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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Medication For High Blood Pressure Due To Anxiety

Hello Samuel kevin here. Thank you for listening to me.Should I be worried about my blood pressure? I am 69 years of age and I have been treated for blood pressure for many years.I take 2.5mg of Cilazapril(Zapril). I take my own readings and over the last 6 months or so have noticed my bottom line creeping up into the mid 80s and sometimes into the mid 90s.The top line is round the 125/135.I watch my diet and I am of slim build and I walk most days. I also have taken Doxepin for 20years(75mg) for anxiety, the aftermath of a marriage split. My anxiety over the last few months has increased after having been acceptable for many years and I do think this has been the cause of my elevated blood pressure over the last few months.My quality of life has not been good with the added anxiety and it could be that the dosage of Doxepin needs to be increased which may contra the added anxiety and in turn lower the blood pressure? I am aware of the toxic aspect of Doxepin along with the addiction aspects but at my age? Should I worry too much? What do you think would be the most appropriate way to handle this? Kind Regards....................Kevin.
Tue, 25 Nov 2014
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Psychiatrist 's  Response
Hi.


I understand your concern.

Doxepin can help in anxiety. SSRI is the choice in anxiety.

SSRI means selective serotonin re uptake inhibitors that include sertraline / escitalopram/peroxetin etc.

Sertraline is the safest side effect profile among all.

Mild dose of benzodiazapine like etizolam and clonazepam can also help.

Regular exercise and meditations.

Sleep and diet.

Chronic anxiety may associated with other psychological illness like depression. Then treatment of depression is also necessary.

So consult your psychiatrist and avoid self medication if any.

Consult and get help.

Thank you.




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Suggest Medication For High Blood Pressure Due To Anxiety

Hi. I understand your concern. Doxepin can help in anxiety. SSRI is the choice in anxiety. SSRI means selective serotonin re uptake inhibitors that include sertraline / escitalopram/peroxetin etc. Sertraline is the safest side effect profile among all. Mild dose of benzodiazapine like etizolam and clonazepam can also help. Regular exercise and meditations. Sleep and diet. Chronic anxiety may associated with other psychological illness like depression. Then treatment of depression is also necessary. So consult your psychiatrist and avoid self medication if any. Consult and get help. Thank you.