Panic Disorder

NICE CG113 recommends that benzodiazepines should not be prescribed for the treatment of individuals with panic disorder

NICE CG113 recommends that sedating antihistamines or antipsychotics should not be prescribed for the treatment of panic disorder

Women of child-bearing potential must use adequate contraception

High potential for withdrawal symptoms, other SSRIs are preferred

Pack Price
28 tablet £9.31
Pack Price
14 tablet
28 tablet
30 tablet £1.26
Pack Price
30 tablet £1.53
Pack Price
28 tablet
30 tablet
Pack Price
150 ml £9.12
Pack Price
28 tablet £0.80
30 tablet
Pack Price
14 tablet
28 tablet £0.99
30 tablet

Unlicensed use but recommended by NICE CG113

An ECG and BP recording should be taken before commencing treatment for people at significant risk of cardiovascular disease

Recommended dose initially 25mg daily (ELDERLY 10mg daily) increased over 2 weeks to 100mg - 150mg daily, maximum dose 250mg daily

Pack Price
100 capsule
28 capsule £1.30
84 capsule
Pack Price
100 capsule
28 capsule £1.59
84 capsule
Pack Price
100 capsule
28 capsule £1.94
56 capsule

Unlicensed use but recommended by NICE CG113

An ECG and BP recording should be taken before commencing treatment for people at significant risk of cardiovascular disease

Recommended dose initially up to 75mg daily in divided doses gradually to 150mg - 200mg (up to 300mg in hospital patients); up to 150mg may be given as a single dose at bedtime (ELDERLY initially 10mg daily, increased gradually to 30 - 50mg)

Pack Price
250 tablet
28 tablet £0.77
Pack Price
100 tablet
28 tablet £0.81
500 tablet
84 tablet
Pack Price
1 ml
150 ml

Not licenced for this indication but the Maudsley Prescribing Guidelines in Psychiatry (12th edition) list as an option if other therapies have failed. It is less well tolerated or has a weaker evidence base than formulary options

Pack Price
28 tablet £2.84
30 tablet
Pack Price
28 tablet £1.22
30 tablet
Pack Price
28 tablet £2.77
30 tablet
Pack Price
30 tablet £1.24
6 tablet
Pack Price
30 tablet £1.34
Pack Price
30 tablet £1.79
Pack Price
30 tablet
Pack Price
30 tablet
Pack Price
1 ml

Not licenced for this indication but the Maudsley Prescribing Guidelines in Psychiatry (12th edition) list as an option if other therapies have failed. It is less well tolerated or has a weaker evidence base than formulary options

Recommended dose 75mg XL once daily increased at intervals of at least 2 weeks to maximum of 225mg XL daily

Pack Price
28 capsule £5.25
Pack Price
30 tablet £6.60
Pack Price
14 capsule
28 capsule £2.60
30 capsule
Pack Price
28 tablet
30 tablet £2.60
Pack Price
14 capsule
28 capsule £3.90
30 capsule
Pack Price
28 tablet
30 tablet £3.90
Pack Price
28 capsule £47.11
30 capsule
Pack Price
30 tablet £33.60

Restricted to initiation by specialists

Not licenced for this indication but Maudsley Prescribing Guidelines in Psychiatry (12th edition) list as an option if other therapies have failed. It is less well tolerated or has a weaker evidence base than formulary options

Patient must be informed of dietary restrictions and drug interactions (see SPC and / or BNF for details)

Pack Price
100 tablet
30 tablet £22.10
Pack Price
30 tablet £13.99
60 tablet

Restricted to initiation by specialists

Not licenced for this indication but Maudsley Prescribing Guidelines in Psychiatry (12th edition) list as an option if other therapies have failed. It is less well tolerated or has a weaker evidence base than formulary options

Patient must be informed of dietary restrictions and drug interactions (see SPC and / or BNF for details)

Phenelzine 15mg tablets are not available, click here for more information

Pack Price
100 tablet £22.50

Do not offer valproate to girls or young women of childbearing potential. If use cannot be avoided discuss risks and ensure that adequate contraception is being used.

Valproate medicines (Epilim▼, Depakote▼) are contraindicated in women and girls of childbearing potential unless conditions of Pregnancy Prevention Programme are met. Use materials provided by MHRA (see link above)

Restricted to initiation by specialists

Not licenced for this indication but the Maudsley Prescribing Guidelines in Psychiatry (12th edition) list as an option if other therapies have failed. It is less well tolerated or has a weaker evidence base than formulary options
   
KMPT valproate guide
Medicines related to valproate: risk of abnormal pregnancy outcomes

Valproate annual risk acknowledgement form

KMPT guideline for prescribing valproate Dec 2023

Pack Price
100 tablet £5.60
Pack Price
100 tablet £4.21
Pack Price
100 tablet £7.29
Pack Price
100 capsule
Pack Price
100 tablet £11.65
Pack Price
100 tablet £17.47
Pack Price
100 capsule £13.00
Pack Price
100 tablet £29.10
Pack Price
300 ml £9.33
Pack Price
300 ml £4.16
Pack Price
30 sachet £30.00
Pack Price
30 sachet
Pack Price
30 sachet £30.00
Pack Price
100 sachet £21.00
30 sachet £30.00
Pack Price
30 sachet £30.00
Pack Price
100 sachet £41.00
30 sachet £30.00

Do not offer valproate to girls or young women of childbearing potential. If use cannot be avoided discuss risks and ensure that adequate contraception is being used.

Valproate medicines (Epilim▼, Depakote▼) are contraindicated in women and girls of childbearing potential unless conditions of Pregnancy Prevention Programme are met. Use materials provided by MHRA (see link above)

Restricted to initiation by specialists

Not licenced for this indication but the Maudsley Prescribing Guidelines in Psychiatry (12th edition) list as an option if other therapies have failed. It is less well tolerated or has a weaker evidence base than formulary options
   
KMPT valproate guide
Medicines related to valproate: risk of abnormal pregnancy outcomes

Valproate annual risk acknowledgement form

KMPT guideline for prescribing valproate Dec 2023

Pack Price
100 capsule
Pack Price
100 capsule
Pack Price
100 capsule
Pack Price
90 tablet £17.08
Pack Price
90 tablet £34.11