Pristiq for anxiety: Does it really help?

Pristiq for anxiety: Does it really help?

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Aisha Bibi

Clinical psychologist

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Pristiq is used for MDD, but it may sometimes be used off-label for anxiety. Learn how Pristiq works for anxiety, its side effects, and strategies to manage anxiety.

Pristiq for Anxiety: Does It Really Help?

Pristiq is primarily used to treat depression. According to some studies, it may sometimes be prescribed off-label for anxiety disorders, but research is limited.

Always consult your doctor to know the safe and effective option. Therapy Fleet can connect you online with licensed healthcare providers to discuss whether Pristiq is a safe and effective option for anxiety. Book your online consultation now.

WARNING

FDA Black Box

  • Some people who have mental health conditions like depression who take antidepressants may face an increased risk of suicidal thoughts and behaviour, especially in children, teens, and adults. Be cautious if you experience any unusual symptoms or side effects.

Always discuss the benefits and risks of the medication with your doctor. Having a mental disorder like depression may increase the chance of suicidal behaviour or thoughts. The risk of suicidal thoughts or behaviour may increase in people of older age and young people who are taking antidepressants, or if you or any of your family members have Bipolar disorder.

  • Pristiq may increase the risk of Serotonin syndrome. (If it’s taken alone or with other serotonergic agents like SSRI, SNRI, triptans
  • It may increase the risk of bleeding.
  • Pristiq is not recommended for use if you have a history of narrow-angle glaucoma
  • Be extra cautious if you have a history of seizures, high blood pressure, or heart issues.
  • It is not approved for pediatric patients.

These conditions can occur without any warning symptoms. If you experience any side effects or serious symptoms, seek medical attention immediately. You can also visit the website to obtain a medication guide at www.fda.gov/DrugSafety/ucm085729.htm

What is Pristiq?

Pristiq (generic name: Desvenlafaxine) is an antidepressant used to treat Major depressive disorder. It belongs to the class of drugs, Serotonin-norepinephrine reuptake inhibitors (SNRI). It is used to help anxiety disorders, including panic disorder and social phobia.

Key Facts

  • Nearly 359 million people are affected by anxiety disorders (2021)

  • 1 in 4 people receive treatment for anxiety disorder

  • About a third of the US population experiences anxiety disorders during their lives

  • About 4.4% of the population is experiencing anxiety disorders globally

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Off-label Uses of Pristiq for Anxiety

Your healthcare provider may sometimes prescribe Pristiq off-label for:

There are limited studies on Pristiq used for anxiety disorders, but some studies suggest improvement in anxiety symptoms. Consult your doctor for safe and effective anxiety medications.

Pristiq for Anxiety: Does It Really Help?

Anxiety may refer to excessive worry, anticipation, concern about the future, fear, or phobias that may affect daily life activities. People with anxiety disorders may avoid situations that may worsen their anxiety symptoms or trigger them.

Pristiq is an approved antidepressant for MDD, but may sometimes be used off-label for anxiety, especially if first-line treatment is not effective for you. Its potential role is to manage conditions, including generalized anxiety disorder, social anxiety disorder, and panic disorder.

Patients with anxiety disorders have reported improvement in:

  • Excessive worry 
  • Daily life activities

How Does Pristiq Work for Anxiety?

Pristiq (desvenlafaxine) belongs to the drug class SNRI and works by enhancing the activity of serotonin and norepinephrine. These brain chemicals are responsible for regulating mood, energy, and stress response. 

By blocking the reuptake (reabsorption) of serotonin and norepinephrine, Pristiq allows these neurotransmitters (serotonin, norepinephrine) to remain in the brain. This chemical balance can help improve mood and reduce anxiety symptoms.

Ask an Expert!

 

What are the best antidepressants for anxiety?

This is one of the common questions asked by people, and honestly, there is no one-size-fits-all answer.  The “best” option really depends on your health condition and treatment response. 

Doctors usually start with SSRI and SNRI, and both are considered effective in treating depression and anxiety.

SSRIs like Zoloft (Sertraline), Escitalopram (Lexapro), and Fluoxetine (Prozac) are often the first to go.

SNRIs like Duloxetine (Cymbalta) and Venlafaxine XR ( Effexor XR) are other options that work well for anxiety.

Always consult your healthcare provider for a safe and effective option to manage anxiety symptoms.

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Pristiq Dosage Information

Pristiq is a prescription medication that can be swallowed. It can be taken orally with or without food. It comes in tablet and extended-release dosage forms of strengths:

  • 25 mg extended-release oral tablets
  • 50 mg extended-release oral tablets
  • 100 mg extended-release oral tablets

Recommended dose of Pristiq is 50 mg, but you may be prescribed the maximum dose of 400 mg/day.

Always consult your doctor for adjustment of the dose. Dosage monitoring is essential as every individual’s treatment goal and response to the medication is different. Only a licensed healthcare provider may prescribe Pristiq depending on individual needs.

9 Most Common Side Effects of Pristiq

  1. Nausea
  2. Dry mouth
  3. Constipation
  4. Insomnia
  5. Drowsiness
  6. Fatigue
  7. Excessive sweating
  8. Decreased appetite
  9. Sexual issues

7 Serious (Rare) Side Effects

  1. Seizures
  2. Tremors
  3. Increased blood pressure
  4. Anxiety or vomiting
  5. Blurred vision
  6. Serotonin syndrome
  7. Shortness of breath

Some of the side effects are mild and may improve over time, but if they persist, consult your healthcare provider.

Discontinuation Syndrome

Stopping the mediation suddenly may cause discontinuation syndrome. If Pristiq causes potential side effects, you can stop taking it under your doctor’s supervision, or your doctor may gradually reduce the dose. Discontinuation may lead to adverse effects, including:

  1. Suicidal thoughts
  2. Suicidal behaviour
  3. Aggression
  4. Irritability
  5. Insomnia
  6. Nausea
  7. Sweating
  8. Heading
  9. Confusion
  10. Anxiety
  11. Lethargy
  12. Hypomania
  13. Seizures

Discontinuing treatment should always be done carefully under your doctor’s guidance and supervision.

Non-medical Alternatives to Help Anxiety Disorders

A combination of therapy, lifestyle changes, and medications works well. If Pristiq is not effective for you, your doctor may recommend non-medical strategies to improve the quality of life and reduce anxiety symptoms. Some of the strategies that may help with anxiety symptoms are:

  • Cognitive Behavior Therapy (CBT)

Cognitive behavior therapy (CBT) is an effective and supportive intervention to help with Anxiety and stress-related disorders. It helps to change maladaptive behaviour and thought patterns to healthier and more adaptive thinking and behaviour.

  • Healthy Lifestyle Choices

Lifestyle changes are a powerful and healthy tool to reduce anxiety and depression. Regular exercise, maintaining proper sleep, and a balanced diet can have a strong impact on boosting mood and mental well-being.

  • Online Therapy With Ongoing Support

Therapy plays a vital role in managing anxiety and depression by equipping people with effective coping strategies. Therapy Fleet is an online platform that connects you with licensed healthcare professionals. It provides ongoing support, guidance, and coping strategies tailored to your needs.

Conclusion

Pristiq is primarily used to help with major depressive disorder. Studies suggest it may also help with anxiety disorders, especially if the first-line treatment does not work. Always talk to your doctor for a safe and effective anxiety medication option.

Therapy Fleet is an online platform that connects you with licensed professionals. Book your online consultation today to discuss the safe and effective treatment for anxiety

Don’t let Anxiety control your life

FAQs

Here are answers to some questions our Therapists mostly receive about Pristiq and anxiety.

1. What medication helps with anxiety immediately?

Some antidepressant medications provide immediate anxiety relief or Fast-acting relief

Some medications may take a few weeks to work for anxiety, such as:

(Pristiq, Lexapro, Zoloft)

2. Does pristiq make you sleepy?

Pristiq can cause side effects like fatigue, tiredness, drowsiness, or sleepiness. However, every individual has a unique experience with Pristiq. It may cause you to feel sleepy or restless.

3. Is Pristiq similar to Zoloft?

Both Pristiq and Zoloft are antidepressants used to treat Depression, but they belong to different drug classes. Zoloft belongs to the selective serotonin reuptake inhibitor (SSRI) class of drugs, while Pristiq is a serotonin norepinephrine reuptake inhibitor (SNRI).

4. When is the best time to take Pristiq?

You can take Pristiq at the same time each day exactly as prescribed by your doctor. It can be taken with or without food.

Medical Disclaimer:

At Therapy Fleet, we strive to enhance the quality of life for those dealing with mental health issues. Our licensed medical professionals meticulously research, edit, and review all content before publication. Nonetheless, this information should not replace professional medical advice, diagnosis, or treatment. For medical guidance, please consult your physician or reach out to Therapy Fleet’s qualified staff.

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Additional Resources

Understanding Depression Symptoms, Causes, and Treatment

SSRI vs SNRI: How to Get an Online Prescription for Anxiety

How To Deal with Anxiety Vomiting? A Quick Guide

Is Bipolar a Personality Disorder? BPD Vs Bipolar

Does Zoloft Help With Anxiety?

How Long Does It Take for Lexapro to Work for Anxiety

How Long Does Prozac/Fluoxetine Take to Work?

Effexor and Lexapro Explained: What You Need to Know

Over-The-Counter Anxiety Medicines- Supplements & Herbs

Best Options for Non-Addictive Anxiety Medications

Understanding Insomnia Causes, Symptoms, and Treatment

Embarking on a Journey of Sexual Wellness: Understanding Sex Therapy

How Long Does It Take for Zoloft to Work?

Best Time to Take Lexapro for Anxiety

Can You Take Hydroxyzine and Lexapro Together? A Clinically Reviewed Guide

How to Tell if Shortness of Breath Is From Anxiety

GAD Online Therapy

Overcoming Social Anxiety Online Therapy for Confidence and Connection

Find Calm in the Storm: Panic Attack Online Therapy

CBT Exercises for ADHD – Examples and Techniques

Blue Xanax Bar: Types of Alprazolam Pills

Uses of Gabapentin for Anxiety Disorder Treatment

Efficacy of Clonidine for Anxiety Disorders

Wellbutrin Help with Social Anxiety

Does Vyvanse Help With Anxiety?

A Guide to Wellbutrin Dosage for Depression and Anxiety

Can Adderall Cause Anxiety? 5 Ways to Manage Side Effects

Side Effects of Bupropion: Can Wellbutrin Cause Anxiety?

Can Stress and Anxiety Cause Psychogenic Fever?

Which is the Best ADHD Medication for Adults With Anxiety?

Effects of Bupropion for Anxiety & Depression

 

Sources

https://pmc.ncbi.nlm.nih.gov/articles/PMC4034101/

https://www.fda.gov/safety/medwatch-fda-safety-information-and-adverse-event-reporting-program

https://www.who.int/news-room/fact-sheets/detail/anxiety-disorders

https://www.nimh.nih.gov/health/topics/anxiety-disorders

https://pubmed.ncbi.nlm.nih.gov/23010882/

https://pmc.ncbi.nlm.nih.gov/articles/PMC8475916/

https://www.psychiatry.org/patients-families/anxiety-disorders/what-are-anxiety-disorders

https://pubmed.ncbi.nlm.nih.gov/20414167/

 

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