I am taking 200mg of lamtical and 60mg of cymbalta.These last few months I have been under A LOT of stress and so my panic attacks have been getting worse. I had one last night to the point I felt like I couldn't swallow and the attack even worse. The biggest stressful thing is the very real fact of losing our house and literally having no place to go if we do. I have told my pdoc this, I can't continue having these attacks. He tells me this is what the cymbalta is supposed to help. Well its not. I can't increase the dosage cause it causes me to have constipation. So I ask him him about anything in the benzo group like Xanax or Klonpin. He then tells me it will mess with my cogitative ability. I told him awhile back about that and wondered if the lamtical was doing it and he said yes. I do not know what to do any more. I hate this. I hate that I don't see it coming and it hits me without warning and I am driving!!! The biggest factor is the feeling of not being able to swallow and it makes it worse. Is there anything I can do?? I can';t keep doing this. I been trying all the deep breath and counting but its hard when you feel like you can't swallow and you are gonna throw up.