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Re: treatment for panic disorder

Posted by Elizabeth on April 14, 2000, at 2:57:55

In reply to Re: treatment for panic disorder, posted by Louise on April 13, 2000, at 23:23:22

Does the Xanax not work well enough?

Some people use Klonopin on a daily, around-the-clock basis with Xanax for breakthrough attacks.

Antidepressants (SSRIs, tricyclics, MAOIs, and some others) work, though it's a toss-up as to which ones work for whom. (Maprotiline, bupropion (Wellbutrin), and trazodone do not work; neither does buspirone (Buspar).) Another SSRI (Zoloft (sertraline), Paxil (paroxetine), Luvox (fluvoxamine), and Celexa (citalopram) are the trade names in the U.S.) might be easier to tolerate than Prozac. Start at a very low dose, increase it slowly *as tolerated*.

Propranolol helps with some of the symptoms, though it won't relieve panic attacks entirely by itself.

Last, some people find that cognitive-behavioral therapy helps. Might be worth looking into if you can find and afford it.


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poster:Elizabeth thread:29820
URL: http://www.dr-bob.org/babble/20000411/msgs/29952.html