Skip to content

Review, 1990

Is buspirone an effective treatment for anxiety?

Yes, buspirone works as well as benzodiazepine anxiety medications and significantly better than placebo for generalized anxiety disorder and chronic anxiety. It also has antidepressant effects, and it is safer because it does not cause dependence, though it works more slowly.

Moderate study design This is a review of clinical trials; general population of patients with anxiety disorders and depression.

What they did

This is a review of clinical trials of buspirone, an anxiety medication. The authors examined evidence from well-controlled studies comparing buspirone's effects to benzodiazepines and placebo for various anxiety and mood disorders.

What they found

Well-controlled clinical trials demonstrated that buspirone's anxiolytic properties were similar to those of various benzodiazepines and significantly better than placebo. Antidepressant effects were also observed. Buspirone seems most appropriate for generalized anxiety disorder, chronic anxiety, anxious elderly patients, and patients with mixed anxiety and depression. Studies in panic disorder have been inconclusive, so it is not recommended for routine panic disorder treatment.

What it means for you

Buspirone is a safe alternative to benzodiazepines for anxiety because it does not cause dependence, though relief comes more slowly. It may help people with mixed anxiety and depression. However, it is not effective for panic disorder specifically, and it works best for people who can tolerate gradual improvement rather than immediate relief.

About the study

Original title
Buspirone in clinical practice
Authors
Rickels K
Journal
The Journal of clinical psychiatry
Year
1990
Study design
Review
What was tested
Buspirone (an anxiety medication).

Topics