I am not sure. My theory is that our hormones mess with the meds and we just break through their therapudic dose.

A year ago, my pdoc and I were trying to up the dose of anti-depressants a week before and during the cycle and then dropping back down after. But my stress levels were so high then that we just left the dose at the higher level.

And I still break through.

Not sleeping is bad enough for bipolars but even worse with the fibro.

Call the pdoc. There has to be something else. Maybe the benes aren't the right ones for you. There's Zanex and Clonopin. Valuim just might not be the right chemical to squash the panic.

Birth control is supossed to help. And the fact that you have stopped taking it (was it recently?) may be contributing to the intensity that you are now experiencing.