Other drugs for anxiety and insomnia

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.

Eliminating Stress and Anxiety From Your Life

Eliminating Stress and Anxiety From Your Life

It seems like you hear it all the time from nearly every one you know I'm SO stressed out!? Pressures abound in this world today. Those pressures cause stress and anxiety, and often we are ill-equipped to deal with those stressors that trigger anxiety and other feelings that can make us sick. Literally, sick.

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