<s>[INST] I have stage 4 endometriosis, and a lot in my bowels and bladder. had surgery and it did not help. I also suffer from severe panic attacks and have been on diazepam 10mg 3 times a day for 5 years and have become tolerant of the medicine. My panic attacks last over 3 hours and it is torture on me mentally and physically. What would be the next step up from the diazepam 10mg ,3 times a day. I also have irritable bowel syndrome which has gotten worse.. I am a prisoner in my own body. I would like to be put on Xanax, since it is a muscle relaxer also. Since the mg of diazepam does not work anymore , what mg and dosage of Xanax would you suggest? [/INST] Diazepam for panic disorder is not a scientific choice. It is bound to result in loss of effect due to tolerance and dependence issues. Besides, it may cause memory loss on long term use. Xanax is again a wrong choice and highly habit formingPanic attacks can have many causes like cardiac arrhythmia, mitral valve prolapse or hyperthyroidism These should be checked by a competent doctor. SSRI like sertraline or paroxetine or fluoxetine is the Chat Doctor.  </s>