I have problems with panic attacks and have tried Buspar and Effexor. I asked my doctor which of the newer antidepressants was the most sedating. She said that they all make claims to be; however, she didn't know. She stated that among the older ones (tricyclics), Imipramine, was the best for sedation. I don't want to increase my heart rate and am looking for one of the newer ones. Any suggestions? Have heard that Serzone is a good one, true? Thanks.
Remeron and Serzone would appear to be the most sedating new antidepressants available. However, neither medication has been clearly shown to be effective in treating panic disorder, although there are a few reports supporting this. There are more consistent studies supporting treatment of panic disorder with the SSRIs (Paxil, Zoloft, Celexa, Prozac), Effexor, or benzodiazepines (Xanax, Klonopin, Ativan). Paxil probably has the most sedative effects among the SSRIs. Buspar may have a role in the augmentation of other medications, but has not been proven to be effective for treatment of panic disorder by itself. There are studies which suggest that panic disorder is best treated with a combination of medications and cognitive-behavioral therapy.
I urge you to seek consultation with a psychiatrist who is familiar with these medications, if you are not under the care of one yet.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. MedHelp is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.