What medicine is most effective for anxiety, nervousness, and palpitations

Nervous anxiety and palpitations can be treated with medications such as paroxetine, sertraline, lorazepam, alprazolam, propranolol, etc. according to medical advice. These medications are suitable for anxiety symptoms caused by different reasons and should be selected by a doctor based on individual circumstances after evaluation.

1. Paroxetine

Paroxetine is a selective serotonin reuptake inhibitor, suitable for generalized anxiety disorder and panic attacks. This medicine alleviates persistent anxiety by regulating the levels of neurotransmitters in the brain, and takes several weeks to take effect. During medication, there may be drowsiness or gastrointestinal reactions. Long term use requires regular follow-up to evaluate the efficacy.

2. Sertraline

Sertraline is also an antidepressant drug that has a significant effect on anxiety symptoms accompanied by depressive emotions. It can improve symptoms of low mood and palpitations, especially suitable for patients with chronic anxiety. In the early stages of medication, anxiety may be exacerbated, and the dosage should be gradually adjusted in conjunction with psychological therapy.

3. Lorazepam

Lorazepam, as a benzodiazepine drug, can quickly alleviate physical symptoms such as palpitations and hand tremors during acute anxiety attacks. This medicine has a sedative effect and is suitable for short-term emergency use. Long term use may lead to dependence, and it is necessary to strictly follow medical advice to control the medication cycle.

4. Alprazolam

Alprazolam can alleviate palpitations related to expected anxiety and sleep disorders. Its anti anxiety effect is significant but lasts for a short period of time, and may have side effects such as decreased attention. Elderly patients should use caution and avoid combination with other central nervous system inhibitors.

5. Propranolol

Propranolol improves physiological reactions caused by anxiety, such as tachycardia and hand sweating, by blocking beta receptors. This medicine does not affect emotional state and is suitable for use in specific situations such as performance anxiety. Asthma patients are prohibited from using it, and heart rate changes should be monitored during medication. In addition to medication treatment, it is recommended to combine cognitive-behavioral therapy to adjust negative thinking patterns and engage in regular aerobic exercise to help alleviate physical symptoms. Maintaining sufficient sleep and a balanced diet can help stabilize neurological function and prevent excessive caffeine intake from exacerbating palpitations. When symptoms persist or worsen, timely follow-up visits should be made, and medication dosage or type should not be adjusted on one's own. Some traditional Chinese patent medicines and simple preparations, such as Wuling capsule, can also be used as auxiliary treatment, but it needs to be used after communication with the attending doctor.