 I've  been on Prozac for anxiety and depression for the best part of ten  years now, starting at 10 mg daily and increasing to 20 mg and now 40 mg  when I hit points where the then-current dose wasn't cutting it  anymore. I'm getting to another point where it's not cutting it. On the  depression side, I'm doing alright. The anxiety is getting too hard to  manage though. About 2 months back, I went to see my doctor after  spending a full 3 days on the edge of full-blown panic attack. She  started me on buspar, 5mg twice a day and said we'll have a follow up in  a couple months.   
Well,  the follow up is this coming Monday. And the buspar is really not a  good fit for me. I've not had more panic attacks, but my base line feels  worse on it, and I've noticed the anxiety manifesting as irrational  anger. I've not lashed out at anyone, but I really don't like feeling  that way.   
I'm  at a bit of a loss for what to try next. My doctor is going to ask me  what I want to try. I know amitriptyline is a no-go. It leaves me so  foggy and sleepy I can't function. I cannot for the life of me remember  to take an evening dose of any, and I'm wary of benzos to the point of  not taking them unless I'm really, really desperate (like full blown  panic attack feel like I'm dying desperate). Does anyone have any  insight? Thoughts on options I should look into? Please help!