"well, started to get panic attacks about 1.5 years ago (after the loss of our first unborn child).  i was put on paxil (20m) first which worked great but killed sex drive.  got switched to viibryd (40m) and stayed on it for about 5-6 months.  quit because it made me tired all of the time and thought mentally i had figured out how to control the panic attacks without meds.  that worked for about 2 months until they came back with a vengeance.  got back on it and just been taking (20mg), i haven&#039;t lost the weight (50lbs) but haven&#039;t actually made it to the gym to try.  i still feel tired all of the time, coupled with a 10 month old baby girl, but i haven&#039;t had to take any clonazepam to fight off an attack since i got back on.  works for me."