Anxiety

Since Monday afternoon my anxiety has been out of control I can’t be alone I can’t sleep without waking up every hour everything just feels like the end of the world and I keep hyperventilating without even realizing it so my body starts getting tingly and then I notice and only make it worse. I’m already on so many medicines for other health issues so I really don’t want to add more I’m just at a loss what to do though. Any advice would help a lot TIA