Q. What are the drugs of choice for social anxiety?

Answered by
Dr. Seikhoo Bishnoi
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Jun 15, 2016 and last reviewed on: Apr 29, 2020

Hi doctor,

I am a 33 year old male. I have been suffering from social anxiety for the past one year. Although I was extremely shy as a child and up to about 25 years of age. After that, I overcame my social anxiety and became confident. I managed somehow not to care about other peoples opinion about me. I could convince with almost anybody because I ignored what the people think or say. But, for the past one year I have lost my ability to ignore what other people think or say and I have started to value their opinions about me rather than my own opinion about me. I have become self conscious, shy and quiet. I am not feeling depressed or sad, but this feeling has made me extremely unproductive and I just think what others think about me. My past medication is Olanex for the social anxiety. Please recommend some other medications as this condition has been disturbing my social as well as professional life and my colleagues have started to make fun of me.



Welcome to

I have read your query and understand your concern.

Social anxiety disorder is really a disturbing condition, but can be controlled with proper medicines and behavior therapy.

Anxiety disorders occur in episodes and sometimes follow waxing and waning course. You had anxiety before 25 years of age and the anxiety relapsed since last one year.

The feelings that people are judging you, ideas that what others will think or say, self-consciousness are typical symptoms of social anxiety.

Feelings that you are good for nothing and unproductive are due to co-morbid depressive symptoms of social anxiety.

Do you have anxiety during a presentation or in group discussions? Do you feel shy or stutter while talking to some person of big stature or any problems in talking to females?

In severe social anxiety such type of anxiety situations is also seen.

Medicines especially selective serotonin reuptake inhibitors (SSRIs) are drugs of choice for social anxiety.

I suggest you to use Escitalopram drug. The drug is started with 5 mg dose for about 10 days and then can be increased to 10 mg.

The drug should be taken in the morning after meals and should be used for about three to four months. After four to six weeks the dose can be reduced gradually.

I suggest you to use Propranolol for anxiety provoking situations. The drug can be taken about half to one hour before some situations like presentations or group discussions. Consult your specialist doctor, discuss with him or her and take the medicine with their consent.

These medicines will definitely help in improvement. Breathing exercise and relaxation exercises will help you to control anxiety.

Apart from this relaxation exercise, behavior therapy also helps in reducing the symptoms.

Revert back with answers to the above questions to a psychologist counsellor online -->

Thank you doctor,

How can I buy Escitalopram without prescription as it is a psychiatric drug and is not easily available? Please suggest me.



Welcome back to Escitalopram is a prescription drug. Consult your specialist doctor, discuss with him or her and get a prescription.

For further information consult a psychologist counsellor online -->

Was this answer helpful?


Same symptoms doesn’t mean you have the same problem. Consult a doctor now!

Related Questions:
I feel panic to face people in public. Is it fine to take Inderal?

The symptoms and details you have mentioned clearly suggest social anxiety disorder ... In social situations like speaking in front of ...   Read full

Please suggest the best drug for GAD and social phobia. What are its side effects?

I had been diagnosed to have GAD and social phobia before 10 years, and I was taking Paxil 20 mg daily in the evening along with CBT ... I would like you to mention the side effects regarding impotence, libido, weight gain,...   Read full

What are the drugs of choice for social anxiety?

I have been suffering from social anxiety for the past one year ... After that, I overcame my social anxiety and became confident ... ...   Read full

Also Read Answers From:

ideaComprehensive Medical Second Opinion.Submit your Case

Also Read

Managing Diabetes During Festive Season
All the festivals are indirectly a danger sign for diabetic patients. Read this article to know more about how to handle...  Read more»
What You Should Eat and Drink for A Healthy Life!!
Food is essential for our survival, and what we eat definitely impacts our health. We can easily reduce the risk of many...  Read more»
What Is ADHD and How Is It Managed?
This article discusses ADHD, whether it is a real condition, features of ADHD, how to recognize and manage this common c...  Read more»

Ask your health query to a doctor online?

Ask a Psychiatrist Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.