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Related Experiment Videos

Fluoxetine in panic disorder.

F R Schneier1, M R Liebowitz, S O Davies

  • 1New York State Psychiatric Institute, Columbia University, New York.

Journal of Clinical Psychopharmacology
|April 1, 1990
PubMed
Summary
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Low-dose fluoxetine effectively treats panic disorder. Starting with 5 mg/day improved 76% of patients, increasing treatment acceptance and benefits for panic disorder with or without agoraphobia.

Area of Science:

  • Psychiatry
  • Pharmacology
  • Clinical Psychology

Background:

  • Panic disorder is a debilitating condition often treated with selective serotonin reuptake inhibitors (SSRIs).
  • Fluoxetine, a widely used SSRI, has shown efficacy in treating panic disorder.
  • Optimizing fluoxetine's tolerability is crucial for patient adherence and treatment success.

Observation:

  • This open-label study evaluated fluoxetine treatment in 25 patients diagnosed with panic disorder with or without agoraphobia.
  • Treatment involved a low initial dose of 5 mg/day to mitigate adverse effects.
  • Patients were observed for up to 12 months.

Findings:

  • Nineteen out of 25 patients (76%) demonstrated moderate to marked improvement in panic attacks.
  • Only 4 patients (16%) discontinued treatment due to adverse effects.

Related Experiment Videos

  • The low-dose initiation strategy was well-tolerated by the majority of participants.
  • Implications:

    • Initiating fluoxetine treatment for panic disorder at low doses (5 mg/day) enhances patient acceptability.
    • This approach may enable more patients with panic disorder to benefit from fluoxetine therapy.
    • Low-dose fluoxetine represents a viable strategy for improving panic disorder management.