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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suffering From Psychiatric Disorder. Felt Chest Pain, Lightheaded. EKG And BP Normal. Advised To Take Lorazepam. Should I Take Lorazepam Or BP Medicine?

While on a 4 mile walk I had chest pains and became lightheaded. When I saw a doctor in my practice, he treated me for panic disorder since my EKG came back normal, my blood pressure wasn t high and I am currently being treated for a psychiatric disorder. However, he did tell me to check with my psychiatrist before taking the lorazipram. She was very upset and told me not to take it, call the practice back and insist that they put me on high blood pressure medication. What do I do?
Sat, 7 Jul 2012
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General & Family Physician,  's  Response
Hi kprev22.

Thanks for your question.

I am now doing MD in psychiatry.

FOR DIAGNOSIS OF PANIC DISORDER SOME HISTORY IS NEEDED LIKE-SUDDEN ONSET PALPITATION,CHOCKING SENSATION,SWEATING, UNEASINESS,FEELING LIKE I MAY BE DIE NOW AND IT USUALLY LAST FOR MINUTES AND FOR YOUR KNOWLEDGE I LET YOU KNOW LORAZEPAM IS NOT THE TREATMENT OF CHOICE FOR PANIC.

BUT YOUR ATTACK DOESNOT RESEMBLES PANIC AND ECG NORMAL DIDNOT EXCLUDE HEART PROBLEM.

SO DO ROUTINE BLOOD INVESTIGAION,BLOOD SUGAR,TSH,HOLTER MONITORING ECG,ECHO,LIPID PROFILE AND IF ANY OF THEM ARE ABNORMAL GO TO YOUR PRACTIONER BUT IF ALL ARE NORMAL THEN PLEASE GO TO A PSYCHIATRIST TO CHECK WHEATHER YOU HAVE PANIC OR NOT.

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Suffering From Psychiatric Disorder. Felt Chest Pain, Lightheaded. EKG And BP Normal. Advised To Take Lorazepam. Should I Take Lorazepam Or BP Medicine?

Hi kprev22. Thanks for your question. I am now doing MD in psychiatry. FOR DIAGNOSIS OF PANIC DISORDER SOME HISTORY IS NEEDED LIKE-SUDDEN ONSET PALPITATION,CHOCKING SENSATION,SWEATING, UNEASINESS,FEELING LIKE I MAY BE DIE NOW AND IT USUALLY LAST FOR MINUTES AND FOR YOUR KNOWLEDGE I LET YOU KNOW LORAZEPAM IS NOT THE TREATMENT OF CHOICE FOR PANIC. BUT YOUR ATTACK DOESNOT RESEMBLES PANIC AND ECG NORMAL DIDNOT EXCLUDE HEART PROBLEM. SO DO ROUTINE BLOOD INVESTIGAION,BLOOD SUGAR,TSH,HOLTER MONITORING ECG,ECHO,LIPID PROFILE AND IF ANY OF THEM ARE ABNORMAL GO TO YOUR PRACTIONER BUT IF ALL ARE NORMAL THEN PLEASE GO TO A PSYCHIATRIST TO CHECK WHEATHER YOU HAVE PANIC OR NOT. BEST WISHES