Pharmacist Questions Psychiatrist

Anxiety medication that doesn’t cause sexual dysfunction or weight gain?

I have tried almost every SSRI and a couple of antidepressants. They have all caused loss of sexual interest and anorgasmia. What medications would you recommend for anxiety that doesn’t cause those side effects for daily use? I have anxiety attacks almost daily.

Female | 21 years old
Complaint duration: 2 years
Conditions: Anxiety attacks

5 Answers

Medications with serotonergic properties can have these side effects. Buspirone can be used for anxiety reduction and low-dose antihistamine for panic attacks. Wellbutrin isn’t known to have these side effects but is not usually the best medication for anxiety.
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Have you tried cognitive behavioral therapy for panic attacks? This can help you gain control of anxiety without any side effects in as little as 3 months.
Hi, Thank you for your question. For recommendations related to psychotropic medications, I would recommend you seek consultation with a psychiatrist or medical doctor. Examples of antianxiety meds include benzodiazepines (Xanax, Valium, Ativan, Klonopin) and non-benzodiazepines (Buspar). Examples of antidepressant meds include Selective Serotonin Reuptake Inhibitors (SSRIs- Prozac, Zoloft, Paxil)/Serotonin-Norepinephrine Reuptake Inhibitors (SNRIs-Effexor, Cymbalta), Tricyclics (TCAs- Elavil, Anafranil, Tofranil), Monoamine-Oxidase Inhibitors (MAOIs- Nardil, Marplan), and others like Wellbutrin and Remeron. I hope this has been helpful!
Please consult with a psychiatrist for the answer to your questions. I am not an MD, I have a Ph.D., and can answer questions about types of psychotherapy that might be helpful for panic attacks.