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Hope,
I'm an RN. I think you should be on Effexor and something like Xanax for the panic attacks. Effexor is something you will take every day and the Xanax would be for when you need it. Klonopin is kinda like Xanax but i'm more familiar with Xanax. We use it alot for panic attacks. You also need to learn biofeedback when you are having the attacks. A sleeping pill is not a bad choice either, but they are expensive and i take tylenol pm and it works better. If you have any questions i will answer them for you.
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