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Tianeptine good for panic disorder?

Posted by sukarno on March 23, 2005, at 5:50:47

I have panic disorder with agoraphobia and have tried several tricyclic antidepressants, SSRIs and am now on Xanax (alprazolam) 1mg q.i.d. (4x/day) and famotidine 20mg q.i.d. for GERD (acid reflux). I'm 33 years old, white male, diagnosed with panic disorder in 1988 at the age of 16.

Imipramine worked well for the panic, but unfortunately that and other tricyclics gave me terrible cardiovascular side effects (racing heart, irregular heartbeat) even in very low doses.

SSRIs such as Prozac and Paxil gave me terrible, horrific panic attacks (especially Paxil) and I developed an allergy to Prozac (rashes on arms and legs along with fever and upper GI/stomach bleeding), even at low doses of 0.5mg - 1mg/day (Prozac elixir). A single dose of Paxil 10mg (1/2 tablet) gave me severe panic attacks and depersonalization an hour later, landing me in the ER. I experienced electric shock-like sensations for the next few days after that single Paxil dose.

I have read about and just bought Stablon from the pharmacy here in Jakarta, Indonesia. From what I've read it has promise in panic disorder since it was shown in one study to block panic attacks when patient was administered 35% CO2 (carbon dioxide) gas.

I also have mild asthma and have read that tianeptine is good for asthma.

I have read the previous posts about tianeptine and am wondering if anyone else here has tried it for panic disorder and associated depression?

I also have SAD (seasonal affective disorder), but am becoming lazy when it comes to using my lightbox, even though the lightbox is effective.

I think medication would be easier to treat the SAD and hopefully will help with the asthma and panic attacks.

Sorry for the long post! I would like to take antidepressants, but cannot tolerate them and hope this one is the one that will work.

Thanks,
Paul


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