Managing Anxiety Medications: Side Effects and Concerns Explained

Anxiety disorder medications

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 take it, I feel very anxious and can't calm down, but when I do take it, I feel very fatigued at work.
This is really troubling me.

Miss Huang, 20~29 year old female. Ask Date: 2023/10/27

Dr. Wu Enliang reply Psychiatry

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

Reply Date: 2023/10/27

More Info

Managing anxiety and panic disorders often involves a careful balance of medication and therapy. It sounds like you are experiencing some common side effects associated with the medication you are taking, specifically Lexapro (escitalopram), which is often prescribed for anxiety and depression.
First, it’s important to understand that medications like Lexapro can take some time to adjust to, and side effects can vary significantly from person to person. Common side effects of Lexapro include drowsiness, fatigue, dizziness, and difficulty concentrating, which may explain the feelings of being "out of it" or "foggy" that you are experiencing. These symptoms can be particularly challenging when you are trying to maintain a normal work routine.

The feelings of anxiety and panic that you experience when not on medication are also common. Many individuals with anxiety disorders find that their symptoms can become overwhelming without the support of medication. However, the goal of treatment is to find a balance where the medication effectively manages your anxiety without causing debilitating side effects.

Here are some considerations regarding your situation:
1. Communication with Your Doctor: It is crucial to have an open dialogue with your prescribing physician about the side effects you are experiencing. They can help determine whether these side effects are temporary or if they warrant a change in your treatment plan. Sometimes, adjusting the dosage or switching to a different medication can alleviate side effects while still providing the necessary anxiety relief.

2. Adjustment Period: Many people experience side effects when they first start taking a new medication, but these often diminish after a few weeks as your body adjusts. If you have only recently started taking Lexapro, it may be worth giving it a little more time to see if the side effects lessen.

3. Alternative Treatments: If the side effects persist and significantly impact your daily life, your doctor may suggest alternative medications or adjunct therapies. Options include other SSRIs or SNRIs, benzodiazepines for short-term relief, or non-pharmacological treatments such as cognitive-behavioral therapy (CBT), which has proven effective for anxiety disorders.

4. Lifestyle Modifications: In addition to medication, incorporating lifestyle changes can also help manage anxiety. Regular physical activity, mindfulness practices, and adequate sleep can significantly improve your overall mental health and may reduce the need for higher medication doses.

5. Monitoring and Follow-Up: Regular follow-ups with your healthcare provider are essential. They can monitor your progress, adjust medications as needed, and provide support as you navigate your treatment.

In conclusion, while it is not uncommon to experience side effects from anxiety medications, it is essential to address these concerns with your healthcare provider. They can help you weigh the benefits of the medication against the side effects you are experiencing and make the necessary adjustments to your treatment plan. Remember, managing anxiety is often a multifaceted approach that includes medication, therapy, and lifestyle changes. You are not alone in this journey, and with the right support, you can find a treatment plan that works for you.

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