I have taking betacap tr 40 for around 8 months and nexito plus almost 6 months. Nowadays I feel fast heartbeat anxiety and nervousness. Why this happened I cannot understand. I have already checked my thyroid and blood sugar all is normal. Few days ago I was perfectly alright but from the last 15 days, I realise these problems. What to do pls suggest. I am very much worried. Thank you.

Mr. Saul PereiraPsychologist52yrs exp

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The medication you are having is quite correct and maybe you may have to review the dosage. Meet with your doctor and report these symptoms. I suggest that you meet with a counselor too and learn some skills and techniques to deal with stress. Under stress, the mind is very suggestive and it does so by proposing all the worst-case scenarios, every time. That accounts for your bp. What you have not done so far is to seek help via counseling. This is extremely important and could have helped you recover a long time ago. It is still not too late. Also, you need to do some vigorous exercise, as permitted by your doctor. Exercise makes the heart grow larger and a large heart pumps more blood to all extremities and it pumps it more efficiently, with fewer beats. Under those conditions, your response to fear will be far superior to the normal population who do not exercise. Also, you need to train the brain through yoga and meditation to remain calm, and to handle situations with a lot of composure. Nitric oxide exercises will help tremendously. You could learn some stress management skills too. All these measures will increase your confidence and composure. Eat well, sleep well and handle your emotions, especially fear well, with the help of a counselor.  

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