Various alternatives to the benzodiazepines are available as hypnotics and/or anxiolytics, although all have unwanted effects of their own. Antidepressants are often used to treat chronic anxiety or anxiety mixed with depression. Trimipra-mine, trazadone, and mirtazepine are suitable. Some immediate benefit may occur due to the sedative action, and gradual further improvement should follow over several weeks. Other options include beta-blockers such as propranolol, effective mainly for the physical symptoms of anxiety; antipsychotics such as chlorpromazine in low dose; antihistamines such as promethazine, and newer preparations such as buspirone.
For insomnia, long-established remedies include chloral hydrate and promethazine; newer drugs include zopiclone. Hypnotics are recommended for occasional use only; dealing with the cause of the insomnia is a better alternative to drugs. Causes include noise, discomfort, a restless partner, worry, shift work, travel, excess alcohol or caffeine intake, or unrealistic expectations about the amount of sleep required.
Barbiturates, once widely used as hypnotics and anxiolytics before benzodiaz-epines became available, are now obsolete as psychotropic drugs because of the high risk of dependence and high toxicity in overdose.
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This guide Don't Panic has tips and additional information on what you should do when you are experiencing an anxiety or panic attack. With so much going on in the world today with taking care of your family, working full time, dealing with office politics and other things, you could experience a serious meltdown. All of these things could at one point cause you to stress out and snap.