HomeAnswersPsychiatrymidazolamCan Midazolam be used for severe panic attacks?

Is Midazolam used for severe panic attacks?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Sneha Kannan

Published At September 3, 2020
Reviewed AtMarch 6, 2021

Patient's Query

Hello doctor,

I have a friend who had severe panic attacks last week. She keeps weeping and does not sleep or eat much. She is a bit better now, but a doctor prescribed Midazolam for her. I think this medication might not be right for her. I am greatly worried, so please tell me if this prescription is right or not?

Hi,

Welcome to icliniq.com.

Thank you for taking help from a psychiatrist. I can understand your situation. You seem to be a good person who is so much concerned about your friend. Yes, Midazolam can be used for anxiety but it is not frequently used for anxiety. There are many other good medications for anxiety with lesser side effects. If your friend can get a tablet Clonazepam MD 0.5 mg, then try to take that one. It is longer in acting and best for a panic attack. In the form of a mouth dissolving (MD), she just needs to put on the tongue when she has a panic attack. If she has more panic attacks, she needs to start taking antidepressant medications daily to prevent panic attacks. Antidepressant medications are used to prevent panic attacks, and Benzodiazepine (Midazolam or Clonazepam) use for treating the panic attack. Your friend should try to follow the below lifestyle to deal with her panic attack. It will really help her. She should do exercises daily for 30 to 45 minutes, like at least going for a walk. She should do meditation for 20 minutes daily, just sit at one place in a comfortable position and try to concentrate on her normal breathing, do not stop or force herself to stop her thoughts, just let it be. She should eat healthy home-cooked foods, avoid junk foods. She should spend quality time with friends and family daily or do video calls if they are living away from her. She should spend time on creative hobbies like reading good books, writing journals, painting, drawing, learning new skills or language or musical instruments. She should take enough 7 to 8 hours of sleep daily. She must avoid tobacco or alcohol, or any substance abuse. Give her a reason to live her life, tell her to be bold and confident. Do not be afraid of anyone. Please take care of your friend. Everything will be fine. I hope that you get your answer. Please let me know if you want some help.

Thank you.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Vishal Anilkumar Gandhi
Dr. Vishal Anilkumar Gandhi

Psychiatry

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