Medical Weblog

Yes, it is. Prozac has a powerful effect on the frightening bursts of anxiety and rising waves of panic that characterize panic disorder, the symptoms of which include shortness of breath, dizziness, rapid heartbeat, sweaty palms, trembling, choking, chest pain, and fear of going crazy, passing out, or dying. In one study, nineteen out of twenty-five patients who were treated with Prozac for panic disorder and, in some cases, agoraphobia, showed moderate to remarkable improvement in their symptoms. Treatment was most effective when it started at the low level of 5 mg a day.

It is likely that Prozac and other medications, by alleviating panic attacks, can also cause a decrease in the symptoms of agoraphobia, the debilitating fear of open spaces, including going into crowded streets and department stores that often results in patients becoming completely housebound, sometimes for years on end.

Behavioral therapy, typically including exercises aimed at desensitizing the patient to frightening stimuli, also plays an important role in the treatment of both panic disorder and agoraphobia. Patients with panic disorder, agoraphobia, or social phobia, should use a combination of an antidepressant and behavioral therapy.

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