Hello
Thanks for posting your query at DoctorSpring.com
I have gone through your question in detail and I can understand what you are going through.
Among the various antidepressants and anti-anxiety medicines, one of them is superior to any one. Some medicines may act well one some and may fail to act on another. The medicines are decided based on the tolerability and acceptability of side-effects. If you have already tried venlafaxine, even then fluoxetine may work for you. Even if fluoxetine doesnt work for you then there are other medicines like desvenlafaxine, mirtazapine or agomelatine which can still work for you. Resistant anxiety disorders may even benefit with kitamine infusion which is a new therapy for resistant anxiety and depression. Further you are already undergoing CBT and this is very effective for anxiety disorder but will take time. have patience and tings will be better.
Hope this helps,
In case if you have any further query, do let me know.
Kind regards
Dr. Srikanth Reddy

Hello
Not all SNRI raise the blood pressure. Venlafaxine is notorious for the rise in blood pressure. Still other medicines like mirtazapine and desvenlafaxine can help in reducing the anxiety without increasing the blood pressure. Further some old medications like clomipramine or imipramine can also be tried if the modern medicines are not helping you much. As of now until the new medicines start showing their effect, the symptoms can be controlled with propranolol or clonazepam as of now.
Hope this helps,
Kind regards
Dr. Srikanth Reddy MD

Hello
Normally the effects begin by 3-4 weeks. You may wait another one week and look for the effects.
Regards.