Currently taking mirtazapine (remeron) 22.5mg. it helps w/ insomnia and appetite but not anxiety/panic. what would be a good second med/combo with remeron to help with panic/anxiety?

Trazadone: might be worth a try.... MUST check this out with your Prescribing Health Care Professional...this is simply a suggestion (the drug is available as GENERIC .....

Psychiatrist: A psychiatrist is best qualified to answer this question, but in my experience, if stress management and cognitive therapy aren't effective, medications such as ativan or klonipin have been used to combat chronic anxiety and panic or phobias. The dosage should be low and I would avoid this combination in elderly patients.

See below: Talk to your prescribing provider as s/he is the most familiar with you and your medical history. Meanwhile try to establish daily routine to bring some predictability in your day; practice deep breathing, relaxation/ guided imagery (you can find scripts on the web); you can work with a therapist to help you guide through the process. Be well!