I had my first full blown panic attack when I was 60 and just had Facelift surgery, my first ever surgery. The panic attack was quite scary as men dont talk about these personal matters and had no idea what was happening. My doctors confirmed that it was most likely post op and reaction to morphine, called the doom and dread syndrome. It passed in a few days.
When I started HRT I continued with my love for late night wild parties and found myself unable to consume the various party candies, and would have panic attacks afterwards. This included waking up in a panic, gasping for air, and having to get up and walk to the kitchen to control myself. Then fearful of falling asleep. So off to the Dr once again. Seems that my tolerence to various party goodies is very low after HRT. Also, was advised that once exposed to these panic attacks that they will recurr. So I now reduce my intake considerably but still fun, and also to recognize the dark place as it begins again.
Now I know how to identify the attack as I sense the dark place approaching, and know how to distract and calm myself and push it away. Have not had one for years.I have often wondered if females are more prone to panic attacks as their metabolism, and now mine also, cannot process alcohol and party drugs as well as a male.