Prescription And Over The Counter Anxiety Treatments
Over-the-counter (OTC) anxiety medications may appeal to some, as they can be picked up at a pharmacy without a prescription. In addition, they may cost less than prescription medications without insurance. For this reason, some people may wonder whether OTC medications or prescriptions are best for treating anxiety. Understanding the anxiety medications available may be helpful before you discuss your options with your doctor to make an informed decision.
What types of anxiety meds are available?
Anxiety is one of the leading mental illnesses among children and adults worldwide, affecting over 40 million adults in the US. For that reason, many treatments have been developed to address symptoms of anxiety, including different forms of medication. Below are some of the most common anxiety medication options.
The BetterHelp platform is not intended to provide any information regarding which medication or medical treatment may be appropriate for you. The content provides generalized information that is not specific to one individual. Do not take any action (including starting, stopping, or changing medication) without consulting a qualified medical professional.
Herbal anxiety remedies
Some herbs may work as natural anxiety remedies, but only two have potential proven efficacy by studies and trials: St John's Wort and kava. These plants have natural substances within their leaves, roots, flowers, fruits, or bark that can interact with the nervous system to decrease anxiety symptoms.
Herbal remedies can come in several forms. For example, you can purchase them in capsules or drink them as herbal tea. Tinctures are another option, which are made by dissolving the herb in alcohol. You can typically purchase these and other natural remedies online or through an herbalist at local stores. Some of the most used herbs to counteract feelings of anxiety include:
Some of the most used herbs to counteract feelings of anxiety include:
- Valerian root
- St. John's wort
- Kava
- Ashwagandha
- Rhodiola
- Lavender
- Passionflower
- Chamomile
- Lemon balm
- Holy basil
- Green tea
Do not use a supplement, herb, or vitamin without consulting your doctor, especially if you take medication or another supplement. Supplements like St. John’s wort can interact negatively with many medications that are similarly metabolized, including birth control.
Homeopathic remedies
Like herbal remedies, homeopathic medicine for anxiety is natural. Homeopathy is a natural treatment widely used in many parts of the world, though it's sometimes less practiced in the United States. Remedies chosen in homeopathic medicine are meant to facilitate the body's healing processes.
Some of the homeopathic remedies used for anxiety include:
- Aconite
- Argentum nitricum
- Arsenicum album
- Calcarea carbonica
- Gelsemium
- Ignatia
- Kali arsenicosum
- Kali phophoricum
- Lycopodium
- Stramonium
While these remedies can be found online, they may not offer results. The scientific community largely denounces homeopathy as a pseudoscience, and more research must be done before conclusions are made on effectiveness.
Over-the-counter anxiety medication
OTC medications are Western medications you can get in a pharmacy without a prescription. These medications may be designed for other purposes, but they can also have properties or side effects that may reduce anxiety. However, it can be essential to note that OTC options may not have been approved for use as anxiety medications and may cause side effects.
Common OTC medications used for anxiety are anti-allergy medications. The calming effects of the medication can be mild but may provide fast-acting relief. However, one common side effect is extreme sleepiness, which can cause one to sleep throughout the day and night.
Individuals wanting to reduce nervousness may use other medications that cause sedation, including other anti-allergy meds, cold medicines, cough syrups, sleep medications, and painkillers. Although these medications may provide a brief respite, they can cause dangerous side effects when not used as recommended. Consult a medical doctor before trying any remedy for your anxiety.
A treatment being sold OTC doesn't mean it is safe. OTC treatments can interact with regular medications, vitamins, supplements, food, and substances. Mixing the wrong treatments without a doctor's advice can cause unwanted physical symptoms.
Prescription medication
Prescription medications are often the recommended medical solution for moderate to severe anxiety. If you seek support from a physician or psychiatrist, they may suggest a prescription anxiety medication. Below are a few types of anti-anxiety prescription medication:
The above medications have been approved specifically to treat anxiety disorders. However, seek help from a doctor before starting or stopping any medication.
Because any treatment has the potential for misuse, taking it without a doctor's guidance can be dangerous. These treatments may need to be adjusted during an extended period to avoid the chance of side effects. Taking more than prescribed may result in severe health consequences. In addition, stopping any pharmaceutical without tapering off might lead to withdrawal symptoms.
What are the disadvantages of OTC treatments for anxiety symptoms?
OTC treatments may seem like an easy fix for troublesome symptoms. However, there are a few reasons to be cautious of or avoid OTC meds. Natural and herbal remedies are not controlled in the same way as medication. You won't necessarily know how much you're getting or what the quality is. In addition, there may not be extensive research on natural anxiety remedies to understand their effectiveness.
Specific herbal remedies can carry serious risks. For example, kava has been banned in some countries because it may pose a risk of liver damage. When you take anti-anxiety over-the-counter meds without supervision, you can't know how they'll interact with each other or your other medications.
Some people may take more than is recommended when self-medicating. For example, they may take multiple anti-allergy treatments to strengthen their impact. However, taking more than the dose recommended on an OTC package can be dangerous and lead to serious side effects. OTC pharmaceuticals should be discussed with your doctor.
How to avoid the disadvantages of anti-anxiety medications
Regardless of the remedy you want to try, ask your doctor beforehand. In addition, report any side effects or unusual symptoms that start after consuming them. Do not take OTC pharmaceuticals unless your doctor has approved them for use.
Taking pharmaceuticals as prescribed by a doctor can offer several advantages. For example, your doctor can be there to track your progress and watch for side effects. They can also determine the correct dose and track how it's working and affecting you. If you decide to stop taking your prescription, your doctor can advise you safely.
Below are a few ways to help your doctor in this process:
- Keep a written record of symptoms and side effects.
- Openly tell your doctor about any OTC meds or supplements you're taking.
- Keep a list of the anxiety medications you're taking to bring to appointments.
- Take medications only as your doctor tells you to.
- Don't stop taking a medication without your doctor's advice and approval.
- Build a healthy lifestyle.
- Prepare for the possibility of no longer taking the medications in the future.
The role of therapy in the treatment of anxiety disorders
Taking medications for anxiety disorder can reduce symptoms in the short term. However, your anxiety may increase over time if other treatment options are not considered. Whether you experience severe or mild anxiety, one recommended treatment option is therapy, which can effectively treat a variety of mental health conditions, including anxiety disorders.
A technique known as cognitive-behavioral therapy (CBT) has been proven to work especially well for anxiety. According to a team of anxiety scientists led by Dr. Borwin Bandelow, "The efficacy of CBT for all anxiety disorders has been shown in a large number of controlled studies." For those who face barriers to in-person CBT, other studies have proven that online CBT is as effective as in-person CBT in treating anxiety symptoms.
With online platforms like BetterHelp, seeking mental health treatment can be more reachable, cost-effective, and flexible. You can get treatment from home or anywhere you have an internet connection. In addition, you can schedule your session according to your weekly demands and choose between phone, video, or live chat session formats.
Takeaway
Read more below for answers to questions commonly asked about this topic.
Can over-the-counter anxiety medications or supplements actually combat anxiety?
Many people try over-the-counter remedies, such herbal supplements or magnesium supplements, either in place of or alongside traditional treatment methods, like selective serotonin reuptake inhibitors (SSRIs). A lack of magnesium may lead to muscle tension and decreased appetite. A magnesium supplement may help relieve anxiety symptoms.
Some evidence supports the use of over-the-counter medication. Vitamin D supplementation, for instance, may alleviate the symptoms of generalized anxiety disorder. Sleep aids, like chamomile and melatonin, are used by some for treating insomnia-related anxiety because of their calming properties.
How effective such supplements are for managing anxiety symptoms is less clear. Although these OTC remedies demonstrate a lot of promise, more research is needed. It’s recommended that you talk to a healthcare provider before taking an herbal supplement or other product for anxiety.
Can caffeine cause anxiety?
Caffeine is perhaps one of the most readily available substances that can interact with anxiety. Some evidence suggests that those who start using caffeine at a younger age are more likely to develop anxiety disorders in adulthood. High doses of caffeine (several hundred milligrams) can induce panic attacks in people with panic disorder and anxiety-like symptoms in otherwise healthy adults.
The relationship may not be that straightforward, though. There is also evidence that those with anxiety disorders are more likely to be genetically sensitive to caffeine’s effects, and it’s possible that withdrawal from caffeine is more problematic than caffeine itself. Ultimately, whether caffeine causes anxiety or makes it worse depends on the individual.
What happens when anxiety is not treated?
Untreated anxiety disorders can lead to the development of comorbid (co-occurring) mental illnesses like major depression.
What are the most effective treatments for anxiety?
There are a variety of holistic as well as traditional treatment methods that have been shown to reduce the symptoms of anxiety disorders. You can consider adding these tactics to your personalized treatment plan as complementary or main treatment methods:
Mindfulness-based stress reduction strategies hold significant promise for reducing the effects of generalized anxiety disorder and may temporarily mitigate the immediate effects of the stress hormone cortisol (which is related to the body’s stress response).
Mental health services such as therapy agencies, local nonprofits, and mental health clinics can provide you with or guide you toward effective treatments for your condition.
Eating nutritious meals may be preventive against the effects of chronic anxiety and stress.
Are you supposed to take anxiety medication every day?
How often you take a medication depends on the medication and your unique prescription. Follow the prescription label, pharmacist, and doctor for instructions, as your medications may not be the same as other people’s. SSRIs, SNRIs, and similar anxiolytics (anti-anxiety meds) and antidepressants are generally taken once to twice a day at varying doses and are intended to be long-term treatments. That is, they’re meant to both prevent and treat anxiety symptoms.
Benzodiazepines and other short-acting anxiety medications, on the other hand, are taken on an as-needed basis for a short period. If you find yourself taking these medications every day or almost every day to help your anxiety, you might benefit more from a daily preventative medication instead.
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