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Double-blind, placebo-controlled comparison of clonazepam and

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Double-blind, placebo-controlled comparison of clonazepam and

J Clin Psychiatry. 1991 Feb;52(2):69-76. Double-blind, placebo-controlled comparison of clonazepam and alprazolam for panic disorder. Tesar GE(1).

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Sedation and ataxia were the most common side effects reported, but these effects were mild and transient and did not interfere with treatment outcome. Endpoint analysis demonstrated a significant beneficial effect of both active treatments, but not placebo treatment, on the frequency of panic attacks, overall phobia ratings, and the extent of disability. To test the reported antipanic efficacy of clonazepam, the authors randomized 72 subjects with panic disorder to 6 weeks of treatment with either alprazolam, clonazepam, or placebo. Comparison of the two active treatments revealed no significant differences and no consistent tendency for one agent to be favored over another, although power to detect small differences was limited. The results of this double-blind, placebo-controlled trial are consistent with previous reports of clonazepam's antipanic efficacy.

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