Selective Serotonin Reuptake Inhibitors for Panic Disorder
What To Think About
Never suddenly stop taking antidepressants. The use of any antidepressant should be tapered off slowly and only under the supervision of a doctor. Abruptly stopping antidepressant medicine can cause negative side effects or a relapse into a depressive episode or panic disorder.
SSRIs can be safer than tricyclic or tetracyclic antidepressants, because they do not cause death if taken in large quantities (overdose). SSRIs usually are well tolerated and effective. SSRIs also may be safer for older adults, because the side effects are more tolerable.
People with liver disease usually require lower doses of SSRIs.
Daily use of SSRIs may increase the risk of bone fracture in adults over age 50. Talk to your doctor about this risk before taking an SSRI.
Many medicines can interact with SSRIs, such as nonsteroidal anti-inflammatory drugs (NSAIDs) including aspirin, ibuprofen, or naproxen, which can increase bleeding or bruising. Be sure your doctors know all of the medicines that you take. This includes prescription medicine, over-the-counter medicine, vitamins, supplements, and herbal remedies.
Some people may have sexual dysfunction while taking an SSRI.
Taking medicine
Medicine is one of the many tools your doctor has to treat a health problem. Taking medicine as your doctor suggests will improve your health and may prevent future problems. If you don't take your medicines properly, you may be putting your health (and perhaps your life) at risk.
There are many reasons why people have trouble taking their medicine. But in most cases, there is something you can do. For suggestions on how to work around common problems, see the topic Reference Taking Medicines as Prescribed.
Advice for women
Women who take an SSRI during pregnancy have a slightly higher chance of having a baby with birth defects. If you are pregnant, you and your doctor must weigh the risks of taking an SSRI against the risks of not treating your panic disorder.
Checkups
Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor if you are having problems. It's also a good idea to know your test results and keep a list of the medicines you take.
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| By: | Reference Healthwise Staff | Last Revised: September 7, 2012 |
| Medical Review: | Reference Anne C. Poinier, MD - Internal Medicine
Reference Lisa S. Weinstock, MD - Psychiatry |
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This information does not replace the advice of a doctor. Healthwise, Incorporated disclaims any warranty or liability for your use of this information. Your use of this information means that you agree to the Reference Terms of Use. Reference How this information was developed to help you make better health decisions.
