They block panic attacks almost immediately in the first day or two of treatment. Several dosage increases over a period of several weeks are customary. Ultimately no further increases are required. Public concern about such medicines being dangerously addictive is unduly exaggerated in the case of persons with Panic Disorder. Scientific evidence shows surprisingly low rates of abuse of this and other medicines in persons with Panic Disorder.
Physical dependence does develop with such medicines at larger dosages.
The person who chooses such medicine for this disorder should accept the fact that they may require higher doses and may therefore be physically dependent on the medicine. They must not abruptly cease taking their medicine. Doing so would result in withdrawal symptoms. One does not abruptly stop such medicine. This unique medicine, though more effective than any other medicine for this disorder, is rather complicated to use.