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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment To Control Blood Pressure

i am a 23 year old medical student . i am a hypertensive for 5 years i am taking amilodopine 5 mg + lorsartan potasium 25 mg to lower my blood preasure but my pulse remains above 90 and i am also suffering from anxiety and panic attacks ! so is 90 BMP normal heart rate for me and should i discontinue amilodopine and start taking 25 mg atenalol to control my anxiety and hypertension too
Mon, 27 May 2019
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Internal Medicine Specialist,  's  Response
Hi,

Beta blockers are particularly effective in hypertensive patients with tachycardia, which in your case may be due to anxiety (rule out hyperthyroidism causing pulse rate >90/min and anxiety states, by serum free T3, free T4 & TSH). Cardioselective beta blocker Metoprolol has a better profile. Adjunctive medication such as a beta blocker is often used in Anxiety disorders. In such case of anxiety disorders and hypertension, a beta blocker would be helpful to allay both the factors. Your target BP should be 130/80 mm Hg. Consult your doctor.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Tushar Kanti Biswas, Internal Medicine Specialist
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Suggest Treatment To Control Blood Pressure

Hi, Beta blockers are particularly effective in hypertensive patients with tachycardia, which in your case may be due to anxiety (rule out hyperthyroidism causing pulse rate 90/min and anxiety states, by serum free T3, free T4 & TSH). Cardioselective beta blocker Metoprolol has a better profile. Adjunctive medication such as a beta blocker is often used in Anxiety disorders. In such case of anxiety disorders and hypertension, a beta blocker would be helpful to allay both the factors. Your target BP should be 130/80 mm Hg. Consult your doctor. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Tushar Kanti Biswas, Internal Medicine Specialist