<s>[INST] I am on Seroquel, Zoloft and Xanax for severe depression and anxiety disorder. I am a 46 year old female and I have been experiencing extreme continuous hot flashes. So bad I have to carry a washcloth to wipe my face and neck. I bought estroven blend (Walmart Brand) it is also a multi vitamin. I have been experiencing severe anxiety attacks the last two days. I started the estroven 4 days ago. Could that be interacting with my other medicines? [/INST] HiThanks for using healthcare magicHot flashes in post menopausal female is very common. In that case, you can take des-venlafaxine as an antidepressant rather than zoloft. Now the anxiety symptoms, which you are facing, could be due to depression or estrogen. Multi-vitamin does not cause anxiety. Rest, you can discuss with your physician. In case, you need further help, you can ask.Thanks </s>