) Paroxetine tablets: trade names are Celeste, Leyou, etc. The usual dosage is 20-60 mg/day, which can be taken once. The anti-anxiety effect is outstanding, and it is the first choice to treat all kinds of anxiety disorders, because the curative effect is really good, especially in the treatment of anxiety disorders. When other drugs are ineffective, switching to Celeste can still be effective.

2) Escitalopram: the trade names are Lepp and Bailuote, and the usual dosage is 10-20mg/ day. The anti-anxiety effect is good, the side effect is small, and it is especially suitable for the elderly and patients with cardiovascular diseases, and the price is expensive.

3) Venlafaxine: the trade names are Enos and Bolexin, and the usual dosage is 75-225mg/ day. Good anti-depression and anti-anxiety effects. Pay attention to the possibility of anxiety aggravation at the beginning of taking the medicine, and you need to take antipsychotic drugs, which usually disappears after two weeks.

4) Duloxetine: the trade names are Himpatar and Ospin, and the usual dosage is 60mg/ day. The biggest feature of this drug is that it has its advantages in the degree of action of double receptors, and its antidepressant and anxiolytic effects are better.

Drugs such as sertraline, Shi Lan, sipumiao, fluoxetine and clomipramine are often used as the second echelon drugs.

3. buspirone, tandospirone

Independent of social anxiety has a good effect, but the disadvantage is that it takes 2-3 weeks to take effect. If the patient takes buspirone first, the effect is not ideal, and it can be used in combination with antidepressants.

4. Other drugs

1) When you have an acute anxiety attack, you can consider taking propranolol (propranolol) 10-20mg temporarily, which can improve the symptoms.

2) Tricyclic drugs, such as clomipramine and amitriptyline, have good curative effect and low price, but their side effects are too great to be the first choice.

3) Deanxit: This medicine is not commonly used, with average curative effect and little pharmacological advantage. It is a mixture of antipsychotics and antidepressants.

As for which drug is suitable for each patient, it is necessary to comprehensively consider the patient's condition, previous medication experience, curative effect after taking the drug, patient's tolerance and side effects, and also consider the patient's economic situation before making a decision. At the same time, it is necessary to closely follow up the patients and adjust the treatment plan at any time so that the patients can gradually recover.