Panic Disorder

Clinical Features:

• Pounding or racing heart.
• Sweating.
• Chills.
• Trembling.
• Difficulty breathing.
• Weakness or dizziness.
• Tingly or numb hands.
• Chest pain.

 Investigations:

• ECG
• Serum TSH,FT4

Rx:

1. Cognative  behavioral therapy(CBT)

2.

• Tab. Lexotanil([post id="475" title="Bromazepam"])(3mg).......0+0+1......1 month

OR

• Tab.Alpam ( Alprazolam) (0.25mg)...0+0+1......months

3. Tab. Esita(Esitalopram) (10mg) .......1+0+0................continue