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I think perhaps it can. I have had VVS for decades, and about 10 years ago a couple of episodes in quick succession made me fearful so that I began to have the response for no reason. I was diagnosed with anxiety or panic disorder and prescribed Imipramine, 75 mg a day. I did that plus cognitive therapy for almost a year, and had neither anxiety nor any VVS during that time. I stopped the Imipramine and in the last 9 years have no serious anxiety and only two VVS. I don't know if Imipramine stopped the VVS for that year, as I only have had VVS attacks at the rate of 1 or 2 a decade, depending on what happens to me. But I do think Imipramine could reduce the vagal reaction like it deadens anxiety.