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Psychiatry


Answer 8
  1. Citalopram 5 mg/day. Citalopram is effective for the treatment of panic disorder.2 Although 20 mg/day or higher may be required for symptom control, patients with panic disorder should be started at low doses (5-10 mg/day), as this group tends to be very sensitive to the activating effects of SSRIs.7 Clonazepam is also effective for panic disorder;5 however, 2 mg 3 times daily would be excessive as a starting dose. Bupropion and haloperidol are not used to treat panic disorder.

    REFERENCE
    2. Wade AG, Lepola U, Koponen HJ, et al. The effect of citalopram in panic disorder. Br J Psychiatry 1997;170:549-53.

    5. Jacobs RJ, Davidson JR, Gupta S, Meyerhoff AS. The effects of clonazepam on quality of life and work productivity in panic disorder. Am J Manag Care 1997;3:1187-96.

    7. Davidson JR, Conner KM. Treatment of anxiety disorders. In: Schatzberg AF, Nemeroff CB, editors. Textbook of psychopharmacology. Washington (DC): American Psychiatric Publishing; 2004:913-34.

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