Rivotril, Cipralex or Effexor? Which one is best for treating an anxiety disorder?

Hello,First of all, you should know that there are no clear-cut, predefined solutions for the management of anxiety disorders. Bothffexor and Cipralex are first choice treatments for the management of generalized anxiety disorder (GAD). As for benzodiazepines such as Rivotril, your doctor is right; these agents are really "crutches" that should be used only when needed (anxiety attacks) until the background therapy (Effexor in your case) takes effect. When determining the most appropriate treatment for you, the doctor considers various factors, including the risk of interactions with your other medications, the presence of allergies, previous treatments, and insurance reimbursement (Cipralex is not covered by all insurance companies). Also, each person reacts differently to prescribed medications. Sometimes it may be necessary to try more than one treatment before finding the one that works best. Cipralex, like Effexor, can cause nausea. However, this side effect fades over time (7 to 10 days is a very good estimate). In some cases, it may be necessary to adjust the dose. I encourage you to discuss this with your pharmacist.Good luck!

In the studies, when compared to Effexor, it is true that Cipralex seems to be better tolerated (fewer side effects). Tolerance is measured by the number of people who stopped taking the medication during the study period. If you want my advice, I think it would be appropriate to schedule another meeting with your doctor to discuss this further and come to a mutual decision about your treatment! You should know that there is no wrong choice.Hopefully this answers your question!

Changing medications involves a period of habituation. Thus, you may develop nausea again. If this happens, you will need to give yourself 7 to 10 days to let the effects wear off!Happy evening!