Conversation: The conversation between human and AI assistant.
[|Human|] I have panic and anxiety disorder and my doctor just switched me from paxil 60 to lexapro 20. I also take Klonipin .5. I just had the worst anxiety attack that I.was shaking. I took .5 Klonipin and that didnt help so I took 2 mg Ativan that was prescribed a week ago for emergencies. How long before the lexapro helps with all this and how long b 4 the Ativan helps me stop shaking?
[|AI|]  Hi you have either GAD with Panic disorder or OCD. I have not understood the logic of exchanging one SSRI with another, although theoretically this may work. I would change the category from SSRI to SARI (venlafaxine or duloxetine) or a tricyclic or clomipramine if someone does not respond to a trial of adequate dose of SSRI for adequate period. Generally, Asian should work immediately but this is highly habit-forming TAKE CARE Chat Doctor.