Panic Disorder Induced by a “Herbal” Product Containing Sibutramine: Case Series with Review of Literature

Sibutramine is a serotonin and noradrenaline reuptake inhibitor which has been used for weight loss in obese patients. There are slimming products on the market claiming to be ‘natural’ which nevertheless contain sibutramine. In this report, we present three cases where panic attacks were associated with the use of a product and persisted even long after its discontinuation.