prominent features; also used as aintcovulsants and as sleep-inducesrs (especially flurazepam, triazolan, and temazepan).


    Effects and Side Effects:
    Somewhat variable in achieving intended purpose of tension reduction. Used often to treat alcohol withdrawal symptoms. Side effects include drowsiness and lethargy.

    Recurrence rate is very high as one discontinues use of anti anxiety medication,
    up to 80%.Benzodiazepines may be habit-forming, causing physical and/or mental dependence if taken over a long period of time or in high doses.

    Withdrawal effects, especially if discontinued abruptly, can be severe. They may include:

    Benzodiazepines may be habit-forming, causing physical and/or mental dependence if taken over a long period of time or in high doses. Withdrawal effects, especially if discontinued abruptly, can be severe. They may include:

    Irritability; nervousness; trouble in sleeping (most common, even in slow withdrawal)
    Abdominal or stomach cramps
    Confusion
    Fast or pounding heartbeat
    Increased sense of hearing
    Increased sensitivity to touch and pain
    Increased sensitivity to light (eyes)
    Increased sweating
    Loss of sense of reality
    Depression
    Muscle cramps
    Nausea / vomiting
    Tingling, burning, or prickly sensations
    Trembling / shaking
    Confusion
    Convulsions / seizures
    Paranoia
    Hallucinations
    (About.com)

    Withdrawal symptoms can be minimized by tapering the medication off slowly.


    New anxiolytics
    buspirone - Buspar
    Description: BuSpar (buspirone hydrochloride tablets, USP) is an anti anxiety agent that is not chemically or pharmacologically related to the benzodiazepines, barbiturates, or other sedative/anxiolytic drugs.

    Use: Generalized anxiety disorder
    Effects take 1-4 weeks to occur. Not useful in treating acute anxiety. Not addictive or sedating.

    Barbiturates are used in treating symptoms of epilepsy and seizures, and in the past were used heavily for anxiety and sleep. They are still used at times for sleep. However, because of the high potential for addiction an overdoes, they are not used often for treating anxiety today.

    Beta-blockers
    Beta-blockers control some of the physical symptoms of anxiety, such as trembling and sweating. Propranolol (Inderal) is a beta-blocker usually used to treat heart conditions and high blood pressure. The medicine also helps people who have physical problems related to anxiety. For example, when a person with social phobia must face a stressful situation, such as giving a speech, or attending an important meeting, a doctor may prescribe a beta-blocker. Taking the medicine for a short period of time can help the person keep physical symptoms under control.

    Hypnotic drugs are sleep medications. This prescription is used to treat several types of sleep problems - difficulty falling asleep, difficulty staying asleep, and waking up too early in the morning.

    Some drugs in other categories, such as antidepressants, may also have a sedating effect.


    Anti Anxiety Medications References:

    1. Anti-Anxiety and Sedative Drugs. (Retrieved June 25, 2009). About.com.

    2. Carson, C. C., Butcher, J. N., Mineka, S. (2000). Abnormal Psychology and Modern Life. Eleventh Edition. Boston: Allyn & Bacon. p. 635.

    3. Medications to treat anxiety. (June 15, 2009). NIMH. http://www.nimh.nih.gov/health/publications/mental-health-medications/what-medications-are-used-to-treat-anxiety-disorders.shtml





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