Objective: The authors used the family study method to test the hypoth
esis that sodium lactate response defines two subtypes of panic disord
er. Method: Rates of panic disorder in 142 first-degree relatives of p
atients who responded to sodium lactate, 88 first-degree relatives of
patients who did not respond to sodium lactate, and 231 first-degree r
elatives of never mentally ill subjects were compared. Results: No dif
ference in familial transmission of panic disorder was found between t
he two patient groups. Conclusions: The findings do not support the no
tion that panic disorder subtypes are associated with lactate sensitiv
ity.