Brief Answer:
This seems anxiety disorder

Detailed Answer:
Dear XXXX,
Thanks for using Healthcaremagic.

The description of your clinical condition indicates toward anxiety disorder which can cause all symptoms. Your current treatment can help partially but it is not permanent form of treatment.

In such conditions most preferred are SSRI group of medications which includes fluoxetine escitalopram, sertraline or paroxetine.

In addition to this there is need to check thyroid if it is not done already.

Since these are prescription only medications, you need to visit a doctor to buy one of these medicines.

I hope this answers your query.

Thanks and regards

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Brief Answer:
May be real but possibility due to anxiety is high

Detailed Answer:
Dear XXXX,
Thanks for reverting back to me.

Although it is not possible to comment precisely about cause of your BP but fluctuations indicates in favour of anxiety.
Secondly about treatment once anxietyis cured a decosion can be made about further treatment.


In case it comes down with treatment of anxiety metoprolol can be withdrawn.
For knowing exactly you need to start treatment for anxiety.

I hope this answers your question.
Thanks and regards.

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Brief Answer:
Blood reports are almost within normal range

Detailed Answer:
Dear XXXX,
Thanks for reverting back to me.

I have seen your blood test results which are almost within normal range except slight deviation in lipid profile. There is need of reapiting your lipid profile after three months from a good standard lab.

Regarding your query about dosage of SSRI it depends on the physical fatures of the patoent and clinical profile. For example sertraline can be used from 25 mg to 200 mg per day.
You need to visit a doctor in person to take the prescription of suitable dose for you.

I hope this answers your query.
If you have any questions left feel free to write back to me.
Thanks and regards

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