What medicine should I take for anxiety and physical symptoms that are really uncomfortable

If the physical symptoms of anxiety are really uncomfortable, you can follow the doctor's advice to take drugs such as paroxetine, sertraline, venlafaxine, buspirone, lorazepam, etc. The physical symptoms of anxiety are usually manifested as palpitations, sweating, tremors, etc., which may be related to genetic factors, long-term stress, neurotransmitter imbalances, hyperthyroidism, cardiovascular disease, and other factors.

1. Paroxetine

Paroxetine is a selective serotonin reuptake inhibitor suitable for generalized anxiety disorder and panic disorder. This medicine can regulate the levels of neurotransmitters in the brain and alleviate physical symptoms such as palpitations and muscle tension. Some patients may experience drowsiness or gastrointestinal discomfort, and regular follow-up visits are needed to evaluate the efficacy.

2. Sertraline

Sertraline is also a selective serotonin reuptake inhibitor, which has a good effect on anxiety somatic symptoms accompanied by gastrointestinal discomfort. This medicine can improve symptoms such as nausea and diarrhea caused by anxiety, with a relatively fast onset time. However, it may worsen insomnia in the early stages, and it is recommended to take it in the morning.

3. Venlafaxine

Venlafaxine is a dual reuptake inhibitor of serotonin and norepinephrine, suitable for anxiety patients with chronic pain. This medicine has a relieving effect on physical symptoms such as headache and back pain. It is important to monitor blood pressure changes and assess the risk for hypertensive patients before use.

4. Buspirone

Buspirone belongs to the non benzodiazepine class of anti anxiety drugs and has significant effects on mild physical symptoms of anxiety. This medication does not cause dependence or drowsiness, and is suitable for long-term use. However, its effectiveness in controlling physical symptoms of acute attacks is limited and requires psychological treatment.

5. Lorazepam

Lorazepam, as a benzodiazepine drug, is suitable for acute anxiety accompanied by severe physical symptoms. This medicine can quickly relieve symptoms such as difficulty breathing and tremors, but continuous use should not exceed four weeks to avoid dependence. Elderly people should reduce their use. In addition to medication treatment, patients with somatic symptoms of anxiety can try abdominal breathing training to relieve chest tightness, engage in 20 minutes of aerobic exercise daily to regulate autonomic nervous system function, and add magnesium rich foods such as pumpkin seeds and spinach to their diet. Establish a regular daily routine, avoid consuming caffeine and alcohol, and adjust medication plans promptly when symptoms continue to worsen. Psychological therapy such as cognitive-behavioral therapy has long-term effects on improving symptom cognition, and it is recommended to use a combination of medication and psychological intervention.