For mild anxiety, which medication is recommended?

The recommendation for mild anxiety often includes using benzodiazepines, particularly in the oral form for manageable anxiety control. Benzodiazepines work by enhancing the effect of the neurotransmitter gamma-aminobutyric acid (GABA) at the GABA-A receptor, resulting in a calming effect which can be beneficial prior to a dental procedure or surgery. The oral route allows for easy administration, and because these medications can be taken prior to the appointment, they provide a longer time frame to achieve the desired effects to alleviate anxiety without the need for immediate sedation.

In this context, while nitrous oxide is also an effective anxiety-reducing agent used in dental settings, it is typically more utilized in moderate sedations rather than mild anxiety. Additionally, intravenous benzodiazepines provide rapid effects but are more suitable for patients needing deeper sedation or those requiring quick anxiety management in an operating room setting. Divalproex sodium, an anticonvulsant used for mood stabilization, is not indicated for anxiety relief and is more suitable for managing bipolar disorder or seizure disorders. Thus, for mild anxiety, using an oral benzodiazepine is the most appropriate and conventional approach.