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Dr. Andrew Rynne
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest medicines for anxiety and tachycardia

Hello. I am 20yr Male who is suffering from tachycardia, heart palpitations, anxiety, and general worry about my heart health quite frequently over the past 2 months. I am currently taking 1mg Xanax extended release for my anxiety, which i am assuming helps, but I have yet to notice any change in anxiety from when i take it and dont. Often times I break one in half and crush it up and take it with water if I am having an anxiety attack because the dosage just isnt doing it for me.
My heart rate is usually between 90-110 and often shoots up to 120-140 when I drink alcoholic beverages, smoke marijuana, or take recreational drugs.

I recently had 2 episodes where my heart rate shot up to ~180bpm for around 15-30 minutes with some anxiety (hard to count while being so anxious, and my friend couldn't count properly either because it was going so fast) This was not like a standard anxiety attack but more of akin to too much adrenaline in my body or something. My sympathetic nervous system went crazy. I felt a little calm and weak physically, the total opposite of the whole flight or flight response I would expect from high adrenaline.

It seems these episodes are increasing in their severity. I am considering asking my local doctor about beta/alpha blockers to control theses sudden heart rate increases because they interfere with my life so frequently now that I am constantly checking my heart rate where ever I am and have my Xanax on hand incase I start to have severe anxiety.

Walking up one flight of stairs my heart rate jumps up to ~140bpm and it takes sitting down to lower it in a couple minutes, I constantly find myself hearing my heart pounding in my head, neck, chest, and it worries me so much.
Mon, 11 Aug 2014
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Psychologist 's  Response
Welcome to HCM
We understand your concerns

I went through your details. I suggest you not to worry much. You seem to know so much about anxiety and panic attacks. But that knowledge turns out to be dangerous to you yourself. Such knowledge makes you to think that even a experienced doctor is wrong in your case. Be informed, but don't act as your own doctor.

Anxiety is a disorder and is just that. Tachycardia is common with anxiety. What ever you are describing about your heart rate, all these are common and everybody have it. My advise is "Just work with your doctor" and don't be your doctor."

If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further.

Hope this answers your query. Available for further clarifications.
Good luck.
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