Conversation: The conversation between human and AI assistant.
[|Human|] I AM TAKING ATIVAN 1 MG 4 TIMES A DAY. I AM ALSO ON TIZANIDINE 4 MG 3 TIMES A DAY. I AM ON WELLBUTRIN 300 MG 1 A DAY. I TAKE TWO TRAZADONE DAILY 100 MG EACH. I AM ON GABAPATEIN 600 MG 3 X A DAY. THIS COMBINATION OF MEDICATIONS HAS WORKED FOR FOUR YEARS. NOW I AM EXPERIENCING EXTREME ANXIETY ALL DAY. THE ATIVAN HELPS FOR ABOUT AN HOUR AND THEN I START HYPERVENTILATING AND SHAKE HORRIBLY. COULD SOME MEDICATIONS HAVE STOPPED WORKING? I AM ALSO EXTREMELY SAD AND DO NOT THINK WELLBUTRIN XL IS WORKING ANY MORE. PLEASE HELP ME. THANKS XXXX
[|AI|]  Hello, Extreme tremors and hyperventilation are due to receptor activation at acetyl choline pathway as there are multiple medications are going on which are known to interact with each others at central nervous and peripheral nervous system. Kindly discuss the same with your treating physician and get dosage adjustment with or without change of any molecule. Till that time, Chat Doctor.  Hope I have answered your query. Let me know if I can assist you further. Wishing you all the best.