ASh - I would seriously consider seeing a specialist about the anxiety issues, but more importantly, that is a MAJOR amount of Xanax. Xanax has a short half life, meaning u get the benefits but it wears off. Taking so much in the AM, is a strange way to take it, and not taking it again til afternoon. Its worn off before you take more. You arent taking anything at night ! No wonder you have bad mornings !!! Even taking 1 mg of Xanax at night wont last til morning. I would see about a longer acting benzo - if you get relief from the Xanax during the day. I used to take Xanax every 4 hours (and I watched the clock and didnt go 4 hours and 1 minute ! ) Then I saw a Psychiatrist who deals ONLY with medication issues for people with panic and anxiety disorders. He weaned me off the Xanax slowly while starting me on Klonopin ( another benzo but with a LONG half life). It was the miracle for me ! I have no panic anymore, and have been on same doseage of Klonopin for 15 years. (My BIGGEST fear during my panic days - and still - was throwing up........and unfortunately, being afraid of something is "fuel for the fire" and when we start thinking things like .."oh no, its morning, PLEASE dont let me get the heaves before my meds kick in", you are sorta setting yourself up for it to happen. Believe it or not, without FEAR there can be no anxiety or panic ! I work with folks with PAD , feel free to PM me anytime..........there IS life after panic !