Beta blockers for panic disorder?

Since palpitations (and tremors) are very common and troublesome symptoms of panic disorder, clinicians, should we consider using a beta blocker as an adjunct in the treatment of panic disorder? There are four controlled clinical trials of propranolol for panic disorder (Munjack et al., 1985, 1989; Noyes et al., 1984; Ravaris et al., 1991). The…