Paj,
In my experience, I am not a dr., so this is what I would do...
The panic attacks are all mental. The only way through them is to deal w them.
Since you are on rx drugs, not my area, you may need dr. For a taper schedule.
With booze, I quit w out a dr.
Then I dealt w the living hell of getting clean. That fire hardened me. It hurt so bad that I never want drugs in this body ever again.
Imo...using rx drug...irresponsibly...digs the addiction hole deeper.
Stay clean, hydrate, eat healthy, and suffer for a while.
We addicts want to feel good, we want that buzz.
Anxiety is the same feeling as excitement. Eventually, the brain normalizes.
It took me well over a year clean settle down.
You have to go through hell to get out of the addiction cycle.
Thanks.