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It's essential to consult with a qualified healthcare provider before starting or changing any medications, especially when taking multiple drugs.

Modafinil, including its brand name Waklert, is a medication primarily used to treat narcolepsy, sleep apnea, and shift work sleep disorder. It is not typically prescribed for panic disorder or anxiety. However, some studies have explored its off-label use for other conditions, including depression and ADHD.

Modafinil is known to interact with various medications, including SSRIs, such as Prozac (fluoxetine). Combining modafinil with SSRIs may increase the risk of serotonin syndrome, a potentially dangerous condition characterized by symptoms like agitation, confusion, rapid heartbeat, and high body temperature.

Taking alprazolam (Xanax) with modafinil is also not recommended, as these medications can have opposing effects on the central nervous system. Alprazolam is a benzodiazepine used for short-term relief of anxiety, while modafinil is a stimulant that can increase alertness and wakefulness.

If you are experiencing panic attacks and your current medications do not seem to be effective, it's crucial to discuss your concerns and symptoms with your healthcare provider. They can evaluate your condition, consider appropriate adjustments to your current treatment plan, or recommend alternative medications that may be more suitable for your specific needs.

When treating panic disorder or any mental health condition, finding the right combination of medication and therapy can be a process that requires patience and close monitoring by a healthcare professional. They can help you weigh the potential risks and benefits of various treatment options to develop the most appropriate and safe plan for managing your panic disorder.

Please remember that self-medicating or combining medications without professional guidance can be dangerous and may lead to unintended consequences. Always consult with your healthcare provider before making any changes to your medication regimen.

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