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Anxiety and Stress Disorders

Effects of SSRIs vs. Cost

04/11/2005

Question:

As the anti-anxiety medicines need to be taken for longer, the cost factor has a great relevance. Sir, I want to ask whether SSRI sertraline has the same potency and efficacy as that of other SSRI like Paroxetine and Escitolopram? Is the time of action is same?

Answer:

All of the SSRIs (Selective Serotonin Reuptake inhibitors) are very similar, and probably work well with anxiety.  Not all have been tested specifically for anxiety, and not all have gotten US Food and Drug Administration "approval" for use in anxiety, but the consensus among physicians and psychiatrists, is that all the SSRIs will work for anxiety -- it is a matter of working with your physician to find one that specifically works for you, and cost should definitely be a factor in that decision.

Specifically, you ask about sertraline (zoloft), which has had good success for anxiety for many people, and does have FDA approval for many anxiety conditions.

Good luck.

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Response by:

Nancy   Elder, MD Nancy Elder, MD
Associate Professor
College of Medicine
University of Cincinnati