Therapy target
- Improvement of the symptomatology
- Reduction in the number of panic attacks
Therapy recommendations
- The most important pillar of therapy for panic disorder is psychotherapy.
- Acute therapy: benzodiazepines; use only short-term (due todanger of dependence)!
- Continuous therapy:
- Selective serotonin reuptake inhibitors (SSRIs): citalopram, escitalopram, paroxetine, sertraline [first choice].
- Selective serotonin–norepinephrine reuptake inhibitors (SSNRIs): venlafaxine [first choice].
- Tricyclic antidepressants (TCAs): clomipramine [second choice].
- See also under “Other therapy.”
Supplements (dietary supplements; vital substances)
Suitable dietary supplements should contain the following vital substances:
- Vitamins (pyridoxine (vitamin B6))
- Minerals (magnesium)
- Other vital substances (ashwagandha (sleeping berry))
In the presence of insomnia (sleep disorders) as a result of panic disorder, see below Insomnia/Medicinal Therapy/Supplements.
Note: The listed vital substances are not a substitute for drug therapy. Dietary supplements are intended to supplement general nutrition in a given life situation.