From the FDA Drug Label
Treatment-Emergent Adverse Events Reported in Placebo-Controlled Trials of Anxiety Disorders ... Central Nervous System ... Headache12.919.61.1 Dizziness1.80.82.5
Gastrointestinal ... Nausea/Vomiting9.612.81.7
Sensory ... Blurred Vision6.26.20.4
Severe long-term anxiety can be associated with various symptoms, including:
- Headache: reported by 12.9% of alprazolam tablet patients
- Dizziness: reported by 1.8% of alprazolam tablet patients
- Nausea/Vomiting: reported by 9.6% of alprazolam tablet patients
- Blurred Vision: reported by 6.2% of alprazolam tablet patients
- Vertigo is not explicitly mentioned in the drug label, but Dizziness and Light-headedness are reported, which may be related to vertigo-like symptoms. However, it is essential to note that the drug label does not directly address whether severe long-term anxiety can cause these symptoms. 1
From the Research
Yes, severe long-term anxiety can cause eye strain headaches, nausea, and vertigo. Anxiety triggers the body's stress response, releasing hormones like cortisol and adrenaline that can lead to muscle tension, including in the muscles around the eyes and head. This tension can cause eye strain and tension headaches. Additionally, anxiety can affect the vestibular system, which controls balance, potentially leading to vertigo and dizziness. The digestive system is also sensitive to stress hormones, which can slow digestion and cause nausea.
Managing Symptoms
Managing these symptoms typically involves addressing the underlying anxiety through a combination of therapy (such as cognitive behavioral therapy), stress reduction techniques (like deep breathing, meditation, or progressive muscle relaxation), and sometimes medication (such as SSRIs like sertraline or escitalopram at doses determined by a healthcare provider) 2.
Lifestyle Changes
Regular exercise, adequate sleep, and limiting caffeine and alcohol can also help reduce anxiety symptoms.
Importance of Professional Consultation
If experiencing these physical symptoms, it's essential to consult with a healthcare provider to rule out other potential causes and develop an appropriate treatment plan. Some key points to consider in managing anxiety and its physical symptoms include:
- The effectiveness of SSRIs and SNRIs in treating anxiety disorders, as shown in a 3-level network meta-analysis 2
- The importance of combining medication with therapy, such as cognitive behavioral therapy, for optimal results 3
- The need for individualized treatment approaches, considering factors like age, symptom severity, and comorbidities 3