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Panic attacks and beta-blockers

Beta-blockers are commonly used to lower blood pressure, but have great usefulness for situational anxiety and performance anxiety. While SSRI's live Zoloft are commonly used to treat or prevent panic attacks, I like to do a trial of a low dose beta-blocker like metoprolol (brand name Toprol) I like to use 50mg at bedtime. If the panic attacks continue, you could double the dose or go on to another agent. It is alway good to have a benzodiazepine like Xanax - alprazolam or Ativan - lorazepam in case a panic attack occurs.