The management of panic disorder

J Clin Psychiatry. 2002:63 Suppl 14:17-21.

Abstract

The evidence for benzodiazepines in panic disorder is compelling; along with the selective serotonin reuptake inhibitors (SSRIs), they are a standard treatment for panic and other anxiety disorders. However, extended-release formulations of these agents may prove to be as effective as the immediate-release formulations, and extended-release agents have clinical benefits that may make them more attractive treatments than the currently available, shorter-acting benzodiazepines. Because of their longer duration of action, extended-release benzodiazepines can protect against breakthrough anxiety and need to be taken only once or twice a day, which may improve compliance in some patients. Because the other standard treatments of panic disorder, the SSRIs, have a slow onset of action, adding an extended-release benzodiazepine to the treatment regimen for the initial 6 to 8 weeks could serve as an effective bridge until the desired SSRI effect is realized.

Publication types

  • Review

MeSH terms

  • Alprazolam / therapeutic use
  • Antidepressive Agents, Tricyclic / therapeutic use
  • Benzodiazepines / administration & dosage
  • Benzodiazepines / therapeutic use*
  • Clinical Trials as Topic
  • Delayed-Action Preparations
  • Double-Blind Method
  • Drug Administration Schedule
  • Drug Therapy, Combination
  • Humans
  • Monoamine Oxidase Inhibitors / therapeutic use
  • Panic Disorder / drug therapy*
  • Patient Compliance
  • Phenelzine / therapeutic use
  • Placebos
  • Selective Serotonin Reuptake Inhibitors / administration & dosage
  • Selective Serotonin Reuptake Inhibitors / therapeutic use*
  • Treatment Outcome

Substances

  • Antidepressive Agents, Tricyclic
  • Delayed-Action Preparations
  • Monoamine Oxidase Inhibitors
  • Placebos
  • Serotonin Uptake Inhibitors
  • Benzodiazepines
  • Phenelzine
  • Alprazolam