What medicine should I take for nervousness, anxiety, and fear

Nervous anxiety and fear can be treated with medications such as paroxetine, sertraline, lorazepam, buspirone, propranolol, etc. as prescribed by the doctor. These medications are suitable for anxiety symptoms caused by different reasons and should be selected according to individual circumstances under the guidance of a doctor. Paroxetine is a selective serotonin reuptake inhibitor commonly used to treat generalized anxiety disorder and social anxiety disorder. This drug alleviates persistent tension by regulating levels of neurotransmitters in the brain, and typically takes several weeks to take effect. Possible side effects such as dizziness or gastrointestinal discomfort may occur, and long-term use requires regular evaluation of efficacy.

2. Sertraline

Sertraline is also an antidepressant drug that has significant effects on anxiety patients with accompanying depressive symptoms. It can improve excessive worry and recurrent fearful thoughts, especially suitable for people with chronic anxiety. Sleep disorders may occur during the initial stages of medication, and symptoms usually gradually improve after 2-4 weeks.

3. Lorazepam

Lorazepam is a benzodiazepine fast acting anti anxiety drug suitable for short-term control during acute anxiety attacks. This drug rapidly reduces physical symptoms such as palpitations and tremors by enhancing central nervous system inhibition, but continuous use should not exceed 4 weeks to avoid dependence.

4. Buspirone

Buspirone is a non benzodiazepine anti anxiety drug that is effective in treating anticipatory anxiety and situational fear. Its mechanism of action is different from traditional sedatives, as it does not cause drowsiness or muscle relaxation, making it suitable for patients who need to maintain alertness.

V. Propranolol

Propranolol, as a beta blocker, is mainly used to alleviate physical symptoms caused by anxiety such as hand tremors, sweating, and tachycardia. This drug works by blocking adrenaline receptors, making it particularly suitable for specific scenarios such as performance anxiety or exam anxiety.

In addition to drug therapy, it is recommended to combine cognitive-behavioral therapy for systematic intervention. Maintaining a regular schedule and moderate exercise can help regulate autonomic nervous system function, while yoga or meditation exercises can enhance emotional regulation ability. Avoid excessive intake of caffeine and alcohol, and add whole grains and dark green vegetables rich in vitamin B to a balanced diet. When the symptoms continue to worsen, timely follow-up visits should be made to adjust the treatment plan, and medication should not be increased or decreased on one's own.