I have been prescribed Niravam also, but have been too nervous to take it (ironic...). I take Topamax and Lamictal for migraines and depression and it seems like they could interfere with each other. However, my doctor knows all this and says it should be fine.

My question is: Am I going to be so sleepy and incoherent that I can't function? I work long hours and am afraid that taking all these meds could affect my abilities. However, the panic attacks are affecting it too and they have been very severe over the last week or so. I expect them to be extreme the next few days because of a conference I have to work. As much as I try to talk myself through them, do the breathing and the self-help exercises, nothing works. So, I am now thinking I may try the Niravam. But I am worried that it will affect my performance on the job. Any advice or experience would be helpful and greatly appreciated!