Take therapy Try to figure out the root cause for this issue Panic attack stems from fear Let’s address that fear first only then it will get cured Consult for same

Hello.. You need to consult psychiatrist to review your medicine again.. And you should start practising relaxation techniques to decrease frequency and intensity of panic attacks along with identifying triggers and working on it through cognitive behaviour therapy.. It will be better if you take both medicine and psychotherapy together to solve this problem rapidly and more effective way..

Heyy I can help you better with further treatment course needed. U can connect me via whatsapp on seven zero eight two zero two two zero six two.

Hi.. anxiety can be treated with medicines and by practicing relaxation techniques. You may need a review of your medicines.

The current combination of amitriptyline, propranolol, and flunarizine being used for the management of anxiety does not appear to be yielding adequate relief and hence the residual symptoms are persistent. Based on clinical guidelines and best practices, this regimen isn’t an optimal approach for treating anxiety disorders. A detailed reassessment of your history, including the duration and severity of symptoms, comorbid conditions, and previous treatment responses, is essential. Following this evaluation, a modification in the treatment plan is strongly recommended to align with evidence-based practices for anxiety management and other comorbid condition if any.

still panic attack is happening, then medicine dose needs to be adjusted.

Hello Panic attack evening , is there any precipitating factor during evening for u?? Is it every day or not?? R u using medication everyday and since when?? Complete evaluation of the illness is needed and appropriate medication  and relaxation therapy needed for u.