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  • BDD Moderators: Keif’ Richards

"Over the counter" anti-anxiety drugs?

jkim4007

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Joined
Jul 11, 2012
Messages
3
I really, really don't want to go the psychiatrist/prescription/pharmacy/trial and error route.

I have moderate to severe anxiety, both social and general. I was wondering which "over the counter"/non-prescription meds/drugs are most effective. I've heard that valerian root and kava are only mild calming agents, is this true and if so, what other options do I have?

I take phenibut every few weeks when I really need it, but it's not a habit I want to take up regularly. I need something I can take 2-3 days out of the week.

thanks!
 
Well I guess valerian and kava are considered "mild" in comparison to benzos, but that certainly does not make them useless or not effective. I definitely get noticeable effects from kava. I haven't personally really had success with valerian, but maybe I'm just not taking enough of it. I'd try the kava. L-lysine and L-theanine can also be good. Other things include mulungu, ashwaganda, skullcap, St John's Wort, magnesium (if you take lots of magnesium every day, magnesiums's not usually like an instant fix IME), etc. These are all herbs/supplements, there aren't really any OTC "drugs"/medications that I know of that help anxiety without being really sedating, having adverse side effects, rapidly causing a tolerance, etc.

There are actually a ton of threads on this topic. Here are some:
Herbs for anxiety/stress?
Nutritional & Herbal Supplements for Anxiety!
Herbal Tea Combos to assist anxiety etc.
 
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Fish oil or omega 3s may help in the long run but does not give the instant escape from anxiety you're looking for. It all depends on your situation and daily life. I'd look towards lifestyle changes.
 
Kava is quite effective, if you know were to look it's very cheap <snip>. The only downside is the short duration but in high doses it is relaxing like much like alcohol. Tolerance builds quickly.
 
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I supposed a halfed dose of phenerghan aka promethazine may be helpfull not a 100 percent though!!! I know its a sedative anthisthamine. Good luck
 
chamomile. tea, standardized valerian, phenibut, picamila,st johns wort, sam e, skullcap, damiana, pineapple sage, hops , lemon balm. ...In bad anxiety situations when kicking without bzos or alc i find valerian,scullcap,and a large dose of benadryl combo to help. My advice is learn to drink cheap vodka
 
I just take adrenals. It won't stop anxiety attacks but it will make them less impactful on your body so that maybe you can get a grip.

Rhodiola, ashwaganda, holy basil, pantethine, licorice root, white peony root... they all help immensely. Rhodiola also manages serotonin levels and is a great adrenal to take when transitioning off of SSRIs.
 
Well I guess valerian and kava are considered "mild" in comparison to benzos, but that certainly does not make them useless or not effective......Other things include...

Although some of those, depending on location, are quasi-legal/not.

Also to add to those already (not counting vitamins/herbal supplements/"CAM"s* nor the obvious of eat well, sunshine, exercise - generally live a full/fruitful/productive life =D ) sometimes OTC sedatives - as opium has suggested such as Restavit can help. Stronger then that would be to see your GP for a scheduled medication (anything from a benzodiazepine to anti-depressants - there's always an option to help!).

I'd would suggest however to investigate more into why you're experiencing anxiety! :\ If you really find it debilitating and it's effecting your life, a complete treatment plan - including not only pharmacotherapies (drugs) but also (psychological) therapies (whether it be a councillor to a psychiatrist) such as (Mi)CBT/cognitive tools and such. It's often easy to "just take a pill" and hope that it will fix everything (a large reason why people become addicted :\) however especially in situations to do with the psyche it's not that easy.

....These are all herbs/supplements, there aren't really any OTC "drugs"/medications that I know of that help anxiety without being really sedating, having adverse side effects, rapidly causing a tolerance, etc....

Yeh, afaik there aren't (well in Australia) any OTC indicated for anxiety disorders, that's not to say there aren't medications to try (off label). :)

Tbh this is a topic which actually needs better education on! It's not true (nor safe) to think that "just because something is OTC, it's safe (or there can't be/won't have negative side effects/interactions)"! Quite a number of OTC ( even coming out of supermarkets or the corner store ) products in fact can/do interact with prescription medications. One reason to be entirely honest/open to your GP with anything you're taking (in reference to said condition or not).


* CAM - Complementary and Alternative Medicine - technically it's not "allow" nor should be called an alternative medicine, they shouldn't be used instead of allopathic (main stream) medicines. Semantics, I know :)
 
Basic drug interaction! Not to mention (admittedly not all however) other (physical, physiological, etc) negative effects which many of "them" in fact do!

To put it simple, (a quote I like :) ) if a CAM therapy was truely efficacious, it wouldn't be called an "alternate" therapy, it would be call medicine!

(if you're after specific alt-med therapies which cause more harm then any good, I'm more then happy to supply them! :) )
 
DXM is considered anti-anxiety im pretty sure. I my self have taken it and found it did help a little, 60-120mg's in the morning before work, school etc.
 
DXM is considered anti-anxiety im pretty sure....

Hmm, I have never heard of this indication! Although DXM's MOA is (surprisingly, not-all-that-oftenly ;) ) quite extensive (read: it effects many pathways/receptors/processes) so on "first-glance"/paper one could suggest an anxiolytic/AD-kind of effects - apparently there's some (n)SRI and NMDA and/or opioid activity (at a guess I'd think any anxiolytic-type activity would be due to this NMDA interference. In a similar mechanism as ketamine can be used for depression, I'd think, personally). Tbh I don't think specifically DXM (+ isomers) would be used in these aspects (dose pending), the side-effect profile seems I think too large! I believe that possibly DXM maybe used to investigate the MOA (in terms of anxiolytic effects) and similar/other drugs will be used/created instead (aka, ketamine and it's strong NMDA activity?....if my suggested MOA is :) ).

However obviously normal pharmacokinetic testing would be required to find it's active location/tissue, enzymatic activities/metabolism pathways and etc.


Edit: Actually I think I may have heard something similar to this elsewhere.....now to remember where and I'll (re)post/link it here!

Edit, edit: A quick search of Google Scholar does show some clinical trails and pharma-level investigation of this - a few showing some promise. :)
 
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I find a good blow job is a great stress reliever although I couldn't recommend which particular counter you would ask for one from.
 
Basic drug interaction! Not to mention (admittedly not all however) other (physical, physiological, etc) negative effects which many of "them" in fact do!

To put it simple, (a quote I like :) ) if a CAM therapy was truely efficacious, it wouldn't be called an "alternate" therapy, it would be call medicine!

(if you're after specific alt-med therapies which cause more harm then any good, I'm more then happy to supply them! :) )

I disagree completely.

Plenty of pharmaceuticals have drug interactions and adverse side effects too, often more so - when taking anything one should research it first.

"Alternative" versus "mainstream" treatments are primarily defined by where you live. Many natural or "alternative" things are not mainstream simply because a pharmaceutical company doesn't hold a patent for them and therefore can't make a huge profit off them.

I'm certainly not saying that anything "alternative" or "natural" is safe and/or effective, but the reasons behind why many of them are not considered mainstream or widely used in conventional Western medicine (although that's changing thankfully) are not due to the patient's best interests but to other factors.

Mainstream Western medicine can be very harmful too. In the US in 2001:

- The number of people hospitalized for adverse reactions to prescribed drugs was over 2.2 million per year.
- The number of unnecessary antibiotics prescribed was 20 million per year.
- The number of unnecessary medical or surgical procedures performed annually was 7.5 million per year.
- The number of people hospitalized unnecessarily was 8.9 million per year.
- The number of known deaths directly caused by conventional medicine was 783,936 per year. (for contrast the number of deaths attributable to cancer was 553,251)
[Source: Death by Medicine By Gary Null, Ph.D.; Carolyn Dean MD, ND; Martin Feldman, MD; Debora Rasio, MD; and Dorothy Smith, PhD]

There are many "alternative" therapies that have been studied and found safe and effective. I am happy to supply plenty of those if you are after them :)
 
....Plenty of pharmaceuticals have drug interactions and adverse side effects too, often more so - when taking anything one should research it first....

I agree, I'm sure I never said as such? :\

...."Alternative" versus "mainstream" treatments are primarily defined by where you live. Many natural or "alternative" things are not mainstream simply because a pharmaceutical company doesn't hold a patent for them and therefore can't make a huge profit off them....

I agree however I am in Australia (read: Western society), so yes I am only referring to these regions, additional there is a general consensus/opinion of what constitutes a "CAM therapy".
It's easy to - and in the same instance I'm in no way defending/justifying actions of pharmaceutical companies ("Big-Pharma" if you want to go down the "down with the big, insensitive, only about the financial gain-corporations"-type conspiracy bandwagon) however I don't believe this to be true! I'm sure you're aware of the patenting capabilities/persuasion abilities of pharmaceutical companies, I'm sure they would in deed find a way to patent a tx....if shown to truly be (decently) efficacious! I'm extremely doubtful that if a tx/dx capability/etc. was in fact shown to have beneficial activity, there would be no stopping it from becoming a legitimate therapy! Yes many pharma advances are and were financed/directed/employed/etc by pharmaceutical companies, on the individual/team level the good intentions are predominant - people with technical skill and applying it for advancements!

....I'm certainly not saying that anything "alternative" or "natural" is safe and/or effective, but the reasons behind why many of them are not considered mainstream or widely used in conventional Western medicine (although that's changing thankfully) are not due to the patient's best interests but to other factors....

It's well known that drugs/tx/therapies (unfortunately) do in fact come in and out of vogue - often irrespective of efficacy however this is obviously a primary influence (new, better treatments become available/economically viable and such and hence start to be used). So I agree with you about extrinsic factors can be the motivating factors, instead of the more important pt's interests!


....Mainstream Western medicine can be very harmful too...

I never inferred that allopathic/mainstream "Western" medicines weren't harmful, of course they can be! I've always said and tried to make it known that all drugs can be poisons/harmful, no drug (mainstream or otherwise) is without risk! The main difference / point of the dangers of CAM therapies is that, due to the field (for the most part) not having any sort of regulation (other then "self" 8) ), nor any specific legislation in terms of quality/purity, nor requirements for any sort of proof of efficacy/(contra-)indications/benefit which all lead to negative outcomes for pt's either because they've attempted to diagnose/treat themselves (a case in China comes to mind where a women attempted to perform acupuncture onto herself, without training of course, leading to her piercing her heart with one of the needles!), the pt choosing to replace their (allopathic) treatment leading to anything from a longer recovery period to morbidity (there have unfortunately been a number of cases of pt's refusing typical neoplastic/cancer targeted therapies, using a CAM alternative and dying from their disease!) or in the worst case an alt-med "professional" knowingly deceiving an individual for financial gain (has/does happened :\)!

Even from a public health/epidemiological perspective - it is full well known that there is an increased burden on the health system (it could be said a burden effecting everyone, from the individual to family/friends, health care professionals even to the tax payer and regarding many aspects; financially, physically, emotionally, etc) the longer one is ill (ie, chronic conditions). Yes this is true irrespective of treatment, yet this period may be extended if someone is using a treatment which isn't (not scientifically, empirically proven) to be beneficial/efficacious!! No one can sit there and expect (I assume :) ) intelligent people to believe in ridiculous "treatments" such as homoeopathy! -_-

I'm not "against" alt-med type treatments, many (what would today be called) "mainstream" treatments such as "old-wives tales"-like things began as such - aspirin (specifically salicylic acid) is a well known example! Taken (and used for centuries for even today's indication) from the bark of certain willow trees! The difference however is that those (now incorporated) have been tested and been shown to actually work! (often purified and/or synthetically made) There definitely exists treatments which do help - Saint Johns Wort is a nice example - with it's serotonergic activity for use in mild-moderate depression!

There are a few specific things which just irks me about not just the alternatives but the actual alternative med profession! There is absolutely no accountability of the provider's actions (good or bad)! and (I'm a man of science so) I believe if a product is marketed/purposed to provide something....it should! Many of these therapies have been extensively researched/trialed and it's overwhelmingly clear the evidence shows many of them in fact not to be efficacious! (with some show possible damage) The research CAM proponents often present are, in subsequent trials / examination of the trails, shown to be flawed! Introducing biases (intentionally or not), flawed procedures, contaminants, subjective responses (which isn't a form of scientific evidence) and the influence which bias results toward an outcome!


http://www.sciencebasedmedicine.org/
http://whatstheharm.net/
www.quackwatch.com/
edgydoc.com/
http://skepdic.com/refuge/harmarchive.html
 
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