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On-Demand Care for this condition is included with membership

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Convenient prescription refill and renewal requests
View a summary and action items after your treatment, and directly message your care team
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Anxiety medication

Share your renewal request with Health AI and get a prescription from a provider if appropriate.

How it works

Check-in with Health AI
Complete a check-in with the help of Health AI.
Discuss with a provider
Review your health concern or treatment request with a One Medical provider via message.
Get treatment
Receive your care plan. If appropriate, prescriptions are sent to your pharmacy and, if you use Amazon Pharmacy, delivered to your door (if eligible).
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Common anxiety and depression medications (antidepressants)

Your Amazon One Medical provider will determine which (if any) anxiety treatment is medically appropriate for you based on your symptoms and health history. If you're prescribed medication, pick it up at a pharmacy of your choice. Choose Amazon Pharmacy for free delivery and transparent Prime pricing. The cost of your prescribed medication is not included with the treatment cost and may be covered by health insurance.
These are the only antidepressants available for prescription renewal through On-Demand Care.
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SSRIs

Selective serotonin reuptake inhibitors
• Citalopram (Celexa)
• Escitalopram (Lexapro)
• Fluoxetine (Prozac)
• Paroxetine (Paxil)
• Sertraline (Zoloft)
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SMSs

Serotonin modulators and stimulators
• Vilazodone (Viibryd)
• Vortioxetine (Trintellix)
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TeCAs

Tetracyclic antidepressants
• Mirtazapine (Remeron)
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NDRIs

Norepinephrine–dopamine reuptake inhibitors
• Buproprion (Wellbutrin)
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SNRIs

Serotonin–norepinephrine reuptake inhibitors
• Desvenlafaxine (Pristiq)
• Duloxetine (Cymbalta)
• Levomilnacipran (Fetzima)
• Venlafaxine (Effexor XR)
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Other anxiety medications

• Buspirone (Buspar)
• Hydroxyzine (Vistaril)
• Propranolol (Inderal)

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What is anxiety?

It’s perfectly normal to experience worry or anxiety from time to time, but severe or persistent anxiety can make it difficult to function at your best day-to-day. Anxiety can show up in different ways. For example, it can cause near-daily worry about a variety of different things (generalized anxiety disorder), episodes of intense fear that come on suddenly (panic disorder), or extreme fear of situations or objects that are unlikely to be dangerous (phobias).

An overview of anxiety

Anxiety disorders are common and can affect anyone. Medications are effective for many people living with anxiety, but lifestyle changes, self-help resources, psychotherapy (counseling), and group education programs can also help. Your provider will partner with you to determine which (if any) anxiety treatment is ideal for you based on your symptoms, preferences, and health history.
Anxiety can cause:
• Excessive worry
• Feeling restless or irritable
• Difficulty sleeping
• Fatigue
• Difficulty concentrating
• Tense muscles
Anxiety may also cause sudden surges of fear (panic) along with physical symptoms like:
• A fast heartbeat
• Chest tightness
• Nausea
• Shaking

Frequently asked questions

What's the difference between normal worries and an anxiety disorder?
We all feel anxiety from time to time: It’s a normal human response to stress. It’s common to feel nervous or anxious when under pressure at work or school, when having trouble in a relationship, or when faced with difficult news or a tough decision. Occasional feelings of anxiety can help us to respond to a truly dangerous situation and help focus our attention where it’s needed.
Anxiety disorders, on the other hand, involve worry that’s persistent or out of proportion to the situation. Anxiety disorders impact a person’s ability to function in daily life and can lead a person to avoid circumstances that might trigger their anxiety.
What are the different types of anxiety disorders?
There are several different types of anxiety disorders, with generalized anxiety disorder, panic disorder, and specific phobias being among the most common.
Generalized anxiety disorder (GAD) causes persistent worry about a variety of things, like work or school responsibilities, family, other relationships, health, or day-to-day tasks. Beyond feelings of worry or nervousness, GAD can cause physical symptoms like tight muscles, fatigue, and sleep problems. GAD symptoms occur on most days for a period of at least a few months and can make it challenging to get through daily activities.
Panic disorder causes sudden and intense surges of anxiety and physical symptoms, which can include symptoms like a fast heartbeat or palpitations, chest tightness, nausea, shaking, dizziness, sweating, abdominal pain, or difficulty breathing. These panic attacks can have a clear trigger or may seem to come out of nowhere. Fear can feel overwhelming during a panic attack, and a person may worry that they could lose control or die. Because panic attacks cause such intense feelings, a person with panic disorder will worry about having future panic attacks and may avoid situations that they think could trigger an attack.
Specific phobias cause extreme fear of situations or objects that are unlikely to be dangerous. For example, a person may have a phobia of heights, specific animals (like dogs or spiders), needles or medical procedures, flying on an airplane, being enclosed in an elevator, or being in water. A person with a phobia may feel intense fear despite understanding that they aren’t in danger and may go out of their way to avoid situations that trigger this fear.
How are anxiety disorders diagnosed?
To diagnose an anxiety disorder, a healthcare provider will ask about your symptoms, how those symptoms affect your daily life, and any life circumstances related to the anxious feelings. Your provider will also ask questions about your health history, including medications you take regularly, alcohol or drug use, and any other medical or mental health conditions you’ve been diagnosed with. Your provider may also do a physical exam or order lab work if they think that an underlying health condition could be playing a role in your anxiety symptoms.
How is anxiety treated, and what tools or habits can help to manage anxiety?
In treating anxiety, your provider will help you to understand how anxiety disorders function and will share information about lifestyle changes and self-help resources for anxiety. Self-help tools might include journaling or self-guided cognitive behavioral therapy (CBT) programs. Lifestyle changes could include reducing caffeine, avoiding alcohol or drug use, quitting smoking, getting regular physical activity, and following best practices for restful sleep.
If your anxiety symptoms aren’t controlled with lifestyle changes and self-help tools alone, your provider may recommend psychotherapy (counseling), medication, or both.
Why kinds of medications are used to treat anxiety?
There are many medications available to treat anxiety, including generalized anxiety disorder and panic disorder. For frequent or daily symptoms, SSRIs (selective serotonin reuptake inhibitors) are a common choice. These medications are thought to reduce anxiety by increasing levels of serotonin, a chemical messenger that helps nerve cells in the brain communicate with each other.
If you can’t take an SSRI or treatment with an SSRI isn’t effective, your provider has several other types of daily medications to choose from. Your provider could also prescribe a short-term, as-needed medication if symptoms of anxiety are very severe, but certain as-needed medications for anxiety (like benzodiazepines) come with significant risks. Your provider will focus on working with you to find a daily medication that prevents those more severe symptoms of anxiety.
Will I need an anxiety prescription?
A primary care provider can determine if you need prescription medication to treat your anxiety symptoms. If your care plan includes a prescription, you'll be asked to select a pharmacy. You can send it to your preferred pharmacy or select Amazon Pharmacy to get your medications delivered right to your door.
How long does it take for anxiety treatment to work?
There isn’t one best medication for everyone when it comes to treating anxiety, and finding the right treatment plan can take time. Your provider will be there to support you through the process and will help you understand what to expect at each step along the way.
If you’re starting a daily medication for anxiety, it’s normal for it to take a few weeks before you start to notice the benefits. In addition, your provider will likely prescribe a low dose and then work with you to increase your medication gradually. This approach (called titration) reduces early side effects, which normally improve over time as your body adjusts to the medication, but it means that it will take some time to get to the right dose for you.
If treatment still isn’t working after a few weeks on a higher dose, your provider may recommend trying a different medication.
How can I tell if my symptoms are due to anxiety or could be a sign of an emergency?
Anxiety symptoms can feel scary - especially symptoms of a panic attack, which can include a racing heart, chest pain or tightness, and shortness of breath. Though a panic attack isn’t dangerous, the symptoms can mimic serious conditions like a heart issue or breathing problem, and it’s common to wonder if you might need emergency medical care.
If you’re familiar with your panic symptoms and how to get through a panic attack, you probably don’t need to go to the hospital. But if you’re experiencing symptoms for the first time or if the symptoms feel different from past panic attacks, it’s best to contact your healthcare team, or go straight to the emergency room if you can’t get in touch with a provider right away.
How can I talk to others about my anxiety?
As common as anxiety disorders are, it can still feel difficult to talk with those closest to you about anxiety and how it impacts your life. You may worry about how a loved one will react or how well they’ll understand what you’re going through, but opening up to the people closest to you can be a path to more care and support. Consider what time and place would feel most comfortable for the conversation, and think about preparing some talking points ahead of time.
The people who care about you will likely want to know what they can do to help, and you may want to prepare some suggestions for how they can support you. If you aren’t sure how to start the conversation with a loved one, your primary care provider or a mental health provider can help you get ready.
Can I get mental health treatment through Amazon One Medical On-Demand Care?
No. You can't see a mental health provider for behavioral therapy, psychiatry, counseling, coaching, clinical social work, or other mental health specialties through Amazon One Medical On-Demand Care. For mental health care, you'll need to see a primary care provider or a mental health care provider for guidance.
If you've taken a medication for depression or anxiety within the past 4 days, you can request a prescription renewal through On-Demand Care, but your provider won't adjust or initiate medication.
Your On-Demand Care provider won't renew prescriptions for stimulants like Adderall for ADHD, benzodiazepines like Xanax, antipsychotics like quetiapine (Seroquel) or aripiprazole (Abilify), mood stabilizers like lithium, or nerve pain medications like gabapentin (Neurontin) or pregabalin (Lyrica).
What depression and anxiety medications can be renewed through On-Demand Care?
When medically appropriate, your Amazon One Medical On-Demand Care provider may renew prescriptions for the following psychotropic medications:
• Buproprion (Wellbutrin)
• Buspirone (Buspar)
• Citalopram (Celexa)
• Desvenlafaxine (Pristiq)
• Duloxetine (Cymbalta)
• Escitalopram (Lexapro)
• Fluoxetine (Prozac)
• Hydroxyzine (Vistaril)
• Levomilnacipran (Fetzima)
• Mirtazapine (Remeron)
• Paroxetine (Paxil)
• Propranolol (Inderal)
• Sertraline (Zoloft)
• Venlafaxine (Effexor XR)
• Vilazodone (Viibryd)
• Vortioxetine (Trintellix)
Clinical sources
1. Melaragno A. J. (2021). Pharmacotherapy for Anxiety Disorders: From First-Line Options to Treatment Resistance. Focus (American Psychiatric Publishing), 19(2), 145–160.