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Alprazolam
Pharmacological treatment of panic disorder
Pharmacological treatment may be indicated when cognitive behavioural therapy is not available or effective. Medicine choice will depend on adverse effects, tolerability, co-existing depression, history of misuse and risk of overdose. Current recommendations for pharmacological treatment include:
First-line:
use a selective serotonin re-uptake inhibitors (SSRI), or
use a serotonin and noradrenaline re-uptake inhibitors (SNRI) such as venlafaxine.
Second-line:
consider a tricyclic antidepressant (TCA) such as clomipramine or imipramine, or
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