So I get two kinds of panic attacks every now and then. The first kind I call regular panic attacks. They're horrible, of course, but usually I can just get through them with some breathing exercises, mindfulness etc. The other kind is what I call Epic Panic Attacks. These are the ones that come out of nowhere, usually coming on within a matter of minutes. My heart rate rapidly hits the 150s and BP spikes like crazy. These epic panic attacks have seen me sent to the ER by ambulance twice due to extreme tachycardia. When I get an epic panic attack, valium at 10mg sometimes makes it bearable, though 20mg is usually needed to completely end it. Well, yesterday I started to get an epic panic attack and I could tell I would end up in the ER pretty quickly. I went straight for a shell of Vanuatu kava. Within 3 minutes I was feeling calmer and by half an hour the panic attack was completely over! I simply can't believe it. I won't even bother with valium anymore. With a severe panic attack benzos take too long to kick in and don't do nearly as good a job as our beloved root .