Treatment Guidelines for Panic Disorder
Drug of choice
SSRIs
Sertraline is recommended first-line per NICE Stepped Care Model
Second-line
MAOIs, Mirtazapine, Imipramine, Clomipramine,
Venlafaxine
Experimental
Gabapentin, Inositol, Pindolol as augmentation
Psychotherapy
CBT, Anxiety management
Canadian Mood and Anxiety Network Guidelines
First-line
- Citalopram
- Escitalopram
- Fluoxetine
- Fluvoxamine
- Paroxetine
- Paroxetine CR
- Sertraline
- Venlafaxine XR
Second-Line
- Alprazolam
- Clomipramine
- Clonazepam
- Diazepam
- Imipramine
- Lorazepam
- Mirtazapine
- Reboxetine
Third-line
Bupropion SR, Divalproex, duloxetine, gabapentin,
levetiracetam, milnacipran, moclobemide, olanzapine, phenelzine, quetiapine,
risperidone, tranylcypromine
Adjunctive Therapy
Second-line: alprazolam ODT, clonazepam, Third-line:
aripiprazole, Divalproex, olanzapine, pindolol, risperidone
Not Recommended
Buspirone, propranolol, tiagabine, trazodone
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