Stopping escitalopram after long-term use requires a gradual taper to prevent mild discontinuation symptoms. Since you are on a low dose of 5mg, your doctor will likely suggest slowly reducing this further, such as taking 2.5mg daily for a few weeks, or alternating days, before stopping completely. Please do not stop abruptly on your own. Schedule an appointment with your prescribing doctor so they can design a safe, personalized tapering schedule and monitor your progress closely to ensure you remain comfortable and symptom-free throughout the transition.

Panic disorder is a common but highly treatable condition, and the best approach usually combines medication with therapy. Doctors commonly prescribe antidepressants such as Sertraline or Escitalopram, which help reduce the frequency and intensity of panic attacks over a few weeks, while short-term use of anti-anxiety medicines like Clonazepam may be given for quick relief in severe cases but are not suitable for long-term use. Cognitive behavioral therapy (CBT) is equally important, as it helps you understand and control panic symptoms and reduces fear of future attacks. In addition, simple lifestyle measures such as regular exercise, proper sleep, limiting caffeine, avoiding alcohol and smoking, and practicing relaxation techniques like deep breathing can significantly improve symptoms. It is important to consult a doctor for proper guidance, avoid self-medication, and continue treatment regularly, as most people improve well with consistent care.