I have been prescribed Hydroxyzine for "as needed" use. It's basically there in case I have anxiety/panic that I do not feel I can control otherwise.

Like you, I have anxiety related to sleep. I can go all day without anxiety then when bed time hits I have panic attacks. I am not sure what the trigger is, it has to do with going to sleep though. When I was a kid I couldn't sleep without the TV on, now I need it quiet but I think the quietness of the night causes panic sometimes.

Anyway, I find that breathing exercises help and if it's really bad I walk around the house or go to the bathroom and splash cold water on my face. I use the medicine as a last resort.

I also have the panic related to not being able to sleep like I used to. I used to take Celexa for depression/anxiety and it would cause me to have extreme fatigue as a side effect, much like a narcoleptic. When I was on it I could sleep at any time any where. So I understand how it feels to no longer have that ability. As odd as it sounds it does give me anxiety when I wake up knowing I can not just go right back to sleep like I used to.

Hang in there! I would suggest to try anything you can before taking medicine. If I had the opportunity to go back 11 years I would never had started medicine I would have tried therapy or another approach first.

All the best. Take care!