Thanks for posting your query.
You may have panic attacks or menopausal symptoms.
You should consult with internal medicine specialist and psychiatrist
You should also go for pulmonary function test, coronary angiography
and 2 D echo for better clarification.
You should take beta blockers for control of blood pressure. This will also reduces pulse rate also.
You should also take propranolol
along with alprazolam for control of your symptoms.
You should consult with psychiatrist for another SSRIs for control of symptoms.
Dr. Mayank Bhargava