A member asked:

Is citalopram or mirtazapine used for panic attack and anxiety?

10 doctors weighed in across 3 answers
Dr. Elizabeth Howell answered

Specializes in Psychiatry

Either one or both: Both medications can treat panic attacks and anxiety. They can also be used together (usually citalopram during the day and Mirtazapine at bedtime) and work synergistically to decrease panic attacks and anxiety.

Answered 10/4/2016

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Dr. Pamela Pappas answered

Specializes in Psychiatry

Yes: Both citalopram and Mirtazapine can be helpful for panic attacks and anxiety. Mirtazepine may cause more sedation and weight gain, though. Talk with your psychiatrist about the best treatment for you.

Answered 9/17/2017

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Dr. Edward Kuhnley answered

Specializes in Child Psychiatry

Both: Citalopram & mirtazepine target symptoms of anxiety including panic attacks. The results of an open label study in panic disorder (2001) suggest that Mirtazapine seems to be a fast & effective treatment alternative for ssris in panic disorder. A placebo-controlled study (1997) demonstrated efficacy of citalopram in reducing panic attacks. Both meds have been associated with panic attacks during tx.

Answered 12/26/2022

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