Panic Attacks After Starting Antidepressants: What to Know - Psychiatry

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Panic attacks can be a distressing experience, especially when they occur after starting a new medication like an antidepressant. It's important to understand that while antidepressants, particularly selective serotonin reuptake inhibitors (SSRIs), can be effective in treating anxiety and depression, they can also lead to an initial increase in anxiety symptoms for some individuals. This phenomenon is sometimes referred to as "activation syndrome," where patients may experience heightened anxiety, agitation, or panic attacks shortly after starting treatment.

In your case, it seems that you have a history of anxiety and panic disorders, and the introduction of the antidepressant may have triggered an increase in panic attacks. This is not uncommon, especially during the first few weeks of treatment. The body often needs time to adjust to the medication, and while some side effects may diminish after a couple of weeks, others may persist or even worsen before they improve. It’s crucial to maintain open communication with your prescribing physician about these experiences.

Regarding your concerns about the antidepressant you are taking, it’s essential to discuss your symptoms with your doctor. They can help determine whether the panic attacks are a side effect of the medication or if they are part of the underlying anxiety disorder. If the panic attacks continue or worsen, your doctor may consider adjusting the dosage or switching to a different medication that may be better suited for you.

As for the medication "利福全" (Rifampicin), it is typically used as an antibiotic, primarily for tuberculosis, and is not commonly prescribed for anxiety or panic disorders. It seems there may be a misunderstanding or miscommunication regarding this medication. If your doctor prescribed it for acute anxiety or panic attacks, it’s essential to clarify its intended use and potential side effects with them. Concerns about addiction are valid, especially with medications that can have sedative effects. Your doctor can provide guidance on how to use it safely and effectively.

In addition to medication, consider integrating therapeutic approaches such as cognitive-behavioral therapy (CBT), which has been shown to be effective for anxiety and panic disorders. CBT can help you develop coping strategies and address the thought patterns that contribute to panic attacks. Mindfulness and relaxation techniques can also be beneficial in managing anxiety symptoms.

Lastly, if you find yourself in a situation where panic attacks are frequent or debilitating, it’s crucial to seek immediate support. Whether through your healthcare provider, a therapist, or a support group, having a network can help you navigate this challenging time. Remember, you are not alone in this, and there are effective treatments available to help you manage your symptoms and improve your quality of life.