Thanks for query.As you had repeated, persistent attacks or felt severe anxiety about having another attack, you are said to have panic disorder. Panic disorder is strikingly different from other types of anxiety disorders in that panic attacks are often sudden and unprovoked.Panic disorder can be effectively treated with a variety of interventions including psychological therapies and medicationwith the evidence that cognitive behavioral therapy
has the longest duration of effect, followed by specific selective serotonin reuptake inhibitors such as fluoxetine
. I will advocate you to start fluoxetine 20 mg initially. Rivotril
) will help you during acute attacks as it will get relief within a short span of time. Rivotril may lead to drowsiness
, somnolence,muscle weakness
. But if you are taking it for more than a month, I will advice you against abrupt cessation of the drug as it will lead to serious withdrawl symptoms. Don't get worried. Panic disorder had an excellent prognosis. Start fluoxetine 20 mg at bedtime and notice whether you are having improvement of symptoms or not. As you did not mention how long are you taking rivotril, I will advice you against stopping those drugs without consulting a psychiatrist
. Hope, I responded your questions.