15 doctors weighed in:

Having episodes of scintillating scotoma when i panic. Doctor gave me Prozac (fluoxetine) and told me it will go away that anxiety is cause it. Is this correct?

15 doctors weighed in
7 doctors agree

In brief: Panic Treatment

An opthalmologist will address the scotomas.
Regarding panic: cognitive behavior therapy for panic very helpful. Med:talk with your md about slowly increasing ssri dose (1/2 of lowest dose per week) up to highest dose you can tolerate. Anxiety disorders usually need twice the dose(prozac60-120mg)&twice the treatment time(8-12wks) as it does for mood disorders to respond to ssri treatment.

In brief: Panic Treatment

An opthalmologist will address the scotomas.
Regarding panic: cognitive behavior therapy for panic very helpful. Med:talk with your md about slowly increasing ssri dose (1/2 of lowest dose per week) up to highest dose you can tolerate. Anxiety disorders usually need twice the dose(prozac60-120mg)&twice the treatment time(8-12wks) as it does for mood disorders to respond to ssri treatment.
Dr. Caroline Cribari
Dr. Caroline Cribari
Thank
Dr. Harold Peltan
Ophthalmology
6 doctors agree

In brief: Blind panic

In addition to dr. Cribari's and dr. Sajjadi's excellent answers: scintillating scotomas are the result of electrical activity in the occipital cortex of the brain, usually associated with migraine (with or without headache) but sometimes a lesion.
Some people can trigger the occipital cortex directly through a panic attack (blind panic) and may faint.After workup, most likely your meds will work.

In brief: Blind panic

In addition to dr. Cribari's and dr. Sajjadi's excellent answers: scintillating scotomas are the result of electrical activity in the occipital cortex of the brain, usually associated with migraine (with or without headache) but sometimes a lesion.
Some people can trigger the occipital cortex directly through a panic attack (blind panic) and may faint.After workup, most likely your meds will work.
Dr. Harold Peltan
Dr. Harold Peltan
Thank
Dr. Hamid Sajjadi
Ophthalmology
6 doctors agree

In brief: Not directly.

Your scintillating scotomas need workup.
Once MRI and lab results are done most common diagnosis is ophthalmic migraine. Anxiety can trigger migraine but it does not cause it. So if this is ophthalmic migraine it will decrease in number of attacks as the your panic attacks decrease. So indirectly it will decrease or abort the scintillating scotomas. But you must see a neurologist for workup.

In brief: Not directly.

Your scintillating scotomas need workup.
Once MRI and lab results are done most common diagnosis is ophthalmic migraine. Anxiety can trigger migraine but it does not cause it. So if this is ophthalmic migraine it will decrease in number of attacks as the your panic attacks decrease. So indirectly it will decrease or abort the scintillating scotomas. But you must see a neurologist for workup.
Dr. Hamid Sajjadi
Dr. Hamid Sajjadi
Thank
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