A Look at the Different Depression and Anxiety Medications
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 Cymbaltaâ?¢ (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
Related News
|
 |
|
|
RELATED ARTICLES
Seven Steps to Good Mental Health
Psychological well-being is something that we all have a right to. However, for a variety of reasons to do with upbringing, life experiences, physiology, environment and so on? we often find ourselves with a mind-state other than what we desire. Depression, anxiety, and stress seem to be the major obstacles to just feeling good ? judging by the number of visits to doctors for help with these problems.
Stress and Depression are Killing Us!
A short generation ago, families could set their watch by the time the father got home from work each day. My dad always walked through the front door at precisely 6 PM and supper was served at 6:10. We'd all sit around the table discussing the events of the day and then go out on the street to spend time with the neighbors when the kitchen chores were done.
Wellbutrin For Depression: When Its More Than Just The Blues
We all have blue days:
Reclaiming Your Life From Anxiety Symptoms
Only somebody who has lived with anxiety ? as either a sufferer or a carer ? knows how devastating it can be. The affect can be seen and felt across every aspect of your life for years and years.
Depression: Bringing Yourself Down
Sometimes it's hard to see the forest from the trees. Sometimes its hard to see how much you can bring your self down. Recently, my life has been turned upside down. I lost someone close to me and the world became a dark place.
Depression: What It Is and What You Can Do About It
There are three basic ways to treat depression: psychotherapy, self-help, and medication. Many people respond best to a combination of two or more methods.
Vagus Nerve Stimulation and Depression
Vagus Nerve Stimulation for Chronic or Treatment-Resistant Depression
Depression in Teenagers: Now What Can We Do?
No doubt you have seen the recent news headlines about a federal panel that recommended to the FDA that anti-depressant medications carry the strongest possible warning label for use in children and teenagers. This recommendation to the FDA shook the medical community, especially those who work with depressed young people. The biggest problem from the treatment community's point of view was not the recommendation for the warning label, but the way that the media protrayed the panel's recommendation.
Tuning the Music Therapist
Music so strongly evokes emotional responses that it is being more frequently employed in the context of psychotherapy as a powerful healing modality. As a novice in this field I inquired at a recent conference on music therapy as to how this tool effects healing in clients with emotional disorders.
Hurricane Recovery: Steps to Start Putting Your Life Back in Order
It seems unreal, another major storm hitting Florida after experiencing four last year. The beginning of hurricane season, Floridians were just starting to get past the destructive events that caused many of people stress and even, depression. As Hurricane Dennis comes onshore, the upcoming hours, days, and months afterwards may be ones of disbelief and shock. There are ways to help get one?s life back in order after these type of predicaments.
Depression - Causes and Treatments
Depression has long been considered a character flaw indicative of morally weak minded individuals. However, new research clearly shows that depression has distinct biochemical roots that affect the way nerve cells work. It is an illness which can be accurately diagnosed and treated successfully in the vast majority of cases. Through the recognition of causes and knowledge of the treatments, those suffering from depression are able to preserver and overcome their illness.
To Long Term Care Professionals: How to Dramatically Improve your Residents Psychiatric Care
Long term care facilities and residents' doctors should
consider combining medication treatment with psychological and
behavioral approaches, such as strength-embedded psychotherapy,
for a range of psychological disorders.
St Johns Wort and Depression
The bright yellow flower of the St Johns Wort (hypericum perforatum) with it's
ray-like petals, represents the power of the sun that forces away the darkness.
This already points to the anti-depressant effects of the St Johns Wort which
are highly respected, even in conventional medicine.
The Patients Guide to Vagus Nerve Stimulation and Depression
Senate Finance Committee Delays FDA Approval of Vagus Nerve Stimulation Therapy for Depression
On June 15th, 2004, FDA's Medical Devices Panel recommended that the U.S. Food and Drug Administration approve vagus nerve stimulation as a therapy for chronic or recurrent treatment-resistant depression. I was at the meeting, seated in the first row and made a presentation to the Panel.
Depression
The 'experts' have tried to evaluate me as a sufferer of this but found no such evidence or behavior. The same was true for all other mental or medical conditions, so they think 'witch' covers my condition in life; because I refuse to participate in the materially managed environment any more. We will not explore the horrors of the current forms of Inquisition in great detail in this book as it relates to me. That would definitely be too serious and intense, as I would explain society's role in tortures such as I witness all around me every day. I have been thwarted in devious gambits by those who have something even worse than the strait-jacket as we have seen Drs Breggin and Cohen describe in 'Science'. They call it (appropriately) 'pharmacological lobotomies'. ECT is even more disgusting and joins Ritalin in a campaign which social forces are developing in this control paradigm. It seems relevant to point out enough of the matter of my experience so that you will know you are getting it pretty close to what they say when they use the phrase 'the horse's mouth'.
Depression in Long Term Care Heart Patients Often Goes Untreated
Cardiologists, other doctors and long term care
staff might be missing the big picture as one survey suggests
that only a third of heart disease patients with serious
symptoms of depression or anxiety get any treatment.
The findings are significant because psychological problems have
been linked to poorer health and higher death rates in heart
disease patients. Unfortunately, long term care residents and
other heart patients just aren't being screened because
physicians are just focused on the heart disease and don't think
about other factors that could contribute to the condition.
Anxiety and Depression Treatment - 5 Tips for Beating Depression
Everyone has days when they are down, worn out and just not
feeling all that happy.
Change Your Life Forever with New Medical Breakthrough Treatment for Depression
With the next few weeks, the FDA is expected to issue its final approval of vagus nerve stimulation as a treatment for chronic or recurrent depression. The approval of vagus nerve stimulation will be the first ever FDA approved long-term treatment option for the four million desperate Americans( and their families) who have not had an adequate response to traditional anti-depressants.
New Treatment for Chronic Depression
Vagus Nerve Stimulation for Chronic Treatment-Resistant Depression
|
