Medication for Anxiety: Complete list, side effects, and Online Care
At Talkiatry, we know that navigating mental health can feel overwhelming. Our mission is to make it easier—starting with information you can trust. As a national mental health practice with over 600 psychiatrists and other providers, we combine clinical excellence with real-world understanding to deliver incredible care and reliable information. This article has been medically reviewed by the same doctors who treat our patients every day, ensuring it meets the highest standards. Whether you’re seeking care now or simply looking to learn more, we’re here to help.
Anxiety can affect your daily life in ways that are hard to manage on your own. If you’re feeling overwhelmed, know that anxiety is a real, diagnosable condition, and with the right care, it’s also highly treatable.
For many people, medication can play a helpful role in managing anxiety. The best approach depends on your specific symptoms, health history, and personal preferences, which is why treatment always starts with talking to a qualified mental health professional, like a psychiatrist.
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What is anxiety medication?
Anxiety medications act on the brain chemicals involved in stress, fear, and mood regulation. They can help ease symptoms like racing thoughts, physical tension, restlessness, and panic, so that you feel more balanced and in control.
These medications often work very effectively when combined with therapy or other support. Not everyone with anxiety needs medication, but for many people, it becomes a key part of their treatment. Your provider will walk you through the options, explain the potential benefits and risks, and help you make a choice that feels right for you. You can learn more about which doctors can prescribe anxiety medication here.
Types of anxiety medications
There are several types of medications commonly used to treat anxiety. Each works a little differently, and the best choice depends on your individual needs, symptoms, and how your body responds to treatment. Here’s a breakdown of the most common categories.
SSRIs
Selective serotonin reuptake inhibitors (SSRIs) work by increasing the level of serotonin in the brain. Serotonin is a chemical messenger that plays a key role in regulating mood, emotion, and sleep. Normally, serotonin is released by nerve cells and then reabsorbed. SSRIs block this reabsorption (or reuptake), allowing more serotonin to remain in the brain. This helps stabilize mood and reduce anxiety.
SSRIs are generally well tolerated and are often considered the first line of treatment for anxiety disorders.
Common medications:
- Prozac (fluoxetine)
- Lexapro (escitalopram)
- Paxil (paroxetine)
- Zoloft (sertraline)
- Celexa (citalopram)
SNRIs
Serotonin-norepinephrine reuptake inhibitors (SNRIs) increase levels of both serotonin and norepinephrine, two key neurotransmitters that affect mood and anxiety. These are also typically well tolerated and considered first-line treatments for anxiety.
Common medications:
- Cymbalta (duloxetine)
- Effexor (venlafaxine)
- Pristiq (desvenlafaxine)
- Savella (milnacipran)
Buspar and other alternatives
Buspar (buspirone) can be used to treat anxiety when other types of anxiety medication, like SSRIs and SNRIs, haven’t been effective. Tricyclic antidepressants like Tofranil (imipramine), Anafranil (clomipramine), and Elavil (amitriptyline) are another alternative.
Benzodiazepines (short-term use)
Benzodiazepines calm the nervous system for fast relief from anxiety symptoms. Although they are effective, benzodiazepines are controlled substances with a risk of dependence and are typically recommended for short-term or as-needed use.
Common medications:
- Ativan (lorazepam)
- Klonopin (clonazepam)
- Valium (diazepam)
- Xanax (alprazolam)
Beta blockers (short-term use)
Typically used to treat high blood pressure or heart conditions, beta blockers can help manage physical symptoms of anxiety. They’re typically taken on an as-needed basis and can be helpful before events like public speaking or flying.
Common medications:
- Propranolol
- Metoprolol
- Nebivolol
- Atenolol
Hydroxyzine (short-term use)
The antihistamine hydroxyzine is another fast-acting alternative to benzodiazepines for short-term anxiety relief.
Everyone's needs are different. Some people benefit from just one medication, while others manage their symptoms best with a combination of medications. Your provider will tailor your treatment to your specific needs.
If you’re considering taking medication for anxiety, here is an overview of how the process works. You can also read more about treatment for anxiety disorders here.
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Anxiety medication side effects
Starting medication for anxiety can bring up a lot of questions, especially about side effects. That’s completely normal. While everyone's experience is different, many people don’t experience side effects at all. When they do occur, they’re often mild, show up early in treatment, and improve as your body adjusts.
Your provider will let you know what to expect for the medication you’re prescribed and check in regularly. If something doesn’t feel right, they can adjust the dosage or recommend a different option to help you feel more comfortable.
Here’s what to know about potential side effects across different types of anxiety medication:
Side effects of SSRIs
- Nausea
- Dry mouth
- Dizziness
- Headache
- Difficulty sleeping or fatigue
- Changes in weight
- Changes in sexual function or desire
Side effects of SNRIs
- Nausea
- Dry mouth
- Constipation
- Sweating
- Changes in sexual function or desire
Side effects of Buspar
- Dizziness
- Headache
- Nausea
- Trouble sleeping
Side effects of tricyclic antidepressants
Tricyclic antidepressants are an older class of medications with a higher potential for side effects than newer treatments. Potential side effects may include:
- Dizziness
- Drowsiness
- Confusion
- Urinary retention
- Nausea and vomiting
- Constipation
- Blurred vision
- Weight gain
Side effects of benzodiazepines
Benzodiazepines have a high potential for dependence and side effects, especially with long-term use. Stopping these medications abruptly can lead to serious withdrawal symptoms, including seizures. It’s important to work closely with your doctor on a gradual tapering plan if you decide to stop taking them.
Potential side effects may include:
- Drowsiness
- Memory or concentration issues
- Confusion
- Blurred vision
- Headache
- Low mood or depression
Side effects of beta blockers
- Fatigue
- Dizziness or lightheadedness
- Drowsiness
- Cold hands and feet
- Nausea (less common)
Side effects of hydroxyzine
- Drowsiness
- Dizziness
- Dry mouth
- Headache
- Nausea
Lifestyle changes for anxiety
Medication often plays an important role in managing anxiety, but it isn’t the only tool. Many people find that lifestyle changes and home remedies for anxiety, like the ones below, can help ease symptoms, in tandem with medication and therapy.
- Stay active: Regular exercise can help regulate your nervous system and lower stress hormones that contribute to anxiety. Even short walks or gentle stretching can make a difference on busy days.
- Prioritize sleep: Sleep deprivation can make anxiety worse. Try to maintain a consistent sleep schedule and create a calming bedtime routine, like reducing screen time and winding down with a book.
- Limit your caffeine intake: Caffeine is a stimulant that can heighten feelings of anxiety. Cutting back or choosing lower-caffeine alternatives can help you feel more balanced.
Practice at-home relaxation techniques: Mindfulness, breathing exercises, and meditation can help calm your body’s stress response and quiet racing thoughts. There are a number of apps and guided videos to try at home.
Find an anxiety specialist
- Average 10 years of experience
- Use your insurance
- Licensed to prescribe, trained to listen
How medication for anxiety works online
Online psychiatry platforms like Talkiatry have made anxiety treatment more accessible than ever. You can meet with a licensed provider virtually, collaborate on a treatment plan that fits your needs, and have prescriptions sent to your preferred pharmacy.
How online anxiety medication treatment works at Talkiatry
Getting started is simple. You’ll fill out a brief online form to tell us about your symptoms and what kind of care you’re looking for. From there, we’ll connect you with a psychiatrist whose background and approach align with your goals. After your first visit, you and your provider will create a treatment plan that may include medication, therapy referrals, or lifestyle strategies to support your well-being.
Psychiatrists who make a difference
Our expert psychiatrists have decades of experience treating anxiety disorders. They go beyond symptom management to create personalized care plans that support your whole well-being.
What our patients say
“I recommend Talkiatry to anyone that will listen. The benefits this network has provided me in such a short time are priceless and immeasurable.”
“She is very relatable. She is mindful of cost of my medications.”
“Great experience! Provider was ready early which was amazing and honestly never happens. Really appreciate honoring a patient’s time.”
Covered by insurance, designed for you: online medication for anxiety
Talkiatry offers psychiatric care designed to fit into your life. We work with more than 100 insurance plans to make treatment more affordable, and we’ll match you with an experienced, top-rated psychiatrist based on your needs. Since appointments are all online, you can connect with your provider from the comfort of home—no waiting room, no commute.
Why trust us
It’s our mission to expand access to care—and that includes reliable information about mental health. Before we publish any article, we make sure it’s:
- Reviewed by a psychiatrist who treats these conditions every day
- Backed by science and real-world clinical expertise
- Written to help you make informed decisions about care
This article was reviewed by Dr. Caitlin Gardiner, MD
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FAQs about anxiety medication online
Yes. Licensed psychiatrists can prescribe most anti-anxiety medications through a secure telehealth visit, just like in-person care. After a comprehensive evaluation, your clinician will determine if medication is appropriate and develop a treatment plan tailored to your needs. However, some state laws require an in-person visit for certain prescriptions including benzodiazepines.
There isn’t a one-size-fits-all answer. Treatment looks different for everyone, and there are also different forms of anxiety, from generalized anxiety disorder to a panic disorder. The best medication for anxiety depends on your specific symptoms, health history, and how your body responds. Common options include SSRIs, SNRIs, or, in some cases, short-term use of other medications. Your psychiatrist will work with you to find the safest and most effective treatment.
A proper diagnosis from a qualified mental health professional is important before starting any medication. If you think medication might help with your anxiety, the first step is to talk to a provider who can evaluate your symptoms and recommend effective treatment options.
Yes. Research studies have found that online mental health care can be just as effective as in-person treatment for many common mental health conditions. Our clinicians use evidence-based practices and take time to understand your individual goals and concerns.
In some cases, yes. If clinically appropriate, our psychiatrists may prescribe controlled substances to treat anxiety. However, due to federal and state regulations, certain states require an in-person visit before these medications can be prescribed. If this affects your treatment, we’ll talk you through your options during your initial evaluation.
Your first psychiatry visit is a comprehensive evaluation where your psychiatrist will ask about your symptoms, medical history, and treatment goals. Together, you’ll discuss treatment options such as medication, therapy, or a combination, and begin building a care plan that works for you.
Yes. We work with most major insurance plans, and many cover online psychiatric care just like in-person visits. Our team will help you understand your benefits and what to expect before your first appointment.
