18.104.22.168 Panic disorder
|1st choice||Non –pharmacological treatment|
|2nd choices||Citalopram tablets 10mg, 20mg, 40mg||Dose:|
Initially 10mg daily, increased gradually if necessary in steps of 10mg daily, usual dose 20-30mg daily; max 40mg daily (elderly over 65 years, max 20mg daily)
|Sertraline tablets 50mg, 100mg||Dose:|
Initially 25mg (half a tablet) daily, increased after one week to 50mg daily; if response is partial and if drug tolerated, dose increased in steps of 50mg at intervals of at least one week to max 200mg daily
- Treatment options include psychological, pharmacological and self-help approaches.
- In panic disorder, symptoms frequently get worse before they get better after starting a SSRI.
- Most patients will require a SSRI for 6–12 months before the gradual discontinuation of treatment.
See cautions here.