Anxiety & Sleep
Anxiety & Sleep: how we evaluate, when we prescribe, and safety checks. Start a confidential online consultation.
Overview
Anxiolytics relieve anxiety, tension, and agitation by modulating neurotransmitters that control stress response. They include benzodiazepines, buspirone, and certain antidepressants used off-label for anxiety.
Uses
Used for generalized anxiety disorder, panic attacks, insomnia, and short-term stress management. Benzodiazepines (e.g., diazepam, lorazepam) provide rapid relief; buspirone offers slower but non-sedating benefit.Mechanism / Approach
Benzodiazepines enhance GABA-A receptor activity, increasing neural inhibition. Non-benzodiazepine options modulate serotonin or adrenergic pathways for chronic control.Safety & Patient Considerations
Prolonged benzodiazepine use can lead to dependence and withdrawal. Avoid alcohol and driving when sedated. Dose tapering is essential for discontinuation.FAQ
Are anxiolytics safe long-term?
Non-benzodiazepines are; benzodiazepines should be short-term.
Do they work immediately?
Benzodiazepines act within minutes; others need weeks.
Can they cause addiction?
Yes, mainly in prolonged high-dose benzodiazepine use.