Escitalopram or paroxetine?

Question

I asked a question a few days ago about anti anxiety meds. I received awesome answers so thanks!!

I did some searching based on the answers I got and I think I am looking for a long term medication, so I think medications like ssri's would be best.

So my question is, do you thinks meds with escitalopram or paroxetine would be more suitable for someone who is anxious about school/speaking in front of a class or lecture, work (and I do a great job too). In addition to helping my mood elevate a little especially with my quick to be anger.

I have heard escitapram is better in some ways but what about in terms of which would suit me better?

Thanks again!

Answer 1

I'm glad you are actively getting help!!

No one here can decide here help you decide, one size does not fit all.

Only you and your Dr. can decide.

In the same way one blood pressure pill would help me and it won't help you at all.

Much luck to you!

Answer 2

If you need meds only for public speaking, you should try a beta blocker like propranolol. If its for more long term, I found that Celexa (escitalopram) works best. It is a combination SSRI and Norepinephrine reuptake inhibitor, so it helps depression in two different ways simultaneously. Another drug in this class is Effexor, which works well and is cheaper since it is older, if money is an issue. I just haven't seen the results I would like to see in my patients using paroxetine, and many have switched to Celexa. As for the anger issue, therapy (individual or group) will generally give better results than any pill, since a lot of anger is due to situational frustration. Good luck!