Buspirone
Buspirone
Anxiety
Buspirone is approved in the United States by the Food and Drug Administration (FDA) for the short- or
long-term treatment of anxiety disorders or can also be used for the short-term relief of the symptoms of
anxiety Likewise in Australia, buspirone is licensed for the treatment of anxiety disorders. In the United
Kingdom, buspirone is indicated only for the short-term treatment of anxiety.
Buspirone has no immediate anxiolytic effects, and hence has a delayed onset of action; its full clinical
effectiveness may require 2 to 4 weeks to manifest. The drug has been shown to be similarly effective in
the treatment of GAD to benzodiazepines including diazepam, alprazolam, lorazepam,
and clorazepate. Buspirone is not known to be effective in the treatment of other anxiety
disorders besides GAD, although there is some limited evidence that it may be useful in the treatment
of social phobia as an adjunct to selective serotonin reuptake inhibitors (SSRIs).
Depression
Although not approved for this indication, studies such as STAR*D have shown buspirone to be an
effective augmentation agent alongside treatment with selective serotonin reuptake inhibitors (SSRIs)
for clinical depression and is also used to counter the sexual dysfunction (anorgasmia and erectile
dysfunction) associated with SSRIs. The drug has also been found to be effective in the treatment of
depression as a standalone drug.
Other uses
Cerebellar ataxia
Sexual dysfunction
There is some evidence that buspirone on its own may be useful in the treatment of hypoactive sexual
desire disorder (HSDD) in women.
ADHD
Several clinical trials, most randomized double-blind trials (and in one buspirone was used as an adjunct
to atomoxetine) and one open-label, have been conducted to evaluate the utility of buspirone in the
treatment of attention deficit hyperactivity disorder (ADHD), with mostly positive results.
Miscellaneous
Buspirone may be useful in the management of irritability, agitation, and aggression in older patients
with dementia and in pediatrics, although further research is necessary to more clearly establish its
effectiveness.