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Saturday, April 20, 2013

Panic Disorder: Pharmacological Management

If you consider taking medication to manage the panic disorder, or psychological treatment has failed, your health-care professional will provide medications. They will discuss with you regarding the risks, adverse effects, and possible interactions of the different drugs. The health-care professionals may ask whether you have tried medication for similar condition before and how well it managed the panic disorder.


If you agree to manage your condition with medication, your health-care professional will provide an antidepressant, which is known as a selective serotonin reuptake inhibitor (SSRI). Fluoxetine, Sertraline, Citalopram, Fluvoxamine, Escitalopram, and Paroxetine belong to this group of drugs. If SSRIs are not effective or suitable for you, they may offer Clomipramine or Imipramine. These medications belong to the group of tricyclic antidepressants.

Antipsychotics, benzodiazepines, and sedative antihistamines are not recommended to treat panic disorder.

When your health-care professionals offer a medication, they should talk about its action and potential adverse effects. Antidepressants are not addictive substances in the manner cigarettes or alcohol can be. However, you might feel discontinuation (withdrawal) symptoms, which can be uncomfortable, when you decrease, miss, or stop having the dose. It is better to contact the health-care professional, if you feel discontinuation symptoms.

Whenever you start a new kind of medication, you should meet the health-care professional 2nd, 4th, 6th, and 12th weeks after beginning the medication. Then, both of you can decide whether to carry on the same management or think about another option.


Related Links:

What Is Panic Disorder?
Planning the Management of Panic Disorder
Panic Disorder: Psychological Management
Panic Disorder: Self-help
What Happens If a Treatment for Panic Disorder Doesn’t Work?
Panic Disorder: Information for Carers and Patient’s Questions
What Is Generalised Anxiety Disorder (GAD)?
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Dr. Nalaka Priyantha
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Dr. Nalaka Priyantha is the founder and author of 'DRN Health World'. He currently works at the Ministry of Health, Sri Lanka as a senior medical officer. He is blogging about healthy living since 2012.Read More About Dr. Nalaka...