Online Medical Diagnosis of Medical Problems and Symptoms - The National Medical Society


Initiate Treatment with SSRI


SSRIs tend to be the treatment choice in the long-term treatment of panic disorder. SSRIs are usually the first-line medication for many anxiety disorders. SSRIs tend to be better tolerated than older antidepressants (e.g., TCAs); side effects include transient nausea, headaches, sexual dysfunction, weight gain (primarily associated with fluoxetine, fluvoxamine, and paroxetine), and sleep disturbance. Initiation of treatment with an SSRI may initially increase anxiety; to limit this, use of a low starting dose and/or short-term coadministration of a benzodiazepine can be tried. Starting doses for the SSRIs are typically 10 mg of citalopram (Celexa), 5 to 10 mg of fluoxetine, 25 mg of fluvoxamine, 10 mg of paroxetine, and 25 mg of sertraline.

Further Treatment


Sarah J. Thompson, MD


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