Anxiety Medication: Is Increased Anxiety Normal? - Psychiatry

Share to:

Medication issues


Hello, Dr.
Liang.
I have been experiencing anxiety and visited a psychiatrist, who prescribed me Sertraline.
However, after taking it for four days, I feel even more anxious, panicky, and have palpitations, and I have little appetite.
Is this normal?

sam, 20~29 year old female. Ask Date: 2017/08/06

Dr. Liang Sunyuan reply Psychiatry


Hello Sam: The therapeutic effects of medication may take three to six weeks to fully manifest, and symptoms of anxiety and panic can themselves lead to poor appetite.
If the symptoms continue to be bothersome, it is advisable to return for a follow-up appointment and discuss with your physician.

Reply Date: 2017/08/06

More Info


It's understandable to feel concerned about your increased anxiety and panic symptoms after starting a new medication like DeXuan (which is likely a brand name for a medication such as buspirone or another anxiolytic). When beginning treatment for anxiety, it's not uncommon for some individuals to experience an initial increase in anxiety symptoms before they begin to feel better. This phenomenon can be attributed to several factors.

Firstly, many anxiety medications, especially selective serotonin reuptake inhibitors (SSRIs) or other antidepressants, can initially cause an increase in anxiety symptoms as the body adjusts to the medication. This is often referred to as a "start-up" effect. During this period, neurotransmitter levels in the brain are being altered, which can lead to temporary side effects, including heightened anxiety, restlessness, or even panic attacks. It’s important to communicate these feelings to your prescribing physician, as they may need to adjust your dosage or consider a different medication.

Secondly, the psychological aspect of starting a new medication can also contribute to feelings of anxiety. The anticipation of side effects, the fear of not improving, or even the stress of managing a mental health condition can exacerbate feelings of anxiety. This is sometimes referred to as "medication anxiety," where the act of taking medication itself can lead to increased worry.

Regarding your loss of appetite, this is also a common side effect of many anxiety medications. Changes in appetite can occur as your body adjusts to the medication, and it’s important to monitor this closely. If your appetite does not return or if you experience significant weight loss, it’s crucial to discuss this with your doctor.

In terms of whether this experience is "normal," it is not uncommon, but it is essential to differentiate between typical side effects and a potential adverse reaction. If your anxiety continues to worsen or if you experience severe side effects, it is vital to reach out to your healthcare provider promptly. They may recommend a temporary adjustment in your medication or suggest additional therapeutic options, such as cognitive-behavioral therapy (CBT), which can be very effective in managing anxiety.

Lastly, it's worth noting that the timeline for feeling the full effects of anxiety medications can vary significantly from person to person. While some may start to feel relief within a few weeks, others may take longer. Patience and ongoing communication with your healthcare provider are key components of this process.

In summary, while experiencing increased anxiety and panic after starting a new medication can be a normal part of the adjustment period, it is crucial to keep your healthcare provider informed about your symptoms. They can help you navigate this process and ensure that you receive the most effective treatment for your anxiety. Remember, managing anxiety is often a multifaceted approach that may include medication, therapy, lifestyle changes, and support systems.

Similar Q&A

Managing Anxiety Medication: Concerns and Solutions for Students

Hello, doctor: I would like to ask about the use of medication for anxiety disorders. Previously, during my college entrance exam preparation, I experienced significant stress and during a mock exam, I became so anxious that I couldn't calm down to take the test. Even though...


Dr. Wu Enliang reply Psychiatry
Hello, Hsiao-Hsuan: Anti-anxiety medications can alleviate anxiety, but they do not teach you how to overcome anxiety or coexist with it. There are other non-pharmacological treatment options for anxiety disorders, such as reducing life stress, adjusting lifestyle habits, increas...

[Read More] Managing Anxiety Medication: Concerns and Solutions for Students


Medication Consultation for Anxiety: Dosage Concerns and Safety

Hello doctor, I would like to ask about my current situation. I am taking half a tablet of Mirtazapine at night, and most of the time I feel fine. However, I occasionally experience some anxiety when I am nervous or feel unwell. Do I need to increase my dosage to a full tablet? M...


Dr. Wu Enliang reply Psychiatry
Hello, if you only experience anxiety occasionally when feeling nervous or unwell, it is considered normal anxiety and does not require medication. Overmedication typically leads to drowsiness. - Dr. Wu Enliang

[Read More] Medication Consultation for Anxiety: Dosage Concerns and Safety


Managing Social Anxiety: Medication Insights and Strategies

Hello, doctor. I have been in a high-stress work environment for a long time. Three years ago, I realized that the stress had escalated to the point where I became very anxious, and I constantly felt tense and anxious. One to two years ago, I noticed that my hands would tremble w...


Dr. Liang Sunyuan reply Psychiatry
Hello, based on your description, it seems that you have managed well over the past year, with only a recent episode of heightened anxiety during an important meeting. In fact, even with prescribed medication, achieving perfect control is not always possible; everyone can occasio...

[Read More] Managing Social Anxiety: Medication Insights and Strategies


Managing Anxiety Medications: Side Effects and Concerns Explained

Hello, doctor! I was recently diagnosed with panic disorder and my doctor prescribed Lexapro 30 mg to be taken every morning. However, after taking it, I often feel disoriented and have difficulty functioning at work. Is this normal? Should I continue taking it? When I don't...


Dr. Wu Enliang reply Psychiatry
Changing to a regular dinner time in the evening will generally lead to improvements. - Dr. Wu En-Liang

[Read More] Managing Anxiety Medications: Side Effects and Concerns Explained


Related FAQ

Anti-Anxiety Medication

(Psychiatry)

Anxiety

(Psychiatry)

Anxiety Panic Disorder

(Psychiatry)

Social Anxiety Disorder

(Psychiatry)

Panic

(Psychiatry)

Psychiatric Medications

(Pharmacology)

Hyperventilation

(Psychiatry)

Emotions

(Psychiatry)

Neurotic Disorder

(Psychiatry)

Sleeping Pills

(Psychiatry)