Neurasthenia: What Medications to Take?
Sep 12, 2025
Source: Cainiu Health
Dr. Yang Ziqi
Introduction
In general, neurosis is a collective term for a group of mental disorders, with common symptoms including anxiety, depression, insomnia, palpitations, dizziness, and so on. Patients may take medications such as paroxetine hydrochloride tablets, fluvoxamine maleate tablets, sertraline hydrochloride tablets, alprazolam tablets, and buspirone hydrochloride tablets according to medical advice. A detailed analysis is as follows:
Generally speaking, neurosis refers to a group of mental disorders, with common symptoms including anxiety, depression, insomnia, palpitations, dizziness, and others. Patients may follow medical advice to use medications such as paroxetine hydrochloride tablets, fluvoxamine maleate tablets, sertraline hydrochloride tablets, alprazolam tablets, and buspirone hydrochloride tablets for treatment. Detailed analysis is as follows:
1. Paroxetine Hydrochloride Tablets
Paroxetine hydrochloride is a selective serotonin reuptake inhibitor (SSRI) that works by inhibiting the reuptake of serotonin by neurons, thereby increasing serotonin concentration in synaptic clefts and exerting anti-anxiety and antidepressant effects. It is suitable for patients with neurosis accompanied by anxiety, and it also has some improvement effect on obsessive-compulsive symptoms.
2. Fluvoxamine Maleate Tablets
This medication also belongs to the class of selective serotonin reuptake inhibitors and specifically inhibits the reuptake of serotonin, regulating the levels of neurotransmitters in the central nervous system. It is effective in treating depression, anxiety, and obsessive-compulsive symptoms caused by neurosis, especially suitable for patients with sleep disturbances. Some patients may experience improved sleep quality after taking this medication.
3. Sertraline Hydrochloride Tablets
By inhibiting the reuptake of serotonin in the central nervous system neurons, it enhances the function of central serotonergic neurons, thus alleviating anxiety and depression in patients with neurosis. It is suitable for emotional problems associated with various types of neurosis and can also help improve cognitive function, reducing difficulties in concentration and memory decline caused by emotional issues.
4. Alprazolam Tablets
This medication belongs to the benzodiazepine class of drugs, acting on benzodiazepine receptors in the central nervous system to enhance gamma-aminobutyric acid (GABA) neurotransmission, exerting anti-anxiety and sedative-hypnotic effects. It can rapidly alleviate acute anxiety attacks in patients with neurosis, reduce tension and fear, and may also be used to improve anxiety-induced insomnia. However, long-term use should be carefully managed to avoid dependency.
5. Buspirone Hydrochloride Tablets
Buspirone is a partial agonist of the serotonin 1A (5-HT1A) receptor. By stimulating central 5-HT1A receptors, it regulates neurotransmitter levels and exerts anxiolytic effects. It is suitable for chronic anxiety states caused by neurosis, without significant sedative-hypnotic effects, thus not affecting the patient's daily work and study, and it has no notable adverse effects on cognitive function.
It is important to maintain a regular routine in daily life, avoid long-term sleep deprivation and excessive fatigue, and reduce intake of stimulants like coffee and strong tea, which may exacerbate neural excitation and hinder recovery. If symptoms such as nausea, dizziness, or drowsiness occur after medication, prompt medical attention is required to adjust the treatment plan.
