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A box of Lorazepam Orion (Lorazepam) tablets. Lorazepam, sold under the brand name Ativan among others, is a benzodiazepine medication. [14] It is used to treat anxiety (including anxiety disorders), trouble sleeping, severe agitation, active seizures including status epilepticus, alcohol withdrawal, and chemotherapy-induced nausea and vomiting. [14]
Although anxiety can temporarily increase as a withdrawal symptom, there is evidence that a reduction or withdrawal from benzodiazepines can lead to a reduction of anxiety symptoms in the long run. [4] [5] Due to these increasing physical and mental symptoms from long-term use of benzodiazepines, slow withdrawal is recommended for long-term users.
[32] [35] Nevertheless, benzodiazepines are still prescribed for long-term treatment of anxiety disorders, although specific antidepressants and psychological therapies are recommended as the first-line treatment options with the anticonvulsant drug pregabalin indicated as a second- or third-line treatment and suitable for long-term use. [36]
As a generic and under the brand name Celexa, citalopram is prescribed off-label to treat anxiety disorders, including social anxiety disorder, panic disorder and generalized anxiety disorder.
Psychotherapy is an extremely efficient treatment for both anxiety and depression. Different types of therapy can help you identify unhealthy thoughts and behaviors that contribute to your symptoms.
The psychological interventions studied were relaxation training, cognitive-behavioral treatment of insomnia, and self-monitoring of consumption and symptoms, goal-setting, management of withdrawal and coping with anxiety. [71] There is no standard approach to managing benzodiazepine withdrawal. [72]
Long-term benzodiazepine treatment may remain necessary in certain clinical conditions. [8] Numbers of benzodiazepine prescriptions have been declining, due primarily to concerns of dependence. In the short term, benzodiazepines can be effective drugs for acute anxiety or insomnia.
According to the National Institute of Mental Health, more than 31% of U.S. adults experience an anxiety disorder at some time in their lives, and about 1 in 5 had any anxiety disorder in the past ...
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