Hello Thanks for asking from HCM Paxil or Paroxetine is a good drug for control of anxiety and depression symptoms. You are taking the drug with good control of symptoms. Recently due to some family stress you suffered panic attacks. Paroxetine is controlling anxiety but in events of severe anxiety or panic attacks there is need to add some other drug that controls symptoms effectively. Medicines like benzodiazepines as clonazepam, alprazolam can prove useful in severe anxiety and panic attacks. Propranolol can be used in severe anxiety or panic attacks, the drug is free of addiction potential. The feeling of sickness is due to anticipatory anxiety only. Consult your psychiatrist for expert opinion. Thanks