I posted yesterday in regards to my situation and I am new to this severe anxiety thing. The last few days i have been having massive panic attacks ( i cant even function just sit on the couch or lay in bed) and then the physical symptoms just linger. I have been on edge for the past day where my body is tingling and shakey. I get dizzy and nauseous. Even when I am relatively calm the on edge shakey tingly body feeling doesnt go away and its driving me insane. A few weeks ago my doctor prescribed me 10mg citalpram to begin as I am a small person and new to taking meds. I have yet to take it due to fear of the side effects. I also took one hydroxyzine a few weeks ago to help me sleep just a 10mg dose. Well due to the panic attacks I called him today and he gave me .25mg xanax to have to help relieve the physical symptoms but wants me taking it at night. He told me I really need to start the citalopram now and can take the hydroxyzine too if need be. My question is that is it okay if I take these three meds in one day or should I just be taking the xanax and citalopram or only one? Hes the PA not the doctor but the doctor gave the go ahead on the xanax. Can i take the xanax only when I experience the physical symptoms? I am scared to take the citalopram right now while having the on edge feeling currently but i know i need to start so i can see if it will help me get better. I cant deal with this feeling of being on edge and multiple panic attacks like this and I just need this to work eventually or at least have the xanax take some of the physical symptoms away so i can try working with the citalopram. Any advice is appreciated.