Anxiety disorders in general clinical practice

Abstract

Anxiety disorders are widespread in general medical practice, being the reason for seeking medical help from doctors of various specializations. Certain difficulties in the diagnosis and development of patient management tactics are caused by the variety of clinical manifestations of anxiety disorders. Often they are associated with somatic manifestations. Benzodiazepines, antidepressants, anticonvulsants, antipsychotics, antihistamines, and beta-blockers are traditionally used to treat these conditions. A limitation to their use are adverse events, the risk of which increases in the elderly. Modern pharmacology pays special attention to the safety of drug therapy, which makes the choice of a drug a responsible step. In subclinical anxiety disorder with somatic manifestations in outpatient practice, herbal sedative preparations or preparations based on them are used, which have a favorable safety profile with sufficient effectiveness. The drugs of choice are drugs based on herbal raw materials that have sedative, cardiotonic, moderate hypotensive and antispasmodic effects, which corresponds to the objectives of therapy, including in comorbid and elderly patients. The presence of a variety of pharmaceutical forms allows you to choose the drug, taking into account the individual needs of each individual patient. The currently available data on the clinical efficacy of the herbal components of the preparations, good tolerance and safety, subject to all the rules of administration, allow the use of these drugs in general clinical practice. The possibilities of their application are considered in the given clinical observations.