What worked best for my times of extreme anxiety/feelings of panic was Ativan (lorazepam). However, it's only supposed to be for short-term use--they say it's addicting. I never got a nice little buzz or anything from it, so not sure why it's so addicting. ?? What was so helpful was that it was fast-acting (within 15-30 minutes) and it WORKED. It provided relief, if only for 6-8 hours.
So what I am on now, since having the anxiety/panic was so ongoing, is buspirone 20 mg and hydroxyzine 100 mg at bedtime. I believe it has helped me sleep better which helps overall. The hydroxyzine is supposedly an anti-anxiety med but it has never helped me on an acute basis....I just take it at night with the hopes that it is helping. (probably not a good reason) She had me on 60 mg buspirone at bedtime, but I was starting to feel very "flat" and did NOT like that.....other people noticed it too so I asked to decrease it.
I'm also on Cymbalta 60 mg and just recently she added Lexapro 20 mg.
I hate being on all this, and it is EXPENSIVE, but it is helping me function/go to work/not be a crazy mess. I also have gained weight.
Don't know if that helped, but that is my experience up to now.
Does anybody think I will ever get off all the meds and be "normal" again? It's been 3 years trying this and that.