SSRIs are usually the first choice medicine for depression because they generally have fewer side effects than most other types of antidepressant. As well as depression, SSRIs can be used to treat a number of other mental health conditions, including: generalised anxiety disorder (GAD)
Sertraline (Zoloft) and venlafaxine (Effexor) are equally useful for treating panic disorder with or without agoraphobia. They are also overall the most well-tolerated medications for the treatment of panic disorder. Of the two, sertraline would be a safer choice for people with a history of heart problems.
Although they're often used to treat anxiety, antidepressants can potentially cause anxiety, especially when people begin taking them for depression. 1 Using various strategies, it is possible to get a better handle on these anxiety symptoms.
Some patients experience a temporary increase in anxiety when they begin SSRI and SNRI medications and serotonin levels go up. More recent studies show that SSRI and SNRI medications are less effective than we previously thought.
In fact, you may even feel worse initially. When you start taking Lexapro, you may find that your anxiety symptoms get worse before getting better. You may experience increased jitteriness and an increase in your anxiety for the first two weeks on Lexapro treatment.
Antidepressants such as Prozac and Zoloft offer relief for over 100 million people around the world who have depression, but with a potentially serious side effect. In the first few weeks, feelings of fear and anxiety can get worse.
If you experience anxiety
If you have a form of anxiety or phobia, an antidepressant could help you feel calmer and more able to deal with other problems. It could also help you feel more able to benefit from other anxiety treatments, such as cognitive behavioural therapy (CBT).
While antidepressants can be used to treat anxiety, it is also a possible side effect of these medications. This can be confusing, especially if you're being successfully treated for depression but begin feeling anxious at the same time.
Often, we fear taking new medications because the uncertainty of trying something new and unfamiliar makes us feel powerless. Speaking with your doctor and understanding your treatment options helps put you back in control of your health, which in turn limits medication anxiety.
Benzodiazepines (also known as tranquilizers) are the most widely prescribed type of medication for anxiety. Drugs such as Xanax (alprazolam), Klonopin (clonazepam), Valium (diazepam), and Ativan (lorazepam) work quickly, typically bringing relief within 30 minutes to an hour.
Tricyclic antidepressants (TCAs) cover both depression and certain anxiety disorders including GAD and PD. However, TCAs are ineffective in SAD and post traumatic stress disorder where SSRIs are required.
Selective serotonin reuptake inhibitors (SSRIs) are the most commonly prescribed antidepressants. They can ease symptoms of moderate to severe depression, are relatively safe and typically cause fewer side effects than other types of antidepressants do.
New stressors. A new stressful situation at home or work can result in a mood response for which the antidepressant can't compensate. Other medications. Interactions between antidepressants and medications for other health conditions can affect how well an antidepressant works.
A second therapeutic candidate, LYT-310 (oral cannabidiol), is expected to enter the clinic in Q4 of 2023. A second therapeutic candidate, LYT-310 (oral cannabidiol), is expected to enter the clinic in Q4 of 2023.
Notably, it is normal for nontoxic increases in serotonin to cause anxiety, restlessness, and irritability for 1 to 2 weeks after starting a drug or increasing a dose.
SSRIs and SNRIs are often the first-line treatment for anxiety. Common SSRI brands are Celexa, Lexapro, Luvox, Paxil, and Zoloft. Common SNRI brands are Pristiq, Cymbalta, and Effexor XR. Pros: They are effective for a lot of people and they have a solid safety profile.
Paroxetine—the most sedating of the SSRIs and often prescribed to assist anxious patients with sleep—produces significant declines in total sleep time, sleep efficiency, and total REM time, and increases awakenings and REM latency, and, may have the worst sleep profile of all SSRI's.
Clinicians generally recommend staying on the medication for six to nine months before considering going off antidepressants.
Zoloft and other SSRI antidepressants affect serotonin reuptake more and more over time (until maximum effects are reached). This means that your anxiety symptoms should gradually reduce as you continue to take Zoloft.
For most patients with anxiety disorders, Zoloft is a safe and effective medication that alleviates their symptoms and improves their lives. But for some, Zoloft can cause side effects that range from mild to more serious.
Is Zoloft better for anxiety symptoms than Prozac? Both drugs can effectively treat anxiety disorders such as social anxiety or generalized anxiety disorder (GAD). However, there isn't conclusive evidence that one is better than the other for treating symptoms of anxiety.
Can Lexapro cause anxiety? Some patients experience new or worsened anxiety when taking Lexapro. 12 If you are taking Lexapro or escitalopram and feel like your anxiety is increasing, contact your doctor to discuss whether this is the right medication for you or if the dosage should be adjusted based on these effects.