I am in desperate need of some advice. I have been using increasing doses of hrt for eight months and am now in a really bad way with constant anxiety and panic attacks. I am woken by panic in the morning and have butterflies in my stomach constantly. I was originally using 175 Conti patches but was then changed to estrogen only patches and Utrogestan every other day by Newson Clinic. Couldn’t tolerate the Utrogestan and haven’t taken it for four days now. My gp gave me Provera instead which I haven’t started yet. So I currently only have the 175 patches on (reduced from 200) I am in such a bad way now I can’t cope. I don’t think the anxiety and panic were quite this bad on the Conti patches previously but my heat symptoms weren’t good, which is why they were increased from the original 50 dose over time. I am also burning up on the inside -rather than hot flushes - for hours. Which has always been the problem, regardless of patch dose. Please can anyone advise. Is it the lack of progesterone, or the amount of estrogen? I am scared and desperate.