What pills to drink for depression in men. Depressive sedative

There is no single standard regimen for treating depression. The form of depressive disorder and the severity of its manifestations affect the choice of treatment methods. The goal of the treatment will be to relieve depression, improve mood. If depression is severe, then the therapy will be carried out in several stages.

Therapy stages

At the first, the most severe painful manifestations are eliminated. The duration of the stage is approximately six to twelve weeks. The next step will be supportive treatment, which should continue, despite normal health. This will prevent a possible return of the disease (4-8 months).

They treat depression with medication, with the help of psychotherapy, or use these two main methods in combination. Electroconvulsive therapy is used in severe forms of major depressive disorder. Seasonal affective disorder is treated with phototherapy. It is advisable to use dietary supplements, yoga, meditation, but only as additional funds.

How to treat depression medically fast? About it - further.

Medication for Depression

Medicines are often used in the treatment of depressive and manic states (major depressive disorder and bipolar depression). Other types of pathology pass without taking medication. There are drawbacks to drug therapy - it is expensive and leads to the development of side effects. It is very difficult to find the right drug or their successful combination.

Suitable for patients with mild, moderate and severe forms of depression. For effective treatment, you need to cooperate with a doctor: strictly follow the prescribed treatment regimen, regularly visit a doctor, draw up a detailed report on your condition and life difficulties. What does drug treatment for depression include?

The composition of the funds can be very different. Anti-Depression Drugs are called antidepressants.

They are divided into several groups. Specialists use tricyclic antidepressants, monoamine oxidase inhibitors, serotonin reuptake inhibitors and other drugs with antidepressant properties.

Bipolar depression requires the use of mood-leveling agents, that is, stabilizers of affect. These include lithium preparations. Depression and mania are treated with stabilizers of affect. Delusions and hallucinations are eliminated with antipsychotic drugs, or antipsychotics. Manic states are eliminated by anxiolytics - agents that relieve anxiety and fears.

Dysthymia is treated with tricyclic antidepressants, monoamine oxidase inhibitors, selective serotonin reuptake inhibitors, bupropion, or various combinations of these agents. So, in the treatment of depression, the following drugs are used medically.

The use of antidepressants

Antidepressants alter the content of mediators in the brain. These are chemical intermediaries that transmit signals in the brain tissue and regulate emotions. The mediators carry the signal through the synapse. Mediators end their path by stopping at the receptor of the recipient neuron. Having transmitted the signal, the mediators again freely move in the synaptic cleft. They can be captured by the sending neuron, or destroyed by the enzyme monoamine oxidase. Thus, the brain cleans the synapse of the neurotransmitters.

When treating depression with antidepressants, mood improves as they invade this cleansing process. It is believed that depression occurs from an excess or shortage of mediators and other chemicals that are involved in emotional reactions. This leads to a mental disorder.

Antidepressants do not become addictive and develop withdrawal syndrome, unlike benzodiazenine tranquilizers (such as Phenazepam, Relanium, Elenium, Tazepam), including Corvalol, Valocordin. They also, with prolonged use, decrease their sensitivity to other pharmacological drugs.

Tablets "Tryptisol" - a neurotransmitter reuptake inhibitor (norepinephrine, serotonin) in the central nervous system. Blocks m-cholinergic receptors.

Tricyclic antidepressants

Such antidepressants have long been used in the treatment of depressive conditions.

They block the reuptake of norepinephrine. The content in the brain of this mediator increases, and this affects the mood. Some of these drugs block serotonin too.

But drug treatment for depression is not always completely harmless.

Drugs have many side effects. They are manifested by lethargy, drowsiness, dry mouth, constipation, difficulty urinating, visual disturbances, palpitations, orthostatic hypotension. In rare cases - skin rashes, increased sweating, tremors, delayed and decreased orgasm, weight gain, dry eyes.

Tricyclic antidepressants are not always and not for everyone. There is a danger of overdose, which can lead to the death of the patient, so they are rarely given to those who have suicidal tendencies. People with certain somatic pathologies cannot take such antidepressants.

In tablets "Amitriptyline" the active substance is amitriptyline hydrochloride. It inhibits the reuptake of norepinephrine, dopamine, serotonin. For the manifestation of the antidepressant effect, the drug will need from two to four weeks. The initial dosage in adults is up to 50 mg. First, 150-250 mg per day, divided into two or three doses. Over the course of a week, the dosage is gradually increased. Shown:

• with schizophrenia;
• anxiety and depression;
• unspecified organic psychosis;
• bulimia nervosa.

Amitriptyline tablets also help with behavioral disorders, drug psychosis, inorganic enuresis, chronic pain syndrome of a neurogenic nature, mixed emotional disorders.

There are other antidepressants.

Imipramine is effective in the treatment of anxiety disorders and depression. Derived from benzodiazepine, classified as the strongest tricyclic antidepressant. Against the background of taking, mood and motor activity improve, the tone of the nervous system increases, the feeling of longing and insecurity decreases, the patient calms down, sleeps better.

Indications for the use of Imipramin are depression and depressive states with motor inhibition; anxiety and depressive disorders; neurosis; panic attacks; chronic pain syndromes.

Monoamine Oxidase Inhibitors

These are complex preparations and not so reliable in use, during treatment they should avoid the use of certain products or medicines. They can provoke a sharp rise in blood pressure. Tyramine products are prohibited. You can’t eat seasoned cheese; sour cream; fermented sausage; smoked beef pastrami, corned beef; tofu soy sauce; salted, pickled, smoked fish; fish caviar; snails; sauerkraut and pickled cabbage; legumes; avocado; figs. Wine and whiskey should not be drunk. In general, alcohol is best avoided during treatment.

Monoamine oxidase (MAO) inhibitors give an effect after a long time. They can lead to the following side effects: dizziness, fluctuations in blood pressure, weight gain, sleep disturbance, difficulties in achieving sexual orgasm, swelling of the ankles and fingers. In some cases, to dry mouth, constipation, blurred vision of objects, and difficulty urinating.

They suppress the enzyme monoamine oxidase contained in the nerve endings. Monoamine oxidase breaks down mediators, namely, they affect the mood of a person. When using monoamine oxidase inhibitors, the content of mediators increases, the patient's mood improves.

Combination with other agents can cause a life-threatening reaction. You should refuse to use funds for colds, nasal congestion and coughing, against allergies, asthma, as well as some pain medications.

According to reviews, Befol is an antidepressant, an MAO inhibitor. It increases the content of neurotransmitter monoamines in the central nervous system, has an antireserpine effect, and enhances the effect of phenamine. Inside, take twice a day at 30 mg. The maximum dose is not more than 400 mg.

Serotonin selective reuptake inhibitors

Inhibitors of selective serotonin reuptake are more modern drugs, they have fewer side effects. Often, experts prefer Fluoxetine, Paroxetine, Fluvoxamine, Sertraline.

Thanks to their action, the brain is provided with an increased serotonin mediator, which regulates mood. Inhibitors target only this mediator and do not affect other chemicals in the brain. Therefore, they cause fewer adverse reactions, unlike earlier antidepressants.

Sometimes they lead to nervousness, anxiety, insomnia, headaches, nausea, and diarrhea. Rarely to lethargy, drowsiness, frequent yawning, increased sweating, skin inflammation. Serious side effects include decreased libido. But this often goes by itself.

The antidepressant Paroxetine is a selective serotonin reuptake inhibitor.

The medication is prescribed in cases:

• generalized anxiety disorder;
• social phobia / social anxiety disorder;
• panic disorder, including agoraphobia;
• obsessive-compulsive disorder;
• depression (severe endogenous, reactive and accompanied by anxiety).

Anxiolytics

In manic and depressive conditions, drugs are used against anxiety and fear, they are called anxiolytics, or sedatives (sedatives).

As the instructions for use indicate to the “Fenotropil” product, it is included in the group of nootropics, improves blood supply to the brain and cognitive functions. It has a psychostimulating effect, improves endurance in case of stress, increased stress, mood swings and other similar conditions. Assign with cerebrovascular insufficiency, neurosis, asthenia, depression, apathy with schizophrenia, withdrawal symptoms after drinking alcohol or drugs. This confirms the instructions for use for the drug "Fenotropil".

In addition, in cases of nervous disorders, doctors prescribe Tenoten or Afobazole. These drugs help with excessive suspiciousness, stress, anxiety.

"Afobazole" refers to a group of axiolytics. It has a double effect - it reduces nervous tension and slightly stimulates. The mental and physical condition of a person improves with this effect.

It is difficult to say which is better - Afobazol or Tenoten. The reviews confirm that Tenoten is a homeopathic medicine that contains specific antibodies to the S-100 protein. Available in tablets. Normalizes the number and ratio of nerve mediators of the brain.

The result is restoration in the nerve endings of plasticity processes. Calming happens, anxiety disappears, mood improves.

Tablets "Levomepromazin" - a derivative of phenothiazine. It blocks the action of dopamine receptors in various structures of the brain, thereby providing an antipsychotic effect. This increases the secretion of prolactin by the pituitary gland. “Levomepromazine” decreases the productive symptoms (such as hallucinations, delusions, psychomotor agitation) of psychoses. It is taken orally, intravenously. Gradually switch to taking 50-100 mg per day (up to 400 mg maximum).

Psychotherapy

Psychotherapy refers to working with a specialist using psychological techniques to reduce or eliminate emotional problems.

Psychotherapy is an important addition to drug treatment for depression. The patient should actively participate in the treatment process.

Types of Psychotherapy

• Cognitive psychotherapy.
• Interpersonal psychotherapy.
• Behavioral Psychotherapy.
• Psychodynamic psychotherapy.
• Family psychotherapy.
• Pair therapy.

Light therapy and personal notes are also often used.

Not always patients with signs of depression or a sub-depressive state can see a doctor, but you can’t ignore the problem, so you need to be treated even without consulting a specialist. For this, there are non-prescription antidepressants.

Features of non-prescription antidepressants

Pharmaceutical products sold without the approval of a doctor are suitable if a person has mild or moderate depression. If a more serious condition is observed, it is better to consult a specialist and get a prescription for a more powerful drug, but freely sold drugs belong to the new generation of antidepressants.

In general, this class includes inhibitors of melatonin recipes, which flooded the market in the 2000s.

This suggests that they have a milder effect and a meager amount of side effects; old drugs provoked addiction, a temporary aggravation of a depressive state, drowsiness, headaches, and other unpleasant side effects.

In severe patients, they do not pass even after taking pills or drops.

But even new drugs sometimes lead to increased anxiety or unstable emotional states.

Both old and new OTC drugs fall into two categories: sedative and stimulating. Sedatives inhibit the activated nerves and somewhat slow down the activity of the brain, while stimulants, on the contrary, help to improve blood flow in the brain or excitatory processes in it. Therefore, it is important to determine the nature of the disorder, which can be consulted by a doctor or a thorough analysis of the symptoms. In the treatment of some, it is necessary to normalize the functioning of the central nervous system, and for others, it is gradually introduced into a state of rest.

List of optimal drugs

As it becomes clear from the previous paragraph, it is difficult to understand for yourself how to deal with depression. Fortunately, doctors are constantly compiling lists of drugs recommended for normalizing the nervous system. The seven most common pharmaceuticals include:

As the table shows, the effect of these medicines is based on different substances. And different companies are responsible for their production. This allows you to select drugs in different price categories, with different forms of release and admission schedules. But it is equally important to understand what side effects and indications everyone has.

Afobazole

According to the annotation, indications for the use of Afobazole in medical practice are constant stress, anxiety, asthenic neurosis, anxiety disorders caused by oncological, dermatological, somatic and other diseases. It is also suitable for patients with sleep disorders, with the withdrawal of alcohol or cigarettes, patients with VVD or NCD. And although Afobazole is prescribed without a prescription and can be sold even to children, you should remember about the features of this drug:

• the drug is available in the form of tablets, packaged in 10 or 25 pieces;
• a single dose is 10 milligrams, you need to take up to three tablets a day after meals;
• one package will cost about 372-586 rubles.

Side effects from taking Afobazole usually occur with individual intolerance to the drug. Itching is usually observed, mild dermatitis, drowsiness, rhinitis, sneezing. The possibility of vomiting, nausea, or hearing loss cannot be ruled out. Fortunately, all side effects go away quickly.

The most rare side effect is an acute headache that disappears within an hour or two.

You can not take medicine under the age of 18 years, breastfeeding, during pregnancy, regardless of the trimester. It is not used for galactose intolerance, lack of lactase, with increased sensitivity to the main components, including plant ones.

Neurofulolk

Neurofulol belongs to the category of biologically active additives, so the opinion of doctors about its effectiveness can be called controversial. Nevertheless, the instruction assures that Neurofulol is suitable for the treatment of prolonged depression, neurosis, psychosis. It stabilizes the condition of those who suffer from insomnia, low self-esteem, obsessions, unfounded fears, apathy, phobias of various kinds, anorexia and bulimia, pessimistic moods or a tendency to self-harm. Do not forget about the basic characteristics of Neurofulol:

• distributed in the form of tablets for oral administration;
• it is recommended to drink one tablet three times a day, but the dosage may vary depending on the anamnesis;
• the medicine is poorly distributed in ordinary pharmacies, prices start from 854-1500 Russian rubles.

Cases of an overdose of Neurofulol are not described in the instructions and have not been recorded. But adverse reactions are possible, among which are itching and allergies to the skin. Supplements are strictly contraindicated in children, women who have a baby or breastfeeding, as well as allergies, regardless of gender and age.

Persen

Most often, Persen, created on the basis of plant extracts and esters, is prescribed for mild or moderate neurosis, the treatment of which takes place at home. Symptoms such as insomnia, increased agitation, and unmotivated anxiety indicate a similar state. It is used at the end of the use of powerful sedative medications, in case of VVD, when trying to stop stress, if a person is constantly exposed to it, while preventing the resumption of psychosomatic diseases. The main features of this medicine are as follows:

Persen can not be used up to 12 years, with breastfeeding or pregnancy, with arterial hypotension, cholelithiasis, fructose intolerance and some other symptoms that experts point to. Possible side effects include allergies and constipation. But they appear only with a long course.

Novo-Passit

The list of indications for taking Novo-Passit includes a mild form of insomnia, neurasthenia, headaches provoked by overstrain. It helps against a state of constant mental stress, that is, "manager's syndrome," against itchy dermatoses and NDCs. Less commonly, medication is prescribed for VSD. Due to the sedative effect, it can be used for hyperactivity disorder in adolescents or for similar mild behavioral disorders. We must remember the characteristics of the drug:

Novo-Passit is contraindicated in myasthenia gravis, less than 12 years old and with increased sensitivity to the components of the drug, that is, with an allergy to the active substance. With caution, Novo-Passit is prescribed for alcoholism, chronic liver diseases, brain injuries. It is dangerous to give it to epileptics.

If any negative effects occur, you should consult a doctor, this reduces the likelihood of serious complications.

Most of the side effects are aimed at digestion. The medicine leads to the manifestation of nausea, vomiting, to a violation of metabolic processes, heartburn, spasms of the stomach and intestines.

The occurrence of adverse reactions is especially likely if, in parallel with taking an antidepressant, a person uses vitamins in the form of tablets. Dizziness, drowsiness, decreased concentration, and slight muscle weakness may also occur. Symptoms disappear with timely withdrawal of the drug.

Anafranil

The main indication for the use of Anafranil is depression of various origins, that is, neurotic, masked, endogenous, reactive and organic varieties of this disease. A medicine can quickly reassure a person with depression. How to treat them other categories of patients and whether it is possible to do this - let's try to understand.

Do not wear contact lenses while taking the medicine: it affects the hydration of the eye and can lead to injury.

According to the instructions, this pharmaceutical product is suitable for patients with narcolepsy, reactive, psychopathic and neurotic mood disorders, apathy and increased stress.

Anafranil is used in the prevention of migraines, as it has a sedative effect. Do not forget about the key characteristics of Anafranil:

• the antidepressant is distributed in the form of a solution for injections and tablets;
• dosage depends on the condition of the patient and the type of medication;
• prices start at 299 rubles, the best offers are found on the network.

The medicine is contraindicated in patients under five years of age, pregnancy, lactation, and a tendency to allergic reactions. It is dangerous to take it in parallel with MAO inhibitors or shortly after myocardial infarction. It is prescribed with caution to people after brain injuries, adolescents, the elderly, patients with epilepsy or people with heart diseases. Even in patients taking the medication correctly, adverse reactions can occur.

The most common include urticaria, headache, tachycardia, visual impairment, constipation, migraines and acute headaches, drowsiness, fatigue, weakness, jumps in blood pressure and body temperature.

Deprim

This herbal product is created in Slovenia. It is used as an auxiliary in situations where it is necessary to reduce stress and protect the patient's nerves from unnecessary shocks. Therefore, Deprim is prescribed to combat incipient suicidal tendencies, to eliminate weakness, emotional depression, reduced ability to work, or chronic fatigue syndrome. It saves people with increased weather sensitivity in the autumn-winter season, as well as those who are susceptible to climate syndrome. Remember, that:

The medicine is prohibited for allergies to St. John's wort or for severe depression. Tablets are not prescribed for children under six, and capsules are contraindicated for persons under 12 full years. Even in adults, there are side effects: photosensitivity, dizziness, itching, urticaria, anxiety. With bipolar disorder, the number of manic conditions can increase.

Zyban

The American drug Zyban is prescribed for people with tobacco dependence, regardless of age, and it is also involved in the treatment of depressive conditions. The fact is that Zyban is based on bupropion. And this substance, in turn, is actively used when trying to get out of moderate and high depression in Europe. So, Zyban has only a side effect on the psyche, but it is enough to normalize mental activity in subdepressive conditions. The list of features of this medicine is as follows:

The most popular negative reactions from the use of Zyban include dry mucous membranes, skin rashes, sleep disturbances, drowsiness, and digestive system disorders. Due to the high risks of side effects, the medicine is not prescribed for children, adolescents, the elderly, people in the postoperative period, pregnant and lactating women.

Conclusions about over-the-counter medicines

Serious drugs that can help get rid of serious depression cannot be bought without a prescription even on the Internet. But you can pick up good medicines if you choose weak medicines or even dietary supplements. They can not relieve severe symptoms, but with depressive conditions or subdepression may well help.

The advantages of such drugs are that they have fewer side effects, are not addictive and have a point effect on the nervous system, help to defeat depression on their own. Therefore, they are approved by most of the medical community.

In a depressed state, patients need mandatory medication. Only at the initial stage of the disease can you do without medication. In other cases, the doctor individually prescribes depression tablets to the patient in order to prevent complications.

Are anti-depression drugs dangerous?

Soothing agents for depression can be dangerous with prolonged use and when the dosage is exceeded. In this case, the body becomes addicted to these drugs. At the same time, the patient feels constant anxiety and cannot calmly fall asleep. You should not self-medicate with depression, before taking medications, you should definitely consult a specialist.

What to drink with depression

There are several groups of drugs that help fight depression. The choice of medication depends on the stage of the disease and on the condition of the patient. After a thorough examination, the doctor prescribes the necessary course of treatment.

Antidepressants

The main drugs used to treat depression are antidepressants. The disease often occurs against the background of problems with serotonin, a lack of this hormone causes a decrease in concentration, memory impairment, and mood decline. Antidepressants are also used to increase serotonin levels.

In the mild and moderate stages of the disease, new generation drugs are used. They have a mild effect, not addictive, and do not harm the general health of the patient. These antidepressants are divided into sedatives and stimulants, they can be purchased at a pharmacy without a doctor’s prescription, these include: Afobazole, Persen, Novo-Passit, Ziban, etc.

Tranquilizers

Complex therapy may include drugs for depression, accompanied by anxiety, panic, aggression, insomnia, causeless tearfulness - these are tranquilizers. Treatment begins with a minimum dosage, which gradually rises. The course of therapy should not exceed 3 weeks to avoid addiction to the body. Effective drugs include: Elenium, Seduxen, Phenazepam, Diazepam, etc.

Antipsychotics

With overexcitation, which is accompanied by hallucinations and delusional conditions, patients are prescribed antipsychotics. These drugs should be taken only with severe changes in the patient's behavior, since they act on all systems and organs. Effective medicines with mild action are considered to be clozapine, Rispolept.

Nootropics

In mild depression, over-the-counter medications are prescribed - nootropics. They do not reduce the activity of the patient and do not affect the functioning of the brain. Nootropics are used in case of a nervous state, short temper to improve mood and increase efficiency. Thanks to them, mental abilities increase, drowsiness and lethargy disappear. These drugs can be used as prophylaxis if a person is often in a state of stress.

Common nootropics include: Phenotropil, Piracetam, Mildronate.

Contraindications and side effects

Depressants for depression can not be taken for a long time and without the supervision of a doctor. There are a number of factors in which these drugs are contraindicated:

• individual intolerance to constituent components;
• glaucoma;
• stroke and heart attack;
• pregnancy and lactation;
• age under 18 years.

Antidepressants are not recommended for liver, kidney, heart disease. Tranquilizers can cause drowsiness, weakness in the muscles in patients, and the concentration of attention decreases. Constipation, urinary incontinence, and weakening sexual desires may appear.

Taking antipsychotics can lead to increased drowsiness, muscle stiffness, and decreased mental ability. In some cases, taking nootropics can cause headaches, excessive sweating, overexcitation, and heart palpitations.

Medication-Free Depression Treatment

At the initial stage, treatment of depression with medication can be replaced by other equally effective methods. Under the guidance of a specialist, the patient is invited to independently identify and analyze negative emotions, to understand the reason for their appearance. Such consultations help get rid of anxiety and find a solution to their problems.

Physical exercises that contribute to the production of serotonin also help to cope with depression. It is useful to take daily walks in the fresh air; outdoor games and swimming are recommended.

Massage has a relaxing effect, after which patients feel calm and protected, stressful situations are easier to tolerate. A relaxing massage can alternate with an active one that invigorates and tones. It is useful to combine massage treatments with aromatherapy.

A powerful tool in the fight against depression are yoga and meditation. Acupuncture is also practiced, in which biologically active points on the body are irritated.

With this disease, it is useful to drink infusions and decoctions using such medicinal herbs as mint, lemon balm, chamomile, rosehip, St. John's wort, and hawthorn. It improves mood and nutrition, it is necessary to include meat dishes, various cereals, fresh vegetables and fruits in the diet. To saturate the body with B vitamins, you need to use pine nuts. The daily menu should include fermented milk products, cheese, mushrooms, bananas.

The number of patients suffering from depression increases with the onset of autumn, there is a lack of sunlight. In this case, light therapy sessions are prescribed, bright light increases vital activity. Whenever possible, stressful situations should be avoided, your favorite activities and good rest will help in this.

All of these methods help to reduce unpleasant symptoms that occur during depression, without medications.

Depression is a medical diagnosis, do not confuse it with stress or overwork. Before taking, you must diagnose the presence of this disease in you. If you are persistent and tired, you should consult your doctor who can make an accurate diagnosis. But sometimes you can independently determine the signs of depression at home.

Signs of Depression

There are over 200 signs of a person having depression. At the initial stage, they are usually divided into 4 groups:

1. Emotional: a sharp change of mood, chronic fatigue, apathy, low self-esteem, anxiety and others.
2. Mental: loss of ability to concentrate and concentrate, slowness.
3. Physiological: violation of eating habits (overeating or loss of appetite), insomnia, drowsiness, frequent blinking of eyes, lethargy, convulsions, decreased sexual desire, increased pressure.
4. Behavioral: dissatisfaction with oneself, failure to work or study, isolation and unwillingness to communicate with others, loss of interest in entertainment.

If you have diagnosed similar symptoms in yourself or a loved one, then treatment should be started as soon as possible. What pills help to cope with this disease? Today, the pharmaceutical market has a variety of anti-depression drugs, including over-the-counter drugs that can be used to treat depression at home. Consider the best anti-depression drugs available today. They are usually divided into groups in accordance with the principle of action and the effect exerted.

Antipsychotics

A group of drugs that have the most powerful effect. They are prescribed in severe cases of the disease. The principle of action is to inhibit the central nervous system. As a result, a person taking such drugs for depression becomes apathetic, not emotional, does not perceive information well, and starts to do his job poorly. Drugs for depression from the group of antipsychotics have a large number of side effects. Among them: lethargy, lethargy, convulsions, decreased drive, weight gain, various allergic reactions (rash, swelling, irritation, dermatitis). Therefore, only a doctor should prescribe such drugs for the treatment of depression.

Examples of antipsychotics

Here is a list of the most popular antipsychotics:

• Aminazine. These are pills for stress and depression, which help get rid of nerves, irritability, aggressiveness, psychosis. The advantage of the drug is that it does not increase blood pressure. Aminazine has a fairly wide scope: the treatment of hallucinations and agitated depression, various neurotic diseases. It can be used in pregnant women to get rid of vomiting, with dermatoses and other skin diseases. The retail price varies from 150 to 300 rubles. The drug is not sold without a doctor's prescription;
• Melleril - a cure for depression, neurosis, stress. Relieves irritation, nervousness, agitation, tension. It has a large number of contraindications and side effects. Despite this, children from 4 years old can be prescribed in moderate dosages. Analogs: Thioryl, Thiodazine, Sonapax, Ridazine, Thioridazine;
• Truxal has a wide spectrum of action. It treats both mild mental disorders and severe stages. After taking it, you will sleep better, your nerves will calm down. With this medication for depression and stress, sleep disorders and stomach cramps are treated in children from 3 years of age. Other indications for use: postoperative period, pruritus, confusion, pain. The price varies from 400 to 600 rubles, depending on the dosage;
• Clopixol is prescribed for patients with aggressive behavior. It has a pronounced sedative effect. The drug improves mood, helps to cope with depression. The minus of these pills for stress and depression is that addiction quickly occurs: after about 3 weeks of administration. It is available in several forms: tablets for depression (they are not dispensed without prescriptions), ampoules and oil solutions. Do not assign them to yourself.

Antidepressants

These are not as powerful drugs as antipsychotics. Antidepressants for depression are relatively safe, and many of them can be taken on their own, without a doctor’s prescription. Antidepressants are drugs that increase the emotional background, improve mood, and ultimately help relieve depression. Today, a new generation of antidepressants is being sold on the pharmaceutical market. They have a number of indisputable advantages: they can be drunk on their own, they have less chance of addiction and side effects, they are compatible with other drugs. Next-generation antidepressants help you deal with depression faster. If you suspect that you are starting to have depression, then antidepressants are the best solution that will help with neurosis and provide a feeling of calm.

Examples of Antidepressants

Here are the most common antidepressants for depression:

• Maprotiline. It has a stimulating effect: increases efficiency, eliminates apathy, lethargy. Retail - the price is about 1000 rubles. Analogs: Lyudiomil, Maprotibene;
• Prozac It will help to cope with obsessive thoughts, increased anxiety (for example, before the menstrual cycle in women), bulimia and anorexia, panic attacks. The price is about 450-600 rubles. Analogs: Prodel, Profluzak, Fluval, Fluoxetine;
• Paxil. Helps to cope with depression of any kind. One of the few drugs prescribed for children (from 7 years). It has a number of side effects: nausea, vomiting, tachycardia, drowsiness, gastrointestinal upset, and others. The average retail price is 500 rubles. Analogs: Sirestill, Adepress, Rexetin, Plizil;
• Deprim. Perhaps this drug is needed today by many working people. It is able to increase efficiency, reduce fatigue, relieve fatigue and lethargy, and cure chronic fatigue syndrome. The advantage of Deprim is that it is based on plant components. The main active ingredient is St. John's wort extract. This remedy for depression is relatively inexpensive: 220 rubles per pack with 30 tablets;
• Persen is another drug made up of herbal ingredients. Active ingredients: extracts of valerian, lemon balm, mint. As a rule, Persen is acquired in order to cure insomnia. You can take it yourself, without a doctor's prescription. The price varies from 240 to 550 rubles - depending on the packaging and form of release (capsules, tablets).

As you can see, with a diagnosis such as depression, drug treatment is always accompanied by a large number of side effects and contraindications. How to treat depression to minimize the risk of side effects? In the initial stages of depression, you can try to drink various sedative tinctures. For example, tincture of hawthorn (an analogue is the Novo-Passit medicine), valerian, lemongrass, ginseng, and lewsee extract. Such remedies remove such manifestations in depression as anxiety, increased nervous irritability, migraine and others. After taking tinctures, a person sleeps well and feels calmer. Herbal remedies like these are good sedatives for depression. Drink them in accordance with the instructions - despite the natural composition of these drugs, an overdose is possible if used improperly.

Tranquilizers

The main difference between tranquilizers from the previous group is the duration of use. Tranquilizers are used in courses (most often about a month), because they can be addictive. Antidepressants must be used for a long time (up to six months). The effect is similar. They are tools to help reduce anxiety, relieve fatigue and irritability. However, tranquilizers reduce the manifestation of any emotions - both negative and positive. And antidepressants cheer up.

The first generation tranquilizers had a significant drawback: they caused drowsiness. Now they are mainly prescribed second-generation tranquilizers - the so-called benzodiazepines. They are divided into 4 groups - depending on the effect they have:

1. Anti-anxiety effect: Phenazepam, Lorazepam, Diazepam, Alprazolam.
2. Hypnotic effect: Estazolam, Triazolam, Nitrazepam, Flunitrazepam, Flurazepam, Temazepam.
3. Anticonvulsant effect: Diazepam, clonazepam.
4. Daytime. The treatment of depression has reached a new level with the advent of such drugs. These tranquilizers do not cause drowsiness, do not affect mental work, and therefore are used throughout the day. They will help to cope with stress, poor health before menstruation. The most popular of them: Phenibut, Mebicar, Tofisopam, Prazepam.

Group of nootropics

The main function of this group is to improve thought processes. They provide effective assistance in improving performance, improving memory, concentration; activate cognitive abilities, and also treat neurosis. May be prescribed to people prone to depressive conditions. Generally speaking, nootropics affect 4 basic mental processes: memory, speech, thinking, perception. Nootropics of a new generation are more selective and have fewer side effects. Here are the most effective drugs in this group today;

1. Phezam - a positive effect on cerebral circulation and metabolism. An additional action - dilates blood vessels, improves blood circulation, which facilitates the flow of oxygen into the body. Thanks to these actions, Fezam is prescribed in many cases. Here are a few of them: asthenia, impaired memory, attention, concentration and intellectual development in children (in complex therapy), the state after injuries, migraines and more. It has a number of analogues, for example, Glycine, Cavinton, Pantogam, Cortexin. The average price is about 260 rubles.
2. Phenylpiracetam. In addition to an action similar to that of Phezam, it has an anticonvulsant effect and is used to treat conditions after a stroke. If you have constant stress, or depression is already starting, then Phenylpiracetam tablets are a good way out. Please note that this medicine is drunk in the morning (up to 15 hours). The retail price is about 1000 rubles.
3. Noopept. In addition to the effects associated with improving brain function (memory, learning ability, attention), it has antioxidant and vegetonormalizing effects. Take Noopept if you do not know how to get out of a state of chronic fatigue. The drug is relatively inexpensive: about 360 rubles per pack of 60 tablets. It has few side effects: allergic reactions and high blood pressure.
4. Semax Available in the form of drops that need to be instilled into the nose. Indications: condition after operations and strokes, impaired cognitive function, neuritis, mental fatigue, depression (drugs from the group of nootropics are dispensed only by prescription). The average retail price is 1200 rubles per bottle.

Sedatives

This group includes sedatives for depression and neurosis. The main action is the reduction of anxiety, fatigue, normalization of sleep. Almost all products in this category are sold over the counter. They have either a completely herbal composition, or combined (plant and chemical).

The most popular sedative drugs with herbal ingredients: Valerian extract, motherwort, St. John's wort, evading peony, Fito Novo-Sed. The main advantage of these drugs is that they are not addictive and have virtually no side effects. Minus - for the manifestation of the healing effect, they must be taken for a long period of time.

1. Valerian extract is a familiar drug. It is hardly possible to meet a woman who at least once in her life did not drink this tincture (and men also do not neglect this remedy). Valerian is available in the form of tablets, capsules, tinctures and tea bags. In addition to a calming effect, it has a positive effect on the functioning of the heart and blood vessels. This is a budget medicine: in a pharmacy it can be purchased for 50 rubles.
2. Motherwort is available in the form of tinctures, tablets and herbs for brewing. Indications for use: neurosis, psychological disorders, insomnia, vegetovascular dystonia, arterial hypertension (in the initial stage). The price in the pharmacy is from 50 to 180 rubles (depending on the form of issue).
3. Peony tincture is used to normalize sleep and reduce nervous excitability. The price in pharmacies is from 30 rubles.

Combined sedatives

Today, the pharmaceutical market has introduced combination preparations that contain both herbal and chemical components. Due to this, they act more efficiently and faster. They will help both to get out of a state of increased nervous excitability, and to normalize sleep. Here are some of them: Valemidin, Novo-Passit, Persen, Nobrassit, Valoferin, Valordin, Valoserdin, Doppelgerts, Dormiplant, Corvalol.

1. Persen. An effective drug of a new generation. It can also be attributed to the group of antidepressants. Indications for use include insomnia caused by nervous irritability. Before use, carefully read the list of contraindications (it is quite extensive). For example, Persen should not be used during pregnancy and lactation, lactose intolerance, arterial hypotension, biliary tract diseases, children under 12 years old. The price in pharmacies is from 300 to 550 rubles.
2. Novo-Passit, unlike Persen, has a wide range of applications: neurasthenic conditions (anxiety, distraction, fatigue, fear, irritability), mild forms of insomnia, migraine, irritable bowel syndrome, some types of dermatoses (eczema, urticaria). The retail price varies from 200 to 650 rubles, depending on the form of release.
3. Corvalol. Despite the general popularity of this drug (especially among the older generation), it has a number of serious side effects. One of the main components of Corvalol - phenobarbital - causes a severe form of dependence. This dependence can manifest itself in the form of depression, increased nervous excitability, liver damage, and a decrease in calcium stores in the body. Therefore, when taking Corvalol, it is necessary to strictly observe the recommended dose and frequency of use.

Bromine preparations

There is another group of sedative drugs - bromide preparations, or bromides. These are the very first representatives of sedatives that began to be used for stress in the 19th century. Today they are still relevant, but are used in combined form. Their main disadvantage is that bromine accumulates in the body. Therefore, the dosage is selected strictly by a specialist. Bromides treat various neurasthenic conditions, have an anticonvulsant effect. These are drugs such as Pertussin, Adonis-Brom, Pertussin-Ch, Amtersol. All of them cost from 30 to 60 rubles.

Depression is a serious illness and requires treatment. At the initial stages of the pathology, it is still possible to do without medications, introducing positive emotions, new impressions, healthy sleep, regular and proper nutrition into your life, but in more complex cases, the doctor prescribes a medicine for depression, which can only be purchased with a prescription.

In the case of a mild disease, psychotherapy and preparations based on plant materials are used in the treatment. For moderate or severe illness, antidepressants are prescribed.

Antidepressants improve the patient’s mood, activate psychomotorics (the connection of movement with mental processes), and correct disturbances in the brain.

Such drugs are the basis for the treatment of depression, they have a regulatory effect on neurotransmitters (norepinephrine, serotonin, dopamine - hormones of happiness), restore the biochemical balance in the brain.

Patients disappear:

• fear;
• apathy;
• anxiety;
• anxiety;
• fatigue.

There are different groups of antidepressants:

• TCAs (tricyclic antidepressants);
• IMAO (monoamine oxidase inhibitors);
• selective serotonin, dopamine, norepinephrine reuptake inhibitors: SSRIs, SSRIs, SSRIs, SSRIs.

Most antidepressants have a drawback - delayed action.

To get the result (the disappearance of the manifestations of the disease), you have to wait until the necessary concentration of the active substance is accumulated in the blood. This can last from 3 to 8 weeks. It is not always possible to find a combination of safe and effective drugs. In some cases, you have to replace drugs several times to get the desired result.

It is recommended that tablets with depression be used with caution in patients with pathologies of the liver, kidneys, and heart. Drugs in this group negatively affect the liver, increase the risk of toxic damage. If necessary, the doctor selects drugs for depression that have the least amount of undesirable effects.

In case of severe pathology, antidepressants are used for treatment along with other medicines:

• antipsychotics (Seroquel, Truxal, Neuleptil);
• tranquilizers (Diazepam, Phenazepam, Amizil);
• nootropics (Noofen, Piracetam, Glycine);
• normotimics (Depakin, Finlepsin, Lamotrigine);
• sleeping pills (Melaxen, Donormil, Trypsidan);
• complexes of B vitamins (Vitrum, Combilipen, Superstress);
• st. John's wort preparations (Deprim, Negrustin);
• magnesium preparations (Magnelis forte, Magnnerot).

TCAs (tricyclic antidepressants)

They were first synthesized in the last century. The drugs have sedative and stimulating effects, they are used at different stages of the disease.

This group includes:

1. Asafen
2. Amitriptyline,
3. Clomipramine,
4. Imipramine
5. Coaxil
6. Doxepin.

Their main drawback is the presence of side effects. Often patients have:

• tachycardia,
• constipation
• dry mouth
• urinary retention.

In elderly patients, confusion, increased anxiety, visual hallucinations can be noted. As a result, taking the drug for a long time can cause a violation of the heart rhythm, a decrease in sexual desire.

IMAO (monoamine oxidase inhibitors)

The effect of monoamine oxidase inhibitors is to block the action of the enzyme that destroys norepinephrine and serotonin. Use in case of low effectiveness of tricyclic antidepressants.

Representatives of this group are:

1. Tetrindol,
2. Behol
3. Moclobemide
4. Metralindole.

The effect of drugs begins a few weeks after the start of administration. In the process of application may be noted:

• blood pressure differences;
• dizziness;
• swelling of the extremities;
• weight gain.

Drugs of this group are prescribed less often, since it is necessary to adhere to a special diet, to refuse to use foods containing tyramine (peanuts, canned food, cheese, sausages, etc.).

SSRIs (selective serotonin reuptake inhibitors)

Preparations included in the group of inhibitors of selective absorption of serotonin belong to the modern and most common class.

Their action is to block the reverse absorption of serotonin. They affect only serotonin, have fewer side effects.

SSRIs include:

1. Paroxetine
2. Fluoxetine,
3. Sertraline
4. Prozac
5. Citalopram,
6. Paxil
7. Fluvoxamine

More often they are prescribed to patients who have panic and anxiety, obsessive thoughts. As a result of the use of medicines, patients become adequate and balanced.

SSRIs (selective serotonin and norepinephrine reuptake inhibitors)

Serotonin and norepinephrine reuptake inhibitors are the drugs of the latest generation, characterized by the least number of undesirable effects and contraindications.

The group of SSRIs include:

1. Velaxin,
2. Melitor
3. Duloxetine (Simbalta).

Means have a regulatory effect on the biorhythms of the patient, with their help in 7 days it is possible to normalize daily activity and sleep. For a short period of time, they can eliminate anxiety, nervous strain, loss of strength.

Tranquilizers

Tranquilizers are prescribed when symptoms of depression become:

• anxiety;
• feeling of fear;
• emotional stress;
• irritability;
• insomnia;
• tearfulness.

Such medications are used under the supervision of a doctor, as they can be addictive and lead to drug dependence. The increase in dose occurs gradually, the duration of administration is limited to 2-3 weeks.

Representatives of the tranquilizer group are:

1. Elenium
2. Seduxen,
3. Bromazepam
4. Atarax

In the process of treatment, tranquilizers affect the concentration of attention, the speed of psychomotor reactions.

Possible unwanted effects:

• tremor;
• urinary incontinence;
• muscle weakness;
• weakening of sexual desire;
• constipation.

The medicine for depression is used carefully.

During treatment, you cannot drive a vehicle, perform work associated with activities that require high accuracy, and consume alcoholic beverages.

Antipsychotics

Such drugs are used in the treatment of psychotic disorders, they have a depressing effect on the nervous system.

Indications for use are:

• hallucinations;
• strong excitement;
• apathy;
• rave.

This group includes:

1. Aminazine
2. Leponex
3. Tizercin,
4. Haloperidol,
5. Fluanxol.

Under their influence, the level of dopamine decreases, and as a result, the following may occur:

• tremor;
• stiffness in the muscles;
• drowsiness;
• salivation;
• impaired mental ability;
• decreased attention.

Nootropics

They are drugs that normalize cerebral circulation. They are not addictive, do not have an undesirable effect on the brain. Used to normalize mood, with deterioration of mental abilities, limitation of life.

Assign with:

• hot temper
• neurosis
• impulsivity.

Nootropics are used in the correction of asthenic syndrome (chronic fatigue syndrome). Healthy men and women are prescribed to prevent stress.

Common and inexpensive nootropics:

1. Nootropil
2. Piracetam
3. Mildronate
4. Phenotropil,
5. Nicergoline.

More often, patients easily tolerate nootropics, however, in some cases, the following may occur:

• excitation;
• headaches;
• feeling of dry mouth;
• euphoria;
• increased sweating;
• cardiopalmus.

The appearance of undesirable effects is a reason for stopping further administration of drugs.

Sedatives for depression

With the help of drugs to calm the nerves it is possible:

• reduce irritability;
• eliminate fear;
• get rid of panic attacks;
• improve the emotional state.

Classification of sedatives:

• plant origin;
• barbiturates;
• bromides;
• magnesium salts.

Vegetable

Herbal products:

1. Valerian (tablets and tincture),
2. Passiflora-based preparations
3. Tinctures of peony, motherwort,
4. Novo-Passit,
5. Valoserdin,
6. Phytosedan
7. Alora.

Such funds can be purchased without a prescription, they are not dangerous, rarely have side effects. It is necessary to take them for a long time, without interrupting the course of treatment. They do not adversely affect the pancreas and liver, but their effectiveness is lower than that of sleeping pills and antidepressants.

Barbiturates

Barbiturates have hypnotic and anticonvulsant effects, inhibit the central nervous system. Effect: from mild sedation to anesthesia.

These include:

1. Hexobarbital,
2. Phenobarbital,
3. Barbamil.

Bromides

The basis of bromides are salts of sodium, potassium hydrobromic acid. They have a calming effect. They can not be used for a long time.

Bromides include:

1. Potassium bromide
2. Sodium bromide

Magnesia

Magnesia is a solution of magnesium sulfate 25%. It is used as a sedative, sleeping pill. Sold in pharmacies without a prescription.

Hypericum preparations

Such drugs are safe and effective, do not have a lot of side effects. They can be used by women during pregnancy and during breastfeeding.

At home, you can make tea, decoction or infusion of inflorescences and leaves of the plant. In the treatment of depression, a positive result from St. John's wort preparations appears 2 to 3 weeks after the start of administration.

Popular medicines based on hypericum:

1. Neuroplant
2. Gelarium
3. Negrustin
4. Hypericin.

Despite the high safety, as a result of administration, undesirable effects may develop:

• dyspepsia (difficult, painful digestion);
• dizziness;
• skin rashes;
• feeling of dry mouth;
• decreased performance;
• fatigue.

Preparations for children

When treating depression in children, some difficulties arise: in half the cases it turns out that the body is immune to antidepressants. This can be seen starting from 2 weeks of treatment (there is completely no positive result from therapy). In such cases, the antidepressant must be replaced.

The course of treatment lasts at least 6 months, a positive result is noted 1-1.5 months after the start of treatment. It is not recommended to stop taking without consulting a doctor.

For children from 6 to 12 years old, it is allowed to take amitriptyline in tablet form.

After 12 years it is allowed to apply:

• Amitriptyline (injection);
• Zoloft;
• Paxil.

Medications for depression with lactation and pregnancy

During pregnancy, the expectant mother may have a depressed mood, which poses a threat to the health of the fetus. As a result of a nervous breakdown, postpartum depression may develop in the future, which requires mandatory treatment.

There are strict indications for prescribing medications:

• suicidal thoughts;
• rapid weight loss due to refusal of food;
• the appearance of pregnancy complications associated with depressive behavior;
• sleep disturbance, insomnia for a long time;
• chronic pain (psychosomatic) associated with depression.

When choosing medicines, the period of pregnancy is taken into account: in the first trimester, care must be taken to prevent intrauterine abnormalities in the fetus. More often prescribed funds from the SSRI group, which do not pose a threat to the health of the expectant mother (Paxil, Zoloft).

Before birth (for several weeks), antidepressants are stopped so that the child does not develop addiction. During the entire course of therapy, the doctor should monitor the patient's condition. During breastfeeding, taking antidepressants and other psychotropic drugs can adversely affect the baby.

Herbal products that are allowed during breastfeeding:

• Motherwort,
• Valerian,
• Persen
• Glycine,
• Notta,
• Novo-Passit.

In the absence of the necessary result from taking herbal remedies, when a woman is diagnosed with severe depression during lactation, the child must be transferred to artificial feeding.

Not herbal preparations, which are more often used for breastfeeding:

1. Amitriptyline.
   It has many undesirable effects, although the concentration in milk remains low. Individual intolerance may develop.
2. Zoloft.
   It is the safest antidepressant for women during lactation. Helps to quickly eliminate apathy and anxiety.
3. Fluoxetine.
   For the treatment period, it is required to abandon breastfeeding due to insufficient study of the drug.

Women are not allowed to take antipsychotics and tranquilizers during breastfeeding, and the course of antidepressants should last no less than six months.

Over-the-counter drugs for depression

Before acquiring antidepressants, it must be remembered that the use of undesirable effects (harmful effects on the liver, allergic reactions, fatigue, dizziness, etc.) can occur. You also need to pay attention to the contraindications (children's age, individual intolerance, etc.). Before taking any pills and sedatives, you can help yourself. When choosing medicines, the doctor takes into account the patient’s age, severity of the disease, individual characteristics of the body, results previous treatment, taking other medications.

You can’t call any medicine the best, because everyone has indications and contraindications. Treatment is selected for the patient individually, taking into account the form of the pathology, its type, course characteristics and the presence of concomitant factors.

The names of the best drugs that are used to treat depression:

1. Prozac
2. Paxil
3. Zoloft
4. Deprim
5. Persen
6. Noopept,
7. Valerian extract
8. Peony tincture,
9. Novo-Passit,
10. Corvalol.

How to save pills from depression?

There are 30 neurotransmitters that transfer information to neurons. Dopamine, norepinephrine, and serotonin are associated with depressive disorders. Pills that are used to treat depression keep neurotransmitters at the right level and normalize brain function resulting from the disease.

Are anti-depression drugs dangerous?

The danger is the use of drugs in high doses, a sharp abolition of treatment. Patients have anxiety, sleep disturbance. For depression, only the doctor should prescribe treatment and select an individually therapeutic dose.

When do drugs for depression and stress begin to act?

More often, the effect of antidepressants is noted 2 weeks after the start of administration. In some patients, the results from the treatment appear after 7 days. It depends on the individual characteristics of the body.

How to take drugs?

In the treatment of the disease, medication should be taken daily, preferably at the same time. The dosage and number of doses are determined by the doctor. It is not always possible to immediately select the necessary combination of medications. Sometimes you have to replace drugs to get the desired result.

To obtain the effect of treatment, it is necessary:

• take pills until the end of the course of treatment and stop taking it, reducing the dosage gradually so that there is no relapse;
• in addition to taking the funds that the doctor prescribed, he must identify the cause of the pathology (negative emotions, chronic stress, nervous strain, lack of vitamins, etc.).

In the morning, it is necessary to take medications, the action of which is aimed at increasing activity. Drugs that have a hypnotic effect are taken shortly before bedtime.

Taking medications for depression, the patient must adhere to the rules of treatment for the disease:

• help the doctor identify the cause of the disease (tell about your condition in detail);
• tune in, that the therapy will be long, it will take more than one month to recover.

What symptoms of the disease are prescribed depression tablets?

The characteristic manifestations of the disease are:

• hypotension (a feeling of helplessness and futility, indifference, a negative assessment of the events occurring with the patient, self-accusation, suicidal thoughts);
• changes in behavior (irritation, tearfulness, aggression, isolation);
• sleep disturbance (chronic fatigue, reluctance to do anything, a feeling of weakness even after rest);
• physical manifestations (lack of appetite, slowing of the processes of thinking, weakness, pain in the heart area of \u200b\u200ba constricting nature, palpitations, dry mucous membranes, amenorrhea in women, decreased sexual desire).

With somatic (bodily) diseases, many symptoms characteristic of depression (emotional instability, sleep disturbance, etc.) are observed, therefore, a diagnosis is required to make a diagnosis.

The result of such an examination will be the exclusion of all somatic diseases by narrow specialists. After that, the therapist can be sure of the accuracy of his diagnosis and prescribe a safe treatment.