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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Sleeplessness, Anxiety, Racing Heart And Hypertension?

Hi. I am a 39 year old female. I have been struggling with symptoms for 9 months now and no one can tell me what is wrong. Things began with inability to sleep, anxiety, moodiness, heart palpitations and racing heart. Now I have developed secondary hypertension that even with 2 medications still stays high. This morning my stool was yellow and slimy. I am just so exhausted and frustrated.
Sat, 5 Apr 2014
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Psychiatrist 's  Response
Hello,
this looks like anxiety disorder and may be due to this "uncontrolled anxiety"- the blood pressure is also not responding adequately to its meds.

I have seen excellent response with. paroxetine 12.5 to 37.5 mg in similar cases and the effect usually comes in a week. there is an early response in palpitation and symptom of racing heart and with time the anxiety dissolves completely. you may need something to sleep for initial few days but later this is not needed. Sleep gets better with 0.5-1 mg clonazepam or 10mg zolpidem.

in day time the anxiety can be managed with toficalm or etizolam for a week or two, can be stopped later.

You should also get your blood test and kidney function test done and may also get an ECHO of heart to rule out other factors for racing heart and palpitation.
With the above regimen I am very hopeful that you will get better.

Wish you good luck!
Dr. Manisha Gopal
MD Psychiatry
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What Causes Sleeplessness, Anxiety, Racing Heart And Hypertension?

Hello, this looks like anxiety disorder and may be due to this uncontrolled anxiety - the blood pressure is also not responding adequately to its meds. I have seen excellent response with. paroxetine 12.5 to 37.5 mg in similar cases and the effect usually comes in a week. there is an early response in palpitation and symptom of racing heart and with time the anxiety dissolves completely. you may need something to sleep for initial few days but later this is not needed. Sleep gets better with 0.5-1 mg clonazepam or 10mg zolpidem. in day time the anxiety can be managed with toficalm or etizolam for a week or two, can be stopped later. You should also get your blood test and kidney function test done and may also get an ECHO of heart to rule out other factors for racing heart and palpitation. With the above regimen I am very hopeful that you will get better. Wish you good luck! Dr. Manisha Gopal MD Psychiatry