These modern substances affect not only serotonin, but also the neurotransmitter noradrenalin; hence the popular term “dual-action”. This sometimes makes the medication more effective, but it normally also results in more side effects. The compounds are especially used to treat depression, or if there is a depressive element in cases of anxiety or OCD. The substances in question are Effexor (37.5-300 mg), Remeron (15-30 mg) and Cymbalta (30-60 mg).
These older compounds are used to treat severe depression, as they are more effective than the above substances, but they also have more side effects, especially in older people.
For emergency treatment of anxiety, benzodiazepines may be used, for example Oxazepam or Stesolid. These compounds are rapid-acting and highly effective, but after a short while they result in physical dependence. The medication is therefore typically only used for short-term therapy, and one must remember to phase out slowly in order to avoid withdrawal symptoms.