What causes severe anxiety with nausea and panic attacks?

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Although Agomelatine (Valdoxan) is a good medication for treatment of anxiety and panic disorders, it is not the best option. Agomelatine is considered a weak agent and possibility of helping in severe anxiety and panic attacks are less when compare to traditional medications such as SSRI and SNRI. Since one of the SSRI was already tried a few years back with negative results (Zoloft), I feel the SNRI should be considered as the next option. Although four medications are available in this category, I feel Desvenlafaxine (Prestiq) should make a better choice. This is one of the potent anti-anxiety medications and the possibility of a positive response is comparatively better when compared to other similar medications. It is true that it may cause nausea for some days (often less than one week) but this is self-limiting and disappears on its own in a few days and rarely lasts for a week. The next option is to try another SSRI which comes with trade name Paxil. It is again one of the preferred medication in severe anxiety and yields earlier results. It is true that every medication have their own side effects and we need to give a deeper thought before starting any medication.