<s>[INST] Ive been having axiety/ panic attacks for a few years now. I take prozac 40mg., buspar 15mg., and ativan 1 mg., . for the last 3 weeks they have been severe and daily. Ive had to go to the e.r. for fear of not being able to breath like Im having a heart attack. Feelings of hostility and paranoia. Please help me understand? [/INST] Hello thanks for asking from ChatDoctorI can understand your concern. You have anxiety and panic disorder. The symptoms like fear of not be able to breath or having a heart attack could be occurring due to persisting panic episodes. You are on Prozac 40, Buspirone 15 mg and Asian 1 mg and these symptoms are persisting. In such case for control of panic attacks you can think of taking increased doses of Asian or Lorazepam. You can take the Chat Doctor.  The  </s>