Brief Answer:
Problem's due to low
heart rate and anxiety
Detailed Answer:
Hi Mr. XXXXXXX
Thanks for your query.
Firstly, it is possible that your heart rate goes down to 50 or below soon after Amlopres AT ( a combination of
amlodipine +
atenolol), which can produce
restlessness and slight
dizziness. As such, your rate ranges between 52-56. It is due to Atenolol component of
Amlopress AT.
Therefore, STOP Amlopres AT and instead, take Amlodipine 2.5mg TWICE daily, so as to bring down the blood pressure to less than 130/80 (desired level). The pulse rate will rise above 60, which will take care of restlessness/uneasiness.
Further, it is not uncommon to develop some degree of anxiety with/without mild
depression at this age. Inability to fall asleep denotes anxiety while going back to sleep after waking up at night, suggests depression. The drugs given to you for a week were a combination of anti-depressants anti-anxiety drugs, which relieved your problem. However, firstly, the full effect of these drugs become manifest after 10-14 days only and; secondly, abrupt withdrawal causes rebound phenomenon (which happened in your case).
I therefore STRONGLY recommend that you start the following drugs, to be taken regularly for at least a couple of months, under your doctor's close supervision:-
* Rexipra 10mg TWICE daily
* Zapiz 0.25mg TWICE daily
* Zepid (Zolpidem) 5mg daily at bedtime for 10 days only --> thereafter, STOP.
Rexipra + Zapiz SHOULD BE CONTINUED FOR 2-3 MONTHS. Thereafter, once you feel that you are perfectly OK, they will be tapered off GRADUALLY by your treating doctor.
Hence, consult your doctor and discuss my opinion/recommendation with him. I am certain that he will agree with my advice, prescribe above-mentioned drugs and- once the target is achieved- taper off these medicines very gradually.
Lastly, I am in complete agreement with your cardiologist about your cardiac functional status being perfectly normal.
Hope you find my answer helpful, informative and to your satisfaction. I will be happy to answer further queries, if any.
Fond regards and have a nice day,
Dr. Rakesh Karanwal