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Dr. SH
Dr. SH, Board Certified Physician
Category: Medical
Satisfied Customers: 8789
Experience:  Doctor of Medicine
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Is there any medication that can help with your breathing while

Customer Question

Is there any medication that can help with your breathing while having a panic attack?
Submitted: 3 years ago.
Category: Medical
Expert:  Dr. SH replied 3 years ago.

Dr. Shahzad MD :

Hi there. Thank you for your question. I will be helping you out with your queries

Dr. Shahzad MD :

Breathing problem during a panic attack is called as 'psychological hyperventilation'.

Dr. Shahzad MD :

This can be helped by breathing into a paper bag.

Dr. Shahzad MD :

But this is not recommended nowadays.

JACUSTOMER-4p95epjo- : I am on 80mg of beta blockers should I up my dossage?
Dr. Shahzad MD :

what kind of beta blocker are you on? propranolol?

JACUSTOMER-4p95epjo- : Yeah I am
Dr. Shahzad MD :

I think that the dose is okay.

Dr. Shahzad MD :

Are you on any other medications for you anxiety?

JACUSTOMER-4p95epjo- : I have panic attacks when I go to see my girlfriend and no I'm not what would help instantly?
Dr. Shahzad MD :

I think that you should be on escitalopram or citalopram for your anxiety.

JACUSTOMER-4p95epjo- : Will they work instantly
Dr. Shahzad MD :

You should also be given something like lorazepam or alprazolam to help with symptoms instantly.

Dr. Shahzad MD :

Propanolol should work instantly actually.

Dr. Shahzad MD :

You can up the dose to 80 mg two to three times daily.

Dr. Shahzad MD :

It depends on the control of your symptoms and your heart rate.

Dr. Shahzad MD :

You have to keep your heart rate above 60 and your blood pressure normal when you are on propranolol.

JACUSTOMER-4p95epjo- : It's lowered my pulse but my breathing feeling sick and sweating still there
JACUSTOMER-4p95epjo- : Will the others work better
Dr. Shahzad MD :

What is your pulse rate now?

JACUSTOMER-4p95epjo- : 65
Dr. Shahzad MD :

That is okay then.

Dr. Shahzad MD :

The alprazolam and lorazepam are benzodiazepines that work instantly.

JACUSTOMER-4p95epjo- : but will the other tablets work straight away
Dr. Shahzad MD :

But they can cause drowziness and sleepiness which is something that you should be aware of.

JACUSTOMER-4p95epjo- : better than the beta blocker
Dr. Shahzad MD :

They can be used along side the beta blockers.

Dr. Shahzad MD :

You cannot compare the two actually.

Dr. Shahzad MD :

Beta blockers only slow the heart rate.

Dr. Shahzad MD :

The benzodiazepines calm you down overall.

Dr. Shahzad MD :

Are you following me?

JACUSTOMER-4p95epjo- : yes
Dr. Shahzad MD :

Anymore questions?

JACUSTOMER-4p95epjo- : will I get better
JACUSTOMER-4p95epjo- : how long will it take for the benizadinmes take to kick in
Dr. Shahzad MD :

It takes around 30 minutes for the effects of benzodiazepines to kick in.

JACUSTOMER-4p95epjo- : will I get better
Dr. Shahzad MD :

yes it will

Dr. Shahzad MD :

You also need to be on regular medications like escitalopram everyday.

Dr. Shahzad MD :

This medication will help reduce or eliminate your panic attacks.

Dr. Shahzad MD :

This particular medication i.e. escitalopram usually takes two to four weeks to start working.

Dr. Shahzad MD :

But medications like lorazepam start working instantly in about 30-45 minutes.

Dr. Shahzad MD :

Let me know if you have more questions.

Dr. Shahzad MD :

Rate me for my services when you are done.

JACUSTOMER-4p95epjo- : Can we talk
Dr. Shahzad MD :

Yes we can talk but you would have to rate me for my services once before we proceed.

Dr. Shahzad MD :

Thank you.

JACUSTOMER-4p95epjo- : It closes chat if I rate you tho
Dr. Shahzad MD :

It will close the chat but you can still chat with me on the Q & A mode