title: Atomoxetine Augmentation in a Case of Treatment Resistant Panic Disorder with Multiple Augments Failure: A Case Report.
abstract: Atomoxetine, a selective norepinephrine inhibitor, is effective in comorbid anxiety and attention deficit hyperactivity disorder, however its role in panic disorder is unknown. We are presenting a case of panic disorder, who initially partially responded to clonazepam. When clonazepam was added with sertraline, escitalopram, desvenlafaxin, she did not improve significantly until paroxetine was added. When clonazepam-paroxetine combination was added with propranolol, etizolam, olanzepine, risperidone and amisulpride the symptom remission did not occur until a trial of Atomoxetine was done.
authors.affiliation: Department of Psychiatry, JSS Medical College, Mysore, India.
authors.forename: Dushad
authors.initials: D
authors.lastname: Ram
authors.affiliation: Department of Psychiatry, JSS Medical College, Mysore, India.
authors.forename: Shwetha
authors.initials: S
authors.lastname: Patil
authors.affiliation: Department of Medicine, JSS Medical College, Mysore, India.
authors.forename: Basavana
authors.initials: B
authors.lastname: Gowdappa
authors.affiliation: Department of Psychiatry, JSS Medical College, Mysore, India.
authors.forename: Iyshwarya
authors.initials: I
authors.lastname: Rajalakshmi
keywords: Atomoxetine augment; Selective norepinephrine reuptake inhibitor; Treatment resistant panic disorder