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Suggest Treatment For Heart Palpitations, Tremors, Sweating, Bipolar And Anxiety Disorder
Question: Hello.
I have been diagnosed with Bipolar and Anxiety Disorder for some time.
Currently, I take propranolol, diazepam and lorazepam for the anxiety.
Everyday, when I experience the physical feelings of anxiety, such as racing heart, constricted chest, tremors and sweating; however, during these times, I do not have obstructive, unwanted anxious thoughts. I just experience the physical sensations.
I take propranolol and after two hours most of the physical sensations are relieved.
Other times, there are triggers, obstructive and unwanted thoughts that cause me to worry and to make me feel very anxious.
I am quite confused about these two different experiences. Could I be experiencing the first type due to a physical ailment and the second type because of a psychiatric ailment?
Is there any other type of medication I could take to ease my symptoms of anxiety more reliably. I do not respond well to anti-depressants. I have read that some individuals who experience anxiety and depression respond very well to
Gabapentin.
Any information you could provide would be greatly appreciated.
XXXX
I have been diagnosed with Bipolar and Anxiety Disorder for some time.
Currently, I take propranolol, diazepam and lorazepam for the anxiety.
Everyday, when I experience the physical feelings of anxiety, such as racing heart, constricted chest, tremors and sweating; however, during these times, I do not have obstructive, unwanted anxious thoughts. I just experience the physical sensations.
I take propranolol and after two hours most of the physical sensations are relieved.
Other times, there are triggers, obstructive and unwanted thoughts that cause me to worry and to make me feel very anxious.
I am quite confused about these two different experiences. Could I be experiencing the first type due to a physical ailment and the second type because of a psychiatric ailment?
Is there any other type of medication I could take to ease my symptoms of anxiety more reliably. I do not respond well to anti-depressants. I have read that some individuals who experience anxiety and depression respond very well to
Gabapentin.
Any information you could provide would be greatly appreciated.
XXXX
Brief Answer:
some work up needed
Detailed Answer:
Hi XXXXXXX
Welcome to healthcare Magic.
The physical symptoms of racing heart rhythm, tremulousness followed by anxiety state indicates there is a high possibility of Cardiac arrhythmias as a root cause. It is highly advisable that you should get a consultation with a local cardiologist An ECG, Holter and ECHO are the cardiac investigations which can help.
Also get serum levels of sodium and potassium.
Derangement of potassium levels may cause cardiac arrhythmias.
May be psychiatric problem is also an accompaniment.
Pregabalin and gabapentin are unlikely to help.
Better get evaluated and then decide.
I hope the advise will be helpful for you.
some work up needed
Detailed Answer:
Hi XXXXXXX
Welcome to healthcare Magic.
The physical symptoms of racing heart rhythm, tremulousness followed by anxiety state indicates there is a high possibility of Cardiac arrhythmias as a root cause. It is highly advisable that you should get a consultation with a local cardiologist An ECG, Holter and ECHO are the cardiac investigations which can help.
Also get serum levels of sodium and potassium.
Derangement of potassium levels may cause cardiac arrhythmias.
May be psychiatric problem is also an accompaniment.
Pregabalin and gabapentin are unlikely to help.
Better get evaluated and then decide.
I hope the advise will be helpful for you.
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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