Social Anxiety Disorder Medication

Social anxiety disorder medication can minimize the frequency, intensity and severity of the symptoms related to the mental illness. On one hand, its advantages include faster relief of symptoms than is possible with psychotherapy and the minimal effort involved in said relief. On the other hand, its disadvantages include adverse side effects and the recurrence of symptoms when it is ceased although with appropriate psychotherapy, this can avoided.

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Two things stand out when using medication for social anxiety disorder. First, appropriate psychotherapy must be provided alongside medication so as to achieve optimal results. Second, close coordination in the form of regular monitoring and evaluation between patient and doctor is necessary.

Selective Serotonin Reuptake Inhibitors (SSRIs)

SSRIs are a class of antidepressants that are considered by many professional therapists and doctors to be the first line of defense in social anxiety disorder medication especially for the generalized type. Its main benefits stem from its ability to increase the production of serotonin, a neurotransmitter known to enhance the person’s mood. Among the specific medicines included are paroxetine (Paxil), Fluvoxamine CR (Luvox CR), sertraline (Zoloft) and paroxetine CR (Paxil CR). It must be emphasized that although these medicines are the most commonly prescribed, not all individuals will respond to them.

Serotonin-Norepinephrine Reuptake Inhibitors (SNRIs)

SNRIs act on two neurotransmitters in the brain – serotonin and norepinephrine – both of which play an important role in mood regulation. As such, SNRIs are also called dual reuptake inhibitors.

Two of the FDA-approved SNRIs as social anxiety disorder medication are Duloxetine (Cymbalta) and Venlafaxine (Effexor and Effexor XR), both of which also act as anti-depressants. Venlafaxine is the more preferred choice because of its availability in both immediate-release and extended-release forms, the former of which is taken in 2-3 doses per day while the latter is taken at 1 tablet a day.

Benzodiazepines (BDZs)

As with most anti-anxiety medicines, BDZs like clonazepam (Klonopin) have their pros and cons. On one hand, these provide anxiety relief faster than other medications, hence, their popularity. On the other hand, these can lead to physical dependency, with the added disadvantage of non-treatment for depression that can accompany social anxiety disorder.

Monoamine Oxidase Inhibitors (MAOIs)

MAOIs are not as popular as social anxiety disorder medication as they were once before due to two main reasons. First, these can lead to disturbing and dangerous side effects like decreased blood pressure and urine output. Second, these require a special low-tyramine diet that can be inconvenient to follow. As such, these are often prescribed only when the patient fails to respond to the other anti-anxiety medicines. Among the MAOIs are phenelzine (Nardil) and tranylcypromine (Parnate).

Beta-blockers

Beta-blockers work on the physical symptoms of social anxiety disorder like increased heart rate and tremors as well as sweating. In doing so, the intensity level of the anxiety attack is considerably lessened. The most commonly used beta-blocker is propranolol (Inderal). It must be emphasized that beta-blockers are not anti-depressants.

You must work in close coordination with your doctor to arrive at the appropriate combination and dosage of drugs in your personalized social anxiety disorder medication. Needless to say, you must follow the dosage instructions as strictly as possible for maximum results.

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