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Antidepressants for VSD, panic attacks and neurosis: a list of drugs, use

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pills on the tableVegeto-vascular dystonia is a syndrome that is not considered as a separate pathology in official documents and in the international classification of diseases.

but VSD is gaining more and more prevalence among the younger generation, many complain of a sharp deterioration in well-being, autonomic dysfunction, decreased performance against this background. Is it worth using antidepressants in this case, how do they affect the body with VSD?

Content

  • Characteristics of the disease
  • The role of antidepressants in the treatment of vegetative-vascular dystonia
    • Classification of drugs
    • Therapy for comorbid disorders
  • Mode of application
  • Contraindications and side effects
  • Before there was a diagnosis ...

Characteristics of the disease

Vegeto-vascular dystonia or autonomic dysfunction by modern standards, it is a pathological condition caused by hormonal imbalance and a violation of the adequate functioning of the autonomic nervous system.

The exact cause of the formation of the disease is not known. Potential negative factors include:

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  1. Excessively "mobile" nervous system. This is about hyperactive children, very mobile, fussy, emotional.
  2. Stress. A series of failures, strong emotional upheavals most often lead to disruption of the nervous system.
  3. Fatigue. Physical activity in sports clubs, mental overstrain at school without breaks and rest have a negative effect on the child.
  4. Improper nutrition. This includes inadequate intake of foods high in B vitamins: thiamine, pyridoxine, biotin, cyanocobalamin, and others.

Clinical picture of VSD varied, includes several groups of symptoms:Vegeto-vascular dystonia

  • cardiovascular form: changes in blood pressure, pain in the heart, tachycardia;
  • hyperventilation: an increase in the frequency of breathing against the background of shortness of breath or subjective lack of air, headache, dizziness;
  • irritable bowel syndrome: recurrent abdominal pain, unstable stools, decreased or lack of appetite, weakness;
  • violation of thermoregulation: excessive sweating, chills, a decrease in the temperature of the skin of the upper and lower extremities.

Older patients may also experience recurrent pain when urinating, lack of sexual desire for a partner.

The role of antidepressants in the treatment of vegetative-vascular dystonia

VSD treatment always combined, it means taking several groups of drugs, including vitamin complexes, adaptogens, pain relievers according to indications. But based on the modern vision, the greatest efficiency in VSD is possessed by sedatives and antidepressants.

Classification of drugs

There are several classifications of antidepressants, consider the division of medicines into groups depending on the active substance:

  • monocyclic: Fluoxetine, Venlafaxine;Fluoxetine
  • tricyclic: Tianeptine, Imipramine, Clomipramine;
  • tetracyclic: Maprotiline, Mianserin, Pirlindol;
  • containing adenosylmethionine;
  • containing benzamides: Moclobemide;
  • containing hydrazine: Nialamide.
  • containing carbohydrazide: Marplan;
  • containing cyclopropylamine: Parnat.

With VSD, the first three groups of drugs are most popular.

Monocyclic antidepressants have an effect on neuronal reuptake of a neurotransmitter such as serotonin. This biologically active substance, produced in large quantities, causes positive emotions and has a beneficial effect on the nervous system. The drug (for example, Fluoxetine) enhances its effect on nerve endings, increases the duration of its effect, due to which the patient's mood rises very quickly, which is so necessary with VSD, due to a depressive disorder in the patient.

antidepressants on the tableTricyclic antidepressants have an effect on several neurotransmitters: dopamine, serotonin, norepinephrine. The effect of taking the pills is the same, but it comes much faster due to such a combination.

The tetracyclic form of drugs inhibits the action of monoamine oxidase (MAO). This enzyme contributes to the destruction of the aforementioned neurotransmitters located in the nerve endings. With a decrease in MAO, the concentration of biologically active substances necessary for treatment increases.

Therapy for comorbid disorders

Antidepressants are prescribed not only for vegetative vascular dystonia, but also for the treatment of concomitant VSD violations (panic attacks, anxiety, and so on). These include:

  • panic attack - sharp, inexplicable anxiety attack, fear, combined with disruption of the cardiovascular, respiratory system and organs of the gastrointestinal tract;
  • neuroses - a collective concept implying functional dysfunction of the nervous system, some mental disorders against the background of prolonged exposure to negative factors;
  • hypochondriacal disorder - a disease very similar to the VSD, based mainly on a mental disorder, more concern about their own health, which in the future leads to the formation of clinical paintings.

About the use of antidepressants for panic attacks in detail:

Mode of application

It should be noted that all medications should be prescribed by the attending physician in accordance with the course diseases, the individual characteristics of the patient's body, the presence of concomitant pathologies and age. The dosages described below are prescribed in the instructions for use, but this does not mean that it is this amount of the active substance that the patient needs.

Tricyclic antidepressants with VSD are drunk for a month, in rare cases, treatment lasts one and a half or two months. A single dose is 25 milligrams, you need to drink three or four times a day.

Monocyclic antidepressant therapy lasts about five weeks. The initial dose is 75-100 milligrams, the amount of the active substance is gradually increased to 200 milligrams. Take two to three times daily after meals.

MAO inhibitors are convenient to take, the frequency of which is only once a day, the dose is usually not increased, it is 50-100 milligrams per day throughout the treatment. The tablets must be taken with plenty of liquid.

Contraindications and side effects

One of the most serious contraindications is individual intolerance to the active substance. In this case, after taking the medication, an allergic reaction appears in the form of a rash, redness of the mucous membranes, cough, tissue edema. The development of anaphylactic shock is not excluded.

You can not combine antidepressants with each other, as they enhance each other's action, the risk of side effects increases.

It is forbidden to use tricyclic antidepressants in the acute and subacute phase of myocardial infarction, in the presence of heart defects, Autonomic dysfunctionhypertension of the second and third stages, as complications are possible in the form of heart rhythm disturbances and repeated ischemia of cardiac tissue.

Also, they should not be drunk by people with gastric ulcer and duodenal ulcer, intestinal obstruction, bladder atony and angle-closure glaucoma.

Monocyclic and tetracyclic drugs should not be prescribed to people with organ failure, namely renal, hepatic, since it is through these organs that the main metabolic transformations and excretion of active substances. With their dysfunction, severe intoxication develops. It is forbidden to drink these medicines during an active inflammatory process.

This group of drugs is contraindicated for pregnant and lactating mothers, the active substances pass easily placental barrier, accumulate in breast milk and negatively affect the formation of the nervous system, psyche of the child.

Of the side effects, dyspeptic disorders, sleep disturbances, decreased appetite, increased anxiety and hyperactivity of the child are most likely.

Before there was a diagnosis ...

Diagnosis is rather difficult, since vegetative-vascular dystonia can be disguised as a whole list of pathologies, which constantly requires a thorough examination. Usually it is necessary to contact a whole group of specialized specialists - a cardiologist, gastroenterologist, neurologist, infectious disease specialist, and so on.

A number of studies are needed:

  • electrocardiography;
  • ultrasound examination of abdominal organs, small pelvis, heart;
  • plain chest x-ray in two projections;
  • rheoencephalography;
  • Holter monitoring (ECG recording during the day);
  • daily monitoring of blood pressure;
  • computer and magnetic resonance imaging of the brain, heart and other organs;
  • fibrogastroduodenoscopy;
  • colonoscopy and others.

After only several months of continuous examination of the patient, the therapist and neurologist suggest autonomic dysfunction.

It is possible to cure vegetative-vascular dystonia, you just need a qualified specialist who can determine this pathology, identify the alleged risk factors and prescribe adequate therapy.

Based on the results of treatment of people suffering from VSD, we can safely say that sedatives, antipsychotics and antidepressants Are those drugs that can improve the patient's well-being.

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