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In positive, placebo-controlled efficacy trials conducted in the early 1980s in patients with anxiety neurosis, 6 buspirone was noted to have a gradual onset of therapeutic benefit compared with a benzodiazepine. This was attributed to the early relief of somatic anxiety symptoms by the benzodiazepine comparator drug while there were no differences between the two anxiolytics in ameliorating symptoms of psychic anxiety. Experience suggests that acute treatment of anxious patients may warrant benzodiazepine therapy initially, but long-term use promotes physical dependence and chronicity of anxiety symptoms.

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