Paxil for 12 years for panic. stop working. physician put me on 40 mg viibrid. after a year, added 37.5 of effexor (venlafaxine). tired. no sleep. still panic.

Panic not resolved!: I'm sorry to hear u've been struggling with panic d/o after what sounds like a long period of time without sxs at all. I'd talk with your doc. Has anything in your life changed recently? Are you under more stress? A psychotherapy could help here. A tradtional anxiolytic SSRI might be the route your doc eventually goes. Good choices may include Luvox, lexapro, (escitalopram) or sertraline, but I defer to ur MD :)