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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Treat Anxiety With Palpitations?

Hi there,Four years back, one day I became curious about my heart. From that day I always hear by heart beat.. it palpitates and some times it pains.. I went through all tests and everything was normal.. Doctors diagnoised that I am suffering from Anxiety neurosis. I took inderal for 2 years(10 mg a day), but still I am not ok... I feel better if I take this tablet. After two years I started facing this stupid problem with guts and started getting rid of this tablet. But when it comes to physical exercise, giving speech infront of a group I become very anxious. My mind tells that I cannot do physical exercise at all.. If I take Inderal 30 or 40 mg, I am performing physical activties like anything. What should I do... If my mind gets confirmation that my heart can bear physical actvities, then this stupid problem will autmatically erase from my end... After a long time, I have strategy to face this. If I take inderal 40 mg and do aggressive exercises for few days.. Is this ok to go ahead with ? Please let me know<                                 
Wed, 21 Jan 2015
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Psychiatrist,  's  Response
Hello thanks for asking from HEALTH CARE MAGIC

You started becoming aware of your heart beat and developed palpitations. All cardiac tests came normal and treatment of anxiety neurosis was started. You were advised to take Propranolol 10 mg a day for such symptoms. The symptoms like anxiety while speaking in front of some people, or during exercises need proper treatment and propranolol alone cant handle such symptoms. The drug can help to reduce the symptoms of anxiety but it cant treat anxiety so increasing the dose without consulting a doctor will not help you.

For proper treatment of anxiety medicines like SSRIs are used. Sertraline, Fluoxetine are commonly used medicines for anxiety neurosis. Propranolol along with these medicines will help to control your symptoms. Consult a psychiatrist for proper prescription of drugs.

Try relaxation exercises, behaviour therapy, yoga, meditation to keep yourself relaxed.

Thanks, hope this helps you.
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How To Treat Anxiety With Palpitations?

Hello thanks for asking from HEALTH CARE MAGIC You started becoming aware of your heart beat and developed palpitations. All cardiac tests came normal and treatment of anxiety neurosis was started. You were advised to take Propranolol 10 mg a day for such symptoms. The symptoms like anxiety while speaking in front of some people, or during exercises need proper treatment and propranolol alone cant handle such symptoms. The drug can help to reduce the symptoms of anxiety but it cant treat anxiety so increasing the dose without consulting a doctor will not help you. For proper treatment of anxiety medicines like SSRIs are used. Sertraline, Fluoxetine are commonly used medicines for anxiety neurosis. Propranolol along with these medicines will help to control your symptoms. Consult a psychiatrist for proper prescription of drugs. Try relaxation exercises, behaviour therapy, yoga, meditation to keep yourself relaxed. Thanks, hope this helps you.