instruction: hello doctor I am a year old healthy male yesterday I had my first panic attack and it was severe and lasted long I have ended up in the emergency room but they just gave me a diazepam and I was feeling good again but they never told me what triggered and I am curious last night I drank 10 my of phosphate codeine liquid and drank one 600 my beer and then smoked marijuana once I get back home which was a couple of hours later right after I smoked the panic attack started but I am smoking for six years and just strong strains and concentrated and nothing ever happened before yesterday I smoked a really non potent one my question is it possible that the weed is causing the panic attack or it was the codeine with beers I really do not want that to happen again
output: hello it could be a combination of marijuana codeine and beer also regular use of marijuana will cause panic attacks it is just that the effects of whatever is taken regularly and do not show up immediately only chronic use of either smoking alcohol or other drugs will cause problems later on I would recommend that you at least try to reduce if not stop the quantity of the drug combination of alcohol weed and marijuana just get a chest egg electrocardiogram done to be on the safer side panic disorder anxiety disorder due to substance use panic disorder or anxiety disorder due to substance use try reduce the quantity of alcohol marijuana and smoking try some deep breathing exercises or other relaxation techniques like yoga meditation or progressive muscle relaxation exercises you can also visit a psychiatrist and ask him to help you with the panic attacks and anxiety issue he will probably start you on some sari selective serotonin reuptake inhibitors class of drugs which is just to be taken once a day for a few months and then tapered down and stopped try combining different substances when using them like tobacco alcohol and marijuana follow up after 20 days in case problems worsen and you need further advice