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Re: SAM-E for panic disorder ?? Caitlin

Posted by Larry Hoover on August 18, 2003, at 7:38:48

In reply to SAM-E for panic disorder ??, posted by Caitlin on August 17, 2003, at 5:22:53

> Hi,
> I've been suffering from panic disorder for the last few years. Things got out of control and I'm now seeing a psychiatrist who put me on Prozac but i have side effects.
> I have heard of SAM-e. Its good for depression. Anyone knows if it works for Panic disorders ??

The only reasonably reliable source I can find says that it is useful, but only at "the lowest possible dose", suggesting that it may well make the problem worse.

> Can SAM-e be used with Prozac ?

Only under medical supervision. You need an objective observer to help assess the possibility of adverse interactions. One source suggests that serotonin syndrome is possible, but I think would be pretty unlikely. You're hoping for a positive interaction, of course, and that may well occur, too. You'd need to add the SAMe at low dose, and titrate upwards slowly (under supervision).

> My psych has no experience with SAM-e so he couldnt answer my questions.
> Hope somebody can help.
> Thks !

I don't have an intimate understanding of panic disorder. My comments are about the drugs themselves.





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