system
How to treat anxiety and panic attacks when having high BP?
human
Hello. My name is Scott, and I have a few (ha!) things on my mind. I started having what seems to be anxiety attacks again about a month ago, and I hadnt had them in years. Now, though, they are back and I have them several times a day. The ER had put me on metoprolol 50mg twice daily because my bp was 180/131 one day, and after an aspirin at the er it went down to 140/86. The metoprolol has seemed to have dulled the anxiety, but it wont go away (if thats what it is?) and my heart rate stays at 70-90. Im 32, 255lbs 6ft 5. Ive already been on (as best I can!) a low-sodium diet now for about a month since this began, and my smoking has lowered from a pack a day to a pack every 3-4 days. As for the anxiety, I have no way to explain it, other than getting terrified when the panic attack itself happens. I just smoked my first cigarette of the day, and put it out half way through because I started feeling panic symptoms. What should I do about all of this? Its driving me crazy. I want to go back to being the super-mello easy going guy I was the day before this started....
gpt
HiThanks for using healthcare magicI think,you have underline anxiety disorder that why you have high blood pressure and heart rate. You need low dose antidepressant like paroxetine or low dose benzodiazepine that would help to control anxiety symptoms. Better to consult a psychiatrist for proper mental status evaluation and management.Thanks