Don't know much about panic attacks but there is article that describes anti depressants that can be taken while taking azilect
3things you should know - AZILECT
I know azilect is used in early stage PD but it seems to take some time before it has any effect. My neuro treated me with max doses of amantadine and Mirapex and the effect was immediate. Within 24 hours my tremor had disappeared and I was feeling better. That was almost 5 years ago and the drugs are still working; although he added L-dopa. He says it can't hurt to start the L-dopa now. I suffer no side effects from any of the drugs and except for a few days when the symptoms appear (usually as a result of stress), I remain mostly symptom free, except for an inability to speak using "adult" words. You can read about my journey in my blog at wpgchap.blogspot.ca.