18.104.22.168 Generalised anxiety disorder (GAD), social anxiety disorder
|1st choice||Non-pharmacological treatment|
|2nd choice||Sertraline tablets 50mg, 100mg [unlicensed indication]||Dose: |
Initially 25mg (half a tablet) daily, increased if necessary by increments of 25mg at intervals of at least one week to max 200mg daily
- GAD should be distinguished from acute anxiety state. Treatment options include psychological, pharmacological and self-help approaches.
- Benzodiazepines are effective for short–term treatment (2-4 weeks) of GAD but there is a risk of dependence, sedation, accidents and withdrawal symptoms. Antidepressants are preferred.
- Refer to NICE GG 159 for the management of Social Anxiety Disorder.
See cautions here.