Need help with panic attacks

I take fluoxetine for my anxiety and depression. Have you tried it?

Tori suggested propranolol but I'd like to point out that its main action is lowering blood pressure relatively quickly, so if you're fainting you would want to be extra cautious to make sure that's safe for you if you do consider it.

Yeah, gabapentin and seroquel aren’t going to help with that… I understand where your psychiatrist is coming from, but sometimes trying to minimize one type of potential harm does not outweigh the harm that doing so causes. Propranolol might help? For psychiatric use, it’s used to help prevent panic attacks, anxiety attacks, and PTSD episodes. Usually in low doses since it can lower blood pressure. My psych explained it as “Propranolol is to Prevent.” (I’m also on Ativan, which she explained as being meant to Attack [episodes].” So it may work as a maintenance/preventative med. Most likely won’t completely stop them, but it might help reduce the occurrence.

I’ve not fainted before so not sure if it will help specifically but I’ve found beta blockers like propranolol (taken both regularly or PRN) can be helpful with the physical side effects of anxiety (for me it’s the racing heart and tunnel vision to the point where I can’t make out things in front of me)

While this is a better question for a trained professional and/or psychiatrist, a PRN may be needed for such times. Something like Xanax, Vistaril, Ativan, Trazodone, or even Benedryl. Something fast acting and short acting I would believe.