MedicationEstimated cost*
First line
Selective serotonin reuptake inhibitors
Escitalopram (Lexapro)$25 ($190)
Fluoxetine (Prozac)$5 ($250)
Fluvoxamine for PD$15 (NA)
Paroxetine (Paxil)$5 ($150)
Sertraline (Zoloft)$10 ($200)
Serotonin-norepinephrine reuptake inhibitors
Duloxetine (Cymbalta) for GAD$50 ($210)
Venlafaxine, extended release (Effexor XR)$15 ($230)
Azapirone
Buspirone (Buspar) for GAD$5 ($87)
Second line
Tricyclic antidepressants
Amitriptyline$5 (NA)
Imipramine (Tofranil)$10 ($265)
Nortriptyline (Pamelor)$10 ($725)
Antiepileptics
Pregabalin (Lyrica) for GADNA ($145)
Antipsychotics
Quetiapine (Seroquel) for GAD$15 ($130)
Hydroxyzine (Vistaril)$12 ($200)
Third line
Monoamine oxidase inhibitors§
Isocarboxazid (Marplan)NA ($130)
Phenelzine (Nardil)$20 ($50)
Tranylcypromine (Parnate)$50 ($185)
Augmentation
Benzodiazepines||
Alprazolam (Xanax) $10 ($70)
Clonazepam (Klonopin)**$10 ($70)
Diazepam (Valium) for GAD$10 ($90)
Lorazepam (Ativan)$10 ($300)