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Suggest Treatment For High Anxiety In A Hypertensive Person

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Posted on Mon, 27 Feb 2017
Question: Hi, I am hypertension patient & BP is well controlled with medication ( avg BP 115/74) but I am having anxiety problem & any small problem/changes in my body leads to think me that this something to do with my heart or BP & suddenly I stressed out BP goes & pulse goes high & after sometime when I calm down all goes normal again. My resting pulse varying between 80 - 100. Presently I am taking telmisartan + Hydrochlorothiazide & beta blocker & for anxiety clonazepam .5 + Escitalopram 10. I have done my ecg 2 times in last 6 months which is absolutely normal. My lipid profile is total 215, ldl - 131 Hdl- 50. Please advice whether I should be worry about anything.
doctor
Answered by Dr. Prabhakar C Koregol (2 hours later)
Brief Answer:
Need to control stress

Detailed Answer:
Need to control your stress. Also I need to know which beta blocker you are on as some drugs such as atenelol can increase anxiety. Also need to see if we can take out the diuretic H in tazloc H as BP is well controlled and cholesterol is abnormal. Increase your physical activity especially in early morning hours which changes hormonal and endorphins levels and help you to manage stress and anxiety.
As far as your cholesterol is concerned you can wait for about 3 months on diet and exercise and recheck it later.
Please let me know which beta blocker you are taking.
Above answer was peer-reviewed by : Dr. Remy Koshy
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Follow up: Dr. Prabhakar C Koregol (2 hours later)
Presently beta blocker taken metoprolol succinate 50 mg
doctor
Answered by Dr. Prabhakar C Koregol (14 hours later)
Brief Answer:
You can continue with it

Detailed Answer:
You can continue with it. Discuss with your physician regarding stopping diuretic


Above answer was peer-reviewed by : Dr. Nagamani Ng
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Answered by
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Dr. Prabhakar C Koregol

Cardiologist, Interventional

Practicing since :1998

Answered : 427 Questions

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Suggest Treatment For High Anxiety In A Hypertensive Person

Brief Answer: Need to control stress Detailed Answer: Need to control your stress. Also I need to know which beta blocker you are on as some drugs such as atenelol can increase anxiety. Also need to see if we can take out the diuretic H in tazloc H as BP is well controlled and cholesterol is abnormal. Increase your physical activity especially in early morning hours which changes hormonal and endorphins levels and help you to manage stress and anxiety. As far as your cholesterol is concerned you can wait for about 3 months on diet and exercise and recheck it later. Please let me know which beta blocker you are taking.