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    Buspar and panic attacks
    An_250306 posted:
    I started taking buspar 5mg gradually building to 3 per day. Each morning I have severe panic attacks. I take a lorazapam to get it down to a manageagle level, do mediatation and deep breathing. I also take Zoloft which I have taken years ago and went off of since it quit helping my anxiety. My psych told me to lower the zoloft to 100 mg from 150 and increase the buspar gradually until I am taking 30 mg a day. Last night I took the prescribed 10mg before bed and woke with worse panic. Is this something that will go away or should I be talking to dr. again. This is the hardest way to funcition. She said she is adding prestiq 50 mg. I have read that that may cause seritonin syndrome. Do I need a new dr.?
    Patricia Farrell, PhD responded:
    One of the major problems with psychotropics is that no one truly knows which will work for any patient and how much of anything should be used. I'm not an M.D., but I surely understand your concern about serotonin syndrome since the medication that your doc is considering adding is an SNRI which means you will be taking two medications that are aimed at serotonin. You need to talk this over with your prescriber and express your concerns.

    I would think you should also consider when is the best time to take medications and, if you would feel more comfortable, getting a second opinion. Remember, medication, especially in the area of psychiatric disorders, is an educated opinion and not based on medical parameters such as medical disorders are.

    I hope that things do improve for you very soon and that you do work this out either with your current prescriber or a new one.

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