When to go to ER for anxiety/panic attack... need advice ASAP, other conditions w/ anxiety
I just joined the group and I need some help ASAP. I have severe anxiety, post partum depression, and severe adult ADD. I'm currently taking effexor XR (after trying zoloft, lexapro, wellbutrin, prozac, and paxil), xanex, and adderall xr. I just started all these meds about 2 months ago, and I feel much less depressed and way more focused on my schoolwork (I'm getting an associates in paralegal studies online), and manage to get a lot more accomplished.
The problem I'm having is that I had very frequent, severe anxiety and panic attacks. I'd say at least once a day or every other day. The doctor told me to take the xanex when I have them, and it doesn't seem to help. I take the .5 mg ones and have to take 3 or 4 to get a little relief, but it still doesn't help nearly as much as it should.
I also have tachycardia, and my resting heartrate is usually anywhere from 125-145. One time I had an anxiety attack that lasted 3 hours when I was out of xanex and I went to the ER and my heartrate was 175. So, I worry that if I have these attacks without relief something serious could happen with my heart. They gave me 2 of the 1 mg ativan and that completely made the attack go away and made me feel 100% better.
So, now onto my current problem that I need help with ASAP. I've been having an anxiety attack for about 2 hours. I felt it coming on all day and took some xanex earlier. I've taken a total of 3 1/2 and I've gotten absolutely no relief. I know what brought it on. My husband is in the army and is leaving for his predeployment training tomorrow and will be gone for a month, and most of that month he won't be allowed to make phone calls. It also means I'll be here alone with 2 young kids (one of which is special needs), and I'll have absolutely no help and they'll be with me 24/7 since we have no family in town.
I feel like I'm dying. I'm shaking, shivering, and sweating. I can't breathe, my heart is beating out of my chest, I'm dizzy and nauseaus, and I just have an intense feeling of fear and panic, and just feel like I'm going to die.
I don't think I can handle this much longer without some relief, and I'm just wondering at what point is it acceptable or normal to go to the ER for this? I'm thinking about going, but I don't want to be judged or looked at like I'm crazy. Please give me any suggestions you may have... I feel like I'm dying.