What is the first drug of choice for anxiety?
James Craig
Published Jan 17, 2026
Recap. SSRIs are considered the first-line treatment for anxiety disorders and often have fewer adverse effects than other medications.
What is the number one drug prescribed for anxiety?
The most prominent of anti-anxiety drugs for the purpose of immediate relief are those known as benzodiazepines; among them are alprazolam (Xanax), clonazepam (Klonopin), chlordiazepoxide (Librium), diazepam (Valium), and lorazepam (Ativan).
What is the best med for anxiety and panic attacks?
Medications
- Selective serotonin reuptake inhibitors (SSRIs). Generally safe with a low risk of serious side effects, SSRI antidepressants are typically recommended as the first choice of medications to treat panic attacks. ...
- Serotonin and norepinephrine reuptake inhibitors (SNRIs). ...
- Benzodiazepines.
Which drugs treat anxiety disorders most successfully?
When treating anxiety disorders, antidepressants, particularly the SSRIs and some SNRIs (serotonin-norepinephrine reuptake inhibitors), have been shown to be effective. Other anti-anxiety drugs include the benzodiazepines, such as as alprazolam (Xanax), diazepam (Valium), buspirone (Buspar), and lorazepam (Ativan).
What is the safest anti anxiety drug?
As of this writing, some of the anxiety medications with the fewest reported side effects and least risk of side effects include:
- Most Benzodiazepines (Xanax, Valium)
- Bupropion (Wellbutrin)
- Citalopram (Celexa - SSRI)
- Paroxetine (Paxil - SSRI)
What are the top 5 medications for anxiety?
SSRIs and SNRIs are often the first-line treatment for anxiety. Common SSRI brands are Celexa, Lexapro, Luvox, Paxil, and Zoloft, and 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.
What is a drug that calms you down?
Types of Anti-anxiety Medications (Benzodiazepines)
Benzodiazepines most commonly used to treat anxiety disorders are clonazepam (Rivotril)*, alprazolam (Xanax) and lorazepam (Ativan).
How can I reduce anxiety immediately?
Here are ten ways to quickly reduce your anxiety and relax:
- Remember to breathe. Stop for a moment and focus on breathing deeply. ...
- Take a mental step back. Anxiety tends to be focused on the future, so instead, try to focus on the present. ...
- Follow the 3-3-3 rule. ...
- Meditate. ...
- Reach out. ...
- Physical activity. ...
- Music. ...
- Be kind to yourself.
What does Lexapro do for anxiety?
Lexapro is a type of antidepressant called a selective serotonin reuptake inhibitor, or SSRI. SSRIs increase levels of serotonin in the brain, which can improve mood and emotional regulation. This benefits people with clinical depression and anxiety.
What is the 333 rule for anxiety?
*Name three sounds you hear. *Move three parts of your body — your fingers, shoulders, and then feet. *And point out three things you see. “Whenever you feel your brain going 1000 miles per hour, try this exercise to help bring you back to the present moment,” the psychologist said.
Is Zoloft good for anxiety?
For most patients with anxiety disorders, Zoloft is a safe and effective medication that alleviates their symptoms and improves their lives.
Is Paxil good for anxiety?
Paroxetine is known as a selective serotonin reuptake inhibitor (SSRI). This medication may improve your mood, sleep, appetite, and energy level and may help restore your interest in daily living. It may decrease fear, anxiety, unwanted thoughts, and the number of panic attacks.
Is 5mg Lexapro enough for anxiety?
Social anxiety disorder: Usual dosage is 10 mg once daily. Usually 2-4 weeks are necessary to obtain symptom relief. The dose may subsequently, depending on individual patient response, be decreased to 5 mg or increased to a maximum of 20 mg daily.
How do you feel when you first start taking Lexapro?
The most common side effects for the first week of taking Lexapro include:
- Trouble sleeping (insomnia)
- Decreased sexual desire.
- Nausea.
- Increased sweating.
- Fatigue.
- Drowsiness.
- Dry mouth.
- Dizziness or feeling shaky.
Should I take 10mg or 20mg of Lexapro?
The recommended dose of Lexapro is 10 mg once daily. A fixed-dose trial of Lexapro demonstrated the effectiveness of both 10 mg and 20 mg of Lexapro, but failed to demonstrate a greater benefit of 20 mg over 10 mg [see Clinical Studies]. If the dose is increased to 20 mg, this should occur after a minimum of one week.
How long do beta blockers take to work for anxiety?
You'll likely notice results the first time you take beta-blockers for anxiety, but they can take an hour or two to reach their full effect. During this time, you'll feel your heart rate decrease, which might make you feel more relaxed.
How do I know if I need medication for anxiety?
7 Signs You Might Benefit from Anti-Anxiety Medication
- You're Perpetually Nervous and on Edge. ...
- You Avoid Things That Are Good for You. ...
- You Toss and Turn Every Night. ...
- You Have Mysterious Aches and Pains. ...
- You Have a Permanent Bellyache. ...
- You Work Hard but Get Nothing Done. ...
- You Regularly Fly Off the Handle.
Is there an over the counter medicine for anxiety?
There are no over the counter medications for anxiety since any medication that affects the brain needs to be carefully monitored, and because the medication is not the only treatment a person should take. Luckily, there are many natural treatments and exercises that can help with anxiety in its place.
What is a lorazepam 1?
Lorazepam belongs to a group of medicines called benzodiazepines. It's used to treat anxiety and sleeping problems that are related to anxiety. It can be taken to help you relax before an operation or other medical or dental treatment.
What is best for anxiety?
Cognitive behavioral therapy (CBT) is the most effective form of psychotherapy for anxiety disorders. Generally a short-term treatment, CBT focuses on teaching you specific skills to improve your symptoms and gradually return to the activities you've avoided because of anxiety.
Which is better Celexa or Lexapro?
Which One Is Better? Both Celexa and Lexapro can be effective, but studies have found that certain patients may benefit more from one medication or the other. One 2004 study suggests Lexapro is more effective for the treatment of severe major depressive disorder (MDD).
Is Prozac better than Lexapro?
When considering Prozac vs Lexapro, both medications are approved to treat major depressive disorder (MDD). A 2014 study found that Lexapro was more effective than Prozac in treating severe periods of depression.
Can you switch from Zoloft to Lexapro?
You could potentially switch from Prozac to Zoloft or switch from Zoloft to Lexapro.
Is Paxil Better Than Zoloft?
Is Paxil or Zoloft more effective? In a randomized, double-blind study comparing the two drugs for the treatment of panic disorder, Paxil and Zoloft were found to be equally effective; however, Zoloft was slightly better tolerated, and patients did better when discontinuing the drug.
Is Prozac or Paxil better for anxiety?
Is Paxil vs. Prozac better? Paxil and Prozac are both effective SSRI medications. Paxil may be preferred for its approved uses for anxiety disorders and less stimulating side effects.