Rivotril is a Benzodiazepine, so I would think it would have a similar effect of Xanax. I haven€™t taken Xanax, but take Diazepam before I think I will have an attack to calm me so my attack is less or I don€™t have one. It is also a Benzodiazepine so I think they all work similarly. I don€™t know a lot about atenolol other than it€™s a beta blocker whereas Paxil is an SSRI. So maybe switching to an ssri along with a Benzodiazepine might help you, but you€™d have to talk to your doctor about that. I would be careful with Paxil, I purposely stopped taking it and there are a lot of people on this site that have negative feelings about paxil as well. Maybe switch to Xanax or some other Benzodiazepine and no other medication. But once again, it€™s something you should talk over with your doctor.