If the initial SSRI doesn’t work well, or you have adverse effects, which are troublesome, you should be provided a different SSRI or another kind of anti-depressant known as a serotonin-noradrenaline reuptake inhibitor (SNRI). Duloxetine and Venlafaxine are members of the SNRI group.
If anti-depressants are not suited for you, they may provide Pregablin, which is an anticonvulsant used to manage seizures and can be used to treat GAD too.
Your health-care professionals shouldn’t usually provide you a benzodiazepine to manage GAD. Benzodiazepines are used to treat seizures, sleep problems, agitation, and muscle spasms. Chlordiazepoxide, Lorazepam, and Diazepam belong to this particular group of medication. A benzodiazepine may be provided temporarily only for a short period in a crisis such as severe anxiety, which is very difficult to manage, and you really feel out of control.
Your GP or other health-care professional shouldn’t usually provide an anti-psychotic to manage GAD in primary care.
Your health-care professional should talk about all the treatment options and your preferences. They should provide complete written information regarding medication. It should include following information.
- Initially, taking anti-depressants may cause worsening of anxiety and agitation, as well as you may have sleeping and eating difficulties. However, these complications usually resolve after a short period.
- Adverse effects
- Withdrawal symptoms, which might appear when you quit taking medications.
- Interactions with some other medicines you are taking.
- Some over-the-counter drugs may affect the action of medication for GAD.
- Importance of thoroughly following the instructions regarding medication.
Your health-care professional should check for any adverse effects during the initial period of treatment. If you have any side effects, they should check to see whether those adverse effects improve with time. Sometimes, they may lower the dose of your medication, or may give a different medication, or a psychological management instead.
You should be asked to see your health-care professional every two to four weeks for the first three months, and every three months there after, while you are taking treatments.
If you’re under 30 years, and you are taking anti-depressants, your health-care professional should inform you that rarely, you will have thoughts of harming yourself. Therefore, they should see you weekly for the first month of treatment.
If the medication is managing GAD properly, you should take it for at least one year because, it will help you to stay well.
Related Links:
What Is Generalised Anxiety Disorder (GAD)?
Planning the Management of Generalised Anxiety Disorder (GAD)
How to Manage Generalised Anxiety Disorder (GAD)?
Psychological Treatments for Generalised Anxiety Disorder (GAD)
What Happens If Psychological Treatment or Medication for GAD Doesn’t Work?
How to Support People with Generalised Anxiety Disorder (GAD)?
What Is Panic Disorder?
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