it can be Trial and Error finding something which works. I've had panic attacks since age 3. Managed by various means until 2002 when my GP gave me beta-blockas to take each night. I had Valium to take as necessary which I would use the evening before, when I was going to an Event that I knew I had to attend and which had the potential to cause panic attacks.
If necessary I would have another 5mg in the morning before we travelled.
More recently (2012) the GP gave me another emergency med. when I collapsed with panic. I also found that hormones could cause nausea = anxiety! so was advised to eat every 3 hours. Even through the night ! …….. and don't try to do too much when you get better days.
Anxiety is random for me. Yesterday we were out and I had worried for weeks about having anxiety there, but I didn't …. got through the day without problems. Next event in August is already causing me that lurch of anxiety
so finding something that helps is important.
Hot flushes can be helped by some ADs or HRT. Does your GP seem knowledgeable?
Have a browse of the pull-down menus, top of screen. Ask away!