Living with panic disorder for many years is common, and the goal of long-term management is to keep symptoms well-controlled while maintaining a good quality of life. Continue your medication as prescribed and have regular follow-ups with your doctor, as long-term use may need dose adjustment or review to minimise side effects or dependence (especially with certain medicines). In addition to medicines, therapies like counselling or cognitive behavioural therapy (CBT) are very effective in reducing panic attacks and improving confidence. Lifestyle measures such as regular exercise, good sleep, limiting caffeine, practising relaxation techniques (deep breathing, meditation), and avoiding alcohol or smoking can also help. It is important not to stop medicines suddenly, as this can worsen symptoms. If you notice increased frequency of attacks or side effects, consult your doctor for further guidance.