What first-line medications may benefit a client who is afraid and has palpitations?

The selection of fluoxetine and sertraline as first-line medications for a client experiencing fear and palpitations aligns with established guidelines for treating anxiety disorders, including generalized anxiety disorder and panic disorder. Both of these medications belong to the class of selective serotonin reuptake inhibitors (SSRIs), which are widely recognized for their efficacy in alleviating anxiety symptoms.

SSRIs work by increasing serotonin levels in the brain, which can help stabilize mood and reduce anxiety-related symptoms, including physical manifestations such as palpitations. The calming effect of these medications can help patients manage their fear responses and associated physiological symptoms.

While other options present different combinations of medications, they do not focus on those that are primarily indicated for anxiety and panic symptoms as effectively as fluoxetine and sertraline do. This makes them less suitable as first-line choices in this scenario.