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Other anxiolytics !

Anxiety medicines that are not benzodiazepines, such as buspirone: little sedation and no dependence, but they take weeks to help.

Updated 2026-11-01

What they are

Anxiolytics outside the benzodiazepine group. Buspirone, an azaspirodecanedione, is the main one; antihistamines such as hydroxyzine are also used for anxiety.

Mechanism of action

Buspirone acts mainly on serotonin 5-HT1A receptors, with some effect on dopamine D2 receptors. It does not bind the benzodiazepine site or affect GABA, so it is not cross-tolerant with benzodiazepines.

Target: 5-HT1A serotonin receptor (buspirone)

Drugs in this class

Others in the class

  • Hydroxyzine

Test yourself

Think of the answer, then tap the question to see it.

Why can buspirone not treat benzodiazepine withdrawal?

It has no cross-tolerance with benzodiazepines because it does not act on GABA-A.

Which receptor is buspirone's main target?

The serotonin 5-HT1A receptor.

Which antidepressant class must not be combined with buspirone?

MAO inhibitors.

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Educational content on how drugs work; not a prescribing guide and no substitute for a health professional's advice. No doses are given.

Sources: DailyMed - BUSPIRONE HYDROCHLORIDE tablet (DailyMed (U.S. National Library of Medicine), 2026); ATCDDD - ATC/DDD Index (WHO Collaborating Centre for Drug Statistics Methodology, 2026).

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Representative model, for educational purposes only.