Hi, I am a 39 year old female, married for 9 years and have no kids. I suffer from phobia, GAD, panic attacks, OCD, and depression since I was a child. My panic attacks were sleepy for quite some time. Recently since 3 month ago, I had been experiencing frequent panic attacks, and I started to develop agoraphobia, and I am afraid of crowded places a thing that I did not have previously. I also fear elevators, driving by myself (although I used to drive) I fear of being alone, flying, traveling, staying alone. 3 years ago I was diagnosed with breast cancer, and now I am on tamoxifen 20 mg. I saw several psychiatrists and they were useless. One described Deanxit which worked 80% well with me. Another described Deanxit and Citalopram, but I did not use the 2nd. My questions are:
1. Does Deanxit has any interaction with Tamoxifine that can alter its levels in the blood?
2. Is Citalopram safe to use, as I read the side effects and freaked out.
3. What substitute Deanxit if I should not take it, as I mentioned it works well for me.
4. I do not take Deanxit frequently, I take it on need basis but recently I have been taking it 3 weeks, any comments.