Panic attacks with Alprazolam

Panic attacks - attacks it suddenly begins to worry, fear or terror, accompanied by a feeling of pulsation, heartbeat, oznobopodobnym tremor, sweating web buy alprazolam online. There may be shortness of breath, feeling short of breath, pain or discomfort in the chest, nausea, epigastric discomfort, numbness, or tingling in the limbs and torso, feeling the tide, fainting and others.

The cause of the disease.The origin of the panic attacks of great importance belongs to the personal characteristics of the patient, the conditions of identity formation (education, relationships with parents, friends, comrades). The occurrence of panic attacks are particularly important stress and conflict - psychological and biological, real and potential.

Seizures occur, usually sudden, unexpected for the patient, but often it is a lack of information about the cause of its crisis. Most often, the development of the attack provoked a situation - being in the crowd, store, on the escalator, in a subway car, as well as stressful situations - family quarrels, conflicts at work, unwanted encounter with unpleasant people, the upcoming exam, performance etc .

Having a sense of fear or anxiety may be the only symptoms of the disease. Then they are treated as "minor" seizures. One patient may be small and deployed crises.

Sometimes there are panic attacks, a structure in which there is no fear, ie, "Panic do not panic." There are also such paroxysms, in the structure which is dominated by a sense of aggression or irritation.

Earlier, panic attacks were considered exclusively as a phenomenon of waking, but they can occur at any time of the day, especially during sleep. The duration of the paroxysm may be several hours or even days.

In between bouts of illness manifested vegetative-vascular dystonia with cardialgia, heart arrhythmia, blood pressure fluctuations and so forth. There may be different localization of pain, syncope, dizziness, lump in the throat, psevdoparezy, visual and hearing impairment. Similar symptoms are observed, as a rule, in patients with hysteria and are called functional-neurologic symptoms, which seems the most appropriate, since it emphasizes their inorganic character.

There are asthenic, phobic, hysterical and depressive disorders. Of particular note is a restrictive behavior of the patient, when the patient fears and avoids situations that can cause an attack. If the severity of the disease progresses, the patient has a limitation in the types of movement, the patient can not stay home alone, and can not walk without assistance.

The pathogenesis of panic attacks. It is known that in the pathogenesis of anxiety and sale, as the lead symptoms of panic attacks involves many neurotransmitter systems in the brain. There are systems with advantageous inhibitory (GABAergic and Adenozinergicheskie) and excitatory functions (noradrenergic and glutamatergic). Systems such as noradrenergic, serotonergic, dopaminergic - have a certain anatomical structure with clusters of neurons in the nuclei and form a well-defined anatomic pathways to specific areas of the brain. Other systems are not so clear neuroanatomy, they are widely distributed and more diffusely in the brain (GABA-ergic, Adenozinergicheskie, glutamatergic, and others.).

Efficacy of drugs targeted to the mechanism of action suggests that the mechanisms of the alarm is essential violation noradrenergic and dopaminergic systems in the brain, as well as hyperactivity of the sympathetic nervous system structures.