Psychiatrist Questions Psychiatrist

What is the best antidepressant for anxiety with the least side effects?

I want to take antidepressant for my anxiety. What is the best antidepressant for anxiety with the least side effects?

6 Answers

Depends upon your body make up. Some people could have a miraculous result with one meds and the same one could cause disastrous effects in some others. Consult your Psychiatrist who can help to understand the risks and the benefits of each meds and your comfort level in trying after you have been educated and also talk about behavioral approach and Psychotherapy.
We would recommend seeing a psychiatrist or a primary care doctor to figure out what is best for you.
The newer multimodal antidepressants such as Trintellix and Viibryd work well for depression and anxiety, and they overcome some of the side effects typically encountered with the SSRI class of medications (Prozac, Lexapro, Zoloft) which generally fall into three categories: emotional blunting, weight gain, and sexual side effects. These newer agents overcome those side effects, but cans still have some GI (gastrointestinal) side effects such as nausea. The nausea generally can be avoided by a slow start. There are some other antidepressants that may help which have different side effect profiles. For example, Remeron (mirtazepine) avoids the sexual side effects and the emotional blunting, but it tends to make people sleepy and hungry. Those side effects may be benefits to certain people (depressed elderly person who is not eating and has trouble falling asleep) but may be liability to others who already have too good of an appetite. MAOI's are also very effective, and they are low on their side effects, but they require careful attention not to combine them with other antidepressants, stimulants, opiates and certain tyramine containing foods. Hope this helps answer your question.
Zoloft or prozac
Lexapro

*Piyush Jani, MD*
While antidepressants can have anti anxiety effects, it may. not necessarily be the treatment of choice for your anxiety. IF there are psychological and or interpersonal issues psychotherapy should be part of the treatment plan