Beta blocker anxiety

Has anyone had wobbky legs and head pressure standing while withdraw. Also heart Palpitations bad???

I wrote this down for a close friend and thought might post it here for the benefit of the entire community (hopefully 🤞🏼)
Okay so step 2 unlike step 1 is super clinical which is why there are certain limitations to it in terms of available resources. Uworld is the primary go-to resource for step 2. If one can do it religiously, you don’t need anything else. I personally did my first pass of Uworld and repeated my incorrects. I started second pass but ended up doing 40% only because most of it felt like repetition and just helped me recall things that I probably would’ve forgotten otherwise. That being said, Amboss was my second primary resource. Amboss for step 2 is amazing. The library and the questions, both of them are super nice. If someone has no time limitations, I recommend doing 60-90% of it’s q bank but if someone has limited time, I definitely recommend amboss study plans. Some of them are a must do. 200 HY concepts, vaccination, screening, ethics are the ones I can recall from top of my mind. I tried BnB for Step 2 but not very helpful, wouldn’t particularly recommend. Divine podcasts are alright but I thought they weren’t super helpful to me personally (not a podcast fan generally) and it felt like they were outdated too. Dr. A.K notes are Uworld notes that I used for my last minute revision. Inner circle notes are decent too but I found them super extensive so it’s really subjective. Give them a try though. Do last 5 NBME’s at least and if time allows, do all the CMS forms. These are very exam oriented and might help u in the actual exam. Do all the self assessments (uwsa 1,2,3 and Amboss SA too). Lastly, this is super subjective and solely my personal opinion but I felt like my step 2 tutor was super smart and extremely helpful. I joined her classes for the last 2 months of my actual prep time and she was so quick with her revision that she not just helped me revise Dr. AK notes quickly but also kept spitting out super HY facts/concepts that improved my exam taking strategy and also helped me do great on the actual exam day. Happy to connect anyone with her. She has been teaching for 3 yrs now and does a free one time demo session too. 10/10 recommended.
Exam day: Please eat something super light. I’m an anxious test taker and decided I’ll definitely try propanol after my step 1 exam freak out. It was my first time trying the beta blocker and it honestly did wonders (for me at least). I went for 2 blocks and a 10 minute break. Ate granola bars intermittently but nothing too fancy (was playing it super safe lol). You got this guys! I believe in each one of you. Good luck amazing people!!

Edit: *Macaroons
My friend invited me to a Tea at her church yesterday. I have obnoxious allergies! Anaphylaxis to all Phosphates (preservative, binding agents, flavor enhancer, used as a vitamin). Gluten allergy, shellfish and dairy.
So I played it safe and grabbed a plate full of fruits and veggies. Which I love! But I saw a delicious tray of colorful Macaroons at the end. Which I was told were gluten free. I’ve had them at another event multiple times without any gluten issues. I know they have butter, but it’s not enough to cause anything more than a slight feeling in my stomach.
I had a headache increasing in intensity yesterday after the tea. I attributed it to exhaustion and worry. My 5 year old dog had had a cluster of seizures the morning before and so it was a rough day Friday. I also have a 4 month old service dog in training, that was confused why brother wasn’t himself. Not to mention how loud it was at the tea and my heightened anxiety (I left my SDiT at home).
I tried to sleep the headache off with a nap, but was unsuccessful. My sinuses went amuck, more so than the 3 small chocolates and the butter would cause, but I dismissed it. I started to itch a bit last night but thought nothing of it. When I woke up this morning itching the back of my arms, my back and my chest (with small bumps) that’s when I put it all together. The only thing it could have been was the Macaroons. “But they’re gluten free right?”
I gave him his seizure meds, fed them both, took my morning meds and went back to bed. (His seizure meds are time sensitive). I always take an acid reducer which is an antihistamine blocker. When I woke up again, I was no longer itchy. I looked and found not bumps. So it had to be an allergy reaction.
So I guess this long ramble leads to a question. Are Macaroons always gluten free? I’m not sure if these were homemade or store bought. I did eat a few different flavors. Thank you for both listening and for any input.

TW: pregnant
I’m 5w3 days and curious if there are any studies or statistics that anyone knows of that could help ease my mind about miscarriage rates. This was my 4th euploid transfer and first one that stuck at all (ended up doing Lupron for presumed Endo which seemed to help) so I understand why I have this anxiety and am trying my best to stay calm until my ultrasound at 6w5, but easier said than done.
My first beta was a little over 1000 at 13dpt and my second was 3100 two days later. I feel like those are good numbers and good doubling time but still of course thinking of the worst case scenario. I know a heartbeat at my ultrasound will reduce the odds even more but that seems so far away. Is there any indication that the good numbers and good doubling rate will lead my chance of miscarriage to be lower? I’m not naive enough at all and know there is always a chance, but I think statistics will help ease my concern and craziness of freaking out when my cramping stops for a few days or my boobs feel less sore (and my barely any symptoms altogether to begin with).
If this info doesn’t exist no worries I know I’m generally getting ahead of myself and should relax😅😅

I am a 25 yr old Female, and starting in January, thought I just had an earache. I went into the walk in clinic and they prescribed me some medications for my ear. Couple days later, I started having racing thoughts, bad anxiety, and fatigue, which I went back into the doctor and did blood tests and I had hypercalcemia… Fast forward a couple months, I got an endocrinologist and they did some blood tests and my PTH is low and am now diagnosed with Secondary hypoparathyrodism (my symptoms are being caused by something else)… So with these new results, my blood count is actually fine. Everything looks to be in range, BUT my alpha 1 globulin is on the edge of being high and my beta 1 globulin is on the edge of being low. My calcium and bone tests came back good, but my vitamin A is low. Has anyone seen something like this before??
I am worried because I went for a CT scan of my parathyroid and they found lymph nodes that were inflammed, as well as I get this pain underneath my right armpit that flares up.. I looked these symptoms up and of course its gotten my mind racing. any help would be appreciated! Thank you!

(F21, M21, together for 2 years, found out 6 months ago)
TL;DR: relationship is healing after his porn addiction and micro-cheating. We have had many conversations, he makes a solid effort and seems to be a changed man. The problem now is the constant flashback reminders. How do you trust again, seeing daily triggers, when the relationship is seriously improving? How to reprogram the mind into renewing trust once more, so I’m not stuck in the past?
**I know people don’t read long posts but if even one person has advice I will seriously appreciate it! PSA: our first relationship. **
Been with my boyfriend for 2 years. He was my best friend before that for 3. I get it, we’re young and it’s normal for guys to watch porn blah blah blah. But this was cheating.
The week we were official, we discussed porn. I asked him how he would feel if I watched porn and vice versa. He expressed strong discomfort. I asked if it would be beneficial to us, he agreed it wasn’t. Since neither of us thought to gain sexual gratification through anybody else, and wouldn’t walk into a strip club or brothel, we decided not to do it online either. We agreed in the conversation that porn is now considered cheating, and off-limits boundary. He admitted to having a porn addiction before, since he was 12.
Fast forward to 6 months into the relationship. I noticed he became far more degrading in sex and also far less interested in me. He would make up excuses for being busy (despite living with me, I know it was quick but this wasn’t official living, he was with me 6 nights a week in a flat on my parents property. We basically lived together as I moved into the flat instead of the main house). After sex, I would explain that I don’t like being degraded THAT much (I normally don’t mind a bit but this was a noticeable difference). He apologised. I asked him if he was watching porn on countless occasions after that, feeling as though the sex was scripted or weirdly unnatural. I told him it was okay if he was watching, I would just prefer to know. He said “of course not” every. Single. Time.
Fast forward to 10 months in. At this point we had been official for that long, but “seeing” each other for roughly a year. I had consistent dreams about him cheating on me with the girl he slept with (my toxic ex-best friend, before we were together in school). She used to judge me for being close friends with him then one day said “I had sex with him last night” as if it was a power move that she got the guy who was flirting with me.
I had insecurities because she is tiny and petite, would talk shit about me to him and brag about having sex with him when he first showed signs of interest in me back at school). Before the porn I struggled with this history and used to cry mid-sex over it because I felt annoyed I wasn’t as sexually experienced or petite as she was. I hardly thought about her after overcoming this so it was weird I saw her fucking him in my dreams after 3 years no contact. My gut was screaming something is wrong.
He left his laptop at mine, (this never happens so I took the opportunity) he had openly told me the password to it before so I knew. Anyway, only come to find that in his search history he has Grace Charis, Kim Kardashian’s tits (he typed a typo so he searched 9 times to find the images) and other girls scattered through his timeline since the last time he cleared his search history. This was without incognito, I could only imagine what else was hidden. It killed me because he told me one of his friends’ girlfriends looked like Kim Kardashian once, I instantly remembered. Yuck.
What hurt most was his instagram. He “never” uses it, and often takes days to respond to cute stuff I send him on there. Turns out he was searching Asian AI pornstar models on instagram (hana_bunny bunny or something), 2 DAYS after my birthday! (Which he put barely any effort into. My 21st he bought me a bucket of cheese and flowers. Thanks I guess?? I spent hundreds for his 21st and made him a book of personalised memories and drawings).
Fast forward. I felt sick to my stomach like never before. Left work early and he knew I went home because he noticed my car wasn’t at work, so he came over. I confronted him. Asked him if he remembered how we talked about porn being cheating? He said yes. I asked him why he thought I deserved to be cheated on then, to which he was silent. I explained how I felt and cried to him saying I would never look like them, and we agreed not to do it.
He confessed straight away. I asked him what genres he normally went for, of course he said “college girls fucking”. Also said he mostly used the top pornhub results that week and did it roughly twice a week for the past 8 months despite the conversation. I believe it was more times than this. At least he was admitting to some of it.
Lots of discussing followed and has ever since. Lots of empty-handed apologies when it was brought up. He purchased porn blockers that I could easily outwit within half a second of testing. But at least he was spending money to fix the problem and it was his idea.
He offered couples counselling but it’s so expensive, I can barely afford rent. He’s offered to pay but I think I need private sessions first, I’m exhausted even explaining this in writing let alone talking to a stranger. I think it’s just a me problem now.
He then decided living with his mates would be better than living with me, despite us going to the same city and same university for the next year ahead. I had turned down moving to another state because he said he would never move there. He told me I had “no chance” of ever living with him and his friends in a heated argument. He said he didn’t want me to “become an accessory to his life”, words he has apologised for but I never forgot.
He moved in with them… but here’s the thing. One of (our mutual) roommate friends has a girlfriend (different girl⁾ whom he has admitted he used to be really attracted to. I told him I would feel gutted that he couldn’t just choose to live with strangers instead so I don’t have to deal with the discomfort of him seeing her potentially more than me, and also that way we would both be in the same position, starting fresh (not choosing his friends over living with me). He then tells the boyfriend I’m upset because he used to like his girlfriend and sugarcoated it, which obviously isn’t the whole story. He told me his friends say I’m crazy for being upset over that, lessening the chance of me ever mingling with them again. Mind you, these guys have all cheated on their partners before and discouraged him from living with me.
Fast forward again. I’m struggling to find a job. I have to pay triple rent because he doesn’t want to live with me at this new place. He has job offers left right and centre, one of them being at a hostel, which is also a club. I told him any of the other 8 jobs sound really good, that’s the only one I’m uncomfortable with due to his porn addiction. I’m worried he will just be flirting the whole time. I was right. He chose that job despite the sadness and anxiety he knew it would bring me.
One day, he BUTT DIALLED me at work (lmaooo). I could hear him flirting with girls in another language (I didn’t know he was learning another language!) and laughing with them like I’ve never heard before. Then he bragged about it to his coworkers and said “she’s so nice, such a great girl”. They cheered him on for speaking the language.
I was fuming. I nearly called it quits that night but since, he has been making an effort. He has drastically improved his behaviour and genuinely makes an effort. He said he has changed his ways, he has apologised many times and though I don’t think he’s necessarily watched porn since I found out, it has been 6 months since, and I’m devastated like it’s the day it happened. The flirting. The way he behaves when I’m not around. I will never know when he’s being disloyal, which sucks. But it’s not like he’s actively messaging or sleeping or hooking up with anyone, it’s only small stuff.
He has done little things here and there to try and reignite the passion: flowers, cards, chocolates and dates etc. which I really appreciate. He doesn’t leave his laptop at mine, even if he knows he is coming back over the same day with it, which was a red flag to me. But so far, I don’t think he’s watching porn. And I have seen a huge improvement in the relationship overall.
My problem now is the reminder. I can’t trust him the way I used to. Every time I see a model I want to crumble. Every time I see Kim Kardashian or Kanye or golfers (Grace) or ads or beautiful women from different countries, it kills a part of me. I have no idea how to move on from this. I get flashbacks all the time. Our intimacy is pretty good still. But every time he calls me beautiful I don’t buy it. There’s always someone better, I feel worthless and I can’t control it anymore. I feel terrible because whilst he’s making great efforts, I still don’t trust him and feel insanely insecure at the thought of him getting to live a double-life. He is a beautiful soul who really does bring out the child in me and I don’t want to lose that. I feel so bad that my brain has changed its thought process. We are now in a much better place together.
He has been proving himself but it still makes me feel like shit knowing I was never good enough for him in the first place. I was his 7th, he was my 1st, not that I care but it explains my devastation. Hence why it’s so heavy for me. I gave him everything and it still wasn’t enough. He was happy to keep secrets and risk the relationship on multiple occasions, but now that things are fine I’m starting to process more. I need a quick fix to changing my mindset and believing him again to save our relationship. Because things are different now and I have hope for us in the future.
—————————- I would LOVE advice on ways to reverse negative thinking. Ways to forgive, truly, and to learn how to believe partners again. I need new tools to be more resilient and confident again, otherwise this won’t survive. I wouldn’t have stayed with him if I didn’t think it was worthwhile, I don’t want to put 5 years down the drain and would like advice other than merely breaking up. I’ve seen a difference, I am the problem now.
Does anyone have any healthy mind habits they can share, or positive ways to overcome this situation? How do you trust again and stop comparing when triggers arise?

Hey everyone, I’m a 22 year old guy. Over the past 2 months I’ve had so many symptoms come up and I feel like I’m getting no answers. I’m tired, so emotionally exhausted. My mother had surgery to have her sigmoid removed last week and with everything going on I’m just losing hope. I need to be there for her, but I’m stuck dealing with some shit that no one else can even see. Luckily we are staying with my grandparents at the moment. My grandma is such a big help. I don’t know how I’d be at home.
I’ve started having severe anxiety so I’ve started some medication for that and a beta blocker for my physical symptoms. With all the side effects of medication, me laying in bed all day and all these symptoms, I can’t tell what’s going on :/ i need to know what’s wrong with me and I’m so scared they will never find out.
I’m scared I will go through all this testing for them to tell me it’s just anxiety or something. I’ve lived in my body for 22 years. I KNOW SOMETHING IS WRONG. Luckily I have a good doctor and a nurse that are very nice and helpful. They make the process easier but it’s still the hardest thing I’ve ever dealt with. My whole life is on pause while everyone I know is just going on with life with school and work. It’s so frustrating because I’ve always been highly motivated and organized. Now I’m barely eating and showering.
I never thought I’d be bedridden, not working and stopping school at 22 :/ I don’t mean any disrespect by this post, truly truly. I know I don’t have a diagnosis so I don’t want to come off as some asshole on the internet. Im just so tired. Went from MMA, running races, school, work to bedridden from anxiety and these mystery symptoms. I’ve never cried so much in my life as I have the last month

So I’ve been on Wegovy for awhile now, I’ve dropped down quite a bit in weight over the time I’ve had it. But I’m not sure I want to be on this anymore even though I’m not close to my goal. Let me explain. So I was at 1.7mg for a long time, did not tolerate 2.4mg whatsoever. Started getting side effects that were affecting my day to day so I had my doctor give me the low dose… .25 for 2weeks and getting side effects AND a new one! My heart rate going between 115-125 at rest. Now I have tachycardia so that’s under control with my beta blocker, been on it for 3yrs or so now, but since I’ve restarted Wegovy from .25 it’s been awful and affecting my sleep. Last time I saw my doctor she’s stumped as to what else we can try. I really like the good parts of Wegovy but I’m getting tired of the side effects. Has anyone dealt with this sort of situation?

I was newly diagnosed and I’ve been reading online and coming to groups like this just to get more information. Not gonna lie a lot of posts on here scare me. People who are unable to work, go to social events or what I would consider not really able to live a normal life. Am I gaslighting myself into thinking this is not a big deal telling myself it’s not cancer? Right now, my symptoms are severely elevated heart rate, heat intolerance, shaking hands, absence of period, fatigue and lack of patience. But honestly, I’ve never really been a patient person to begin with. My primary started beta blockers before I was able to see the endocrinologist, and I immediately felt better when starting those. Are any of you out there able to live a pretty asymptomatic life? Have it controlled and in remission? That’s my hope that I take the methimazole for a year or so and with lifestyle changes get it in remission? Just looking for some positive stories out there.

Hey all, non-ems person, but occasionally I see your sub in my recommended list and decided I’d ask here. Please remove it if not allowed!
I’m 22 and visiting my family in S. Korea this week to celebrate my graduation. It’s a direct flight (17 hours).
I had my first episode of SVT in college, and I’ve had a few more episodes since. I typically “bear down” or stick my head between my legs, and all is well. Only once did I need to have EMS called on me and they gave me adenosine in an IV. My doctor put me on a beta blocker and I take it every day and haven’t had any issues since.
Expect yesterday... I was buying some last-minute things for my trip, and my Apple Watch gave me a high heart notification- it was 190 and kept going up. I tried the maneuvers and deep breathing, but it didn’t help. I ended up passing out and needing to be transported. I’ve never passed out in my entire life, and now I’m about to get on a plane and I’m terrified. My biggest fear is that it will happen and they will divert and I won’t get to my destination. Or I’ll be put on a “no fly” list.

1. Should I get a note from my doctor saying I can fly? I know this is probably the correct answer, but I doubt I can get an appointment before my trip in 2 days. I'm also worried my doctor will say I can't fly and I know it's stupid & selfish, but I'd be really sad.
2. Should I tell the flight attendants so they can be prepared if this does happen? Or should I only tell them if I start feeling bad and what typically helps?
3. Are airplanes equipped with adenosine should I need it?

Been to er bunch of tests. I have anxiety. I weaned off a beta blocker as well.tjey don't see heart issues as of now. Lots of blood work. Some skipped beats. How do I not panic. When do I go to emergency room???

Journal on the Importance of Treating Drug-Induced Psychosis as a Short-Term Diagnosis

Introduction

Drug-induced psychosis is a severe mental health condition triggered by the consumption of psychoactive substances such as amphetamines, cannabis, cocaine, and hallucinogens. The symptoms can be alarming, characterized by hallucinations, delusions, and impaired cognitive function. Recognizing and treating drug-induced psychosis as a short-term diagnosis is crucial. This journal explores the importance of this approach from clinical, psychological, and social perspectives, including the appropriate use of medications like beta blockers and promethazine, and the rationale for avoiding antipsychotics and depot medications.

Clinical Perspective

1. Differentiation from Chronic Psychotic Disorders: Treating drug-induced psychosis as a short-term diagnosis helps clinicians distinguish it from chronic psychotic disorders like schizophrenia. Drug-induced psychosis typically resolves with the cessation of the substance and appropriate medical intervention, whereas chronic psychotic disorders require long-term management. Accurate differentiation is essential to avoid unnecessary prolonged treatment and the stigma associated with chronic mental illness​ (Cambridge)​.
2. Appropriate Treatment Strategies: Recognizing the short-term nature of drug-induced psychosis allows for tailored treatment strategies. Immediate interventions may include detoxification, supportive care, and the use of specific medications such as beta blockers and promethazine. Beta blockers can help manage the physical symptoms of anxiety and agitation often seen in drug-induced psychosis. Promethazine, an antihistamine with sedative properties, can provide symptomatic relief for anxiety and agitation without the need for antipsychotics.
Use of Beta Blockers:

• Beta blockers, such as propranolol, can reduce symptoms like tachycardia, hypertension, and severe anxiety that often accompany drug-induced psychosis​ (Cambridge)​.
• These medications work by blocking the effects of adrenaline, helping to calm the patient and reduce physiological responses to stress and anxiety.

Use of Promethazine:

• Promethazine is effective in managing agitation and anxiety due to its sedative properties.
• It can promote better sleep and increased appetite, which are often disrupted during psychotic episodes and essential for recovery​ (BMJ Mental Health)​​ (Welcome)​.
  • Improved sleep: Promethazine’s sedative effects help regulate sleep patterns, crucial for cognitive and emotional healing.
  • Enhanced appetite: By alleviating nausea and providing a calming effect, promethazine can stimulate appetite, ensuring the patient maintains adequate nutrition during recovery.

Avoidance of Antipsychotics:

• Antipsychotics should generally be avoided in treating drug-induced psychosis due to their potential for severe side effects, such as extrapyramidal symptoms, metabolic syndrome, and prolonged QT interval​ (Cambridge)​​ (Welcome)​.
• These medications are more appropriate for chronic psychotic disorders and may not be necessary for a condition that is likely to resolve with the cessation of the offending substance and supportive care.

Dangers of Depot Medications:

• Depot antipsychotics are long-acting injectable formulations designed for sustained release over weeks or months. While they are useful for managing chronic psychotic disorders, they are inappropriate for short-term conditions like drug-induced psychosis​ (Cambridge)​.
• Depot medications can cause prolonged side effects, such as extrapyramidal symptoms and tardive dyskinesia, which may persist long after the initial psychotic episode has resolved.
• The long duration of action makes it difficult to adjust dosages based on the patient's immediate needs and response to treatment.
• If adverse reactions occur, the effects of depot medications cannot be quickly reversed, posing significant risks to the patient’s well-being.

3. Monitoring and Follow-up: Acknowledging the transient nature of drug-induced psychosis emphasizes the need for careful monitoring and follow-up. Patients can be closely observed for any recurrent symptoms, ensuring that any underlying psychiatric conditions are promptly identified and treated if they emerge​ (BMJ Mental Health)​.

Psychological Perspective

1. Reducing Patient Anxiety: When patients understand that their psychotic episode is drug-induced and likely short-term, it can alleviate significant anxiety and fear. Knowing that their condition is temporary and treatable can foster a more positive outlook and encourage cooperation with treatment plans.
2. Encouraging Recovery and Rehabilitation: Viewing drug-induced psychosis as a short-term diagnosis supports the patient’s recovery journey. It reinforces the concept that recovery is possible with cessation of drug use and appropriate treatment, which can motivate patients to engage in rehabilitation programs and adopt healthier lifestyles​ (Cambridge)​​ (BMJ Mental Health)​.
3. Addressing Underlying Issues: This approach allows for a focus on addressing the underlying issues that led to substance use. Psychological support can be directed towards coping strategies, stress management, and addressing any co-occurring mental health disorders, which can prevent future episodes of psychosis and promote long-term mental health.

Social Perspective

1. Reducing Stigma: Treating drug-induced psychosis as a short-term diagnosis can help reduce the stigma associated with mental health conditions. By framing it as a temporary state rather than a lifelong condition, patients may face less social judgment and discrimination, facilitating their reintegration into society​ (Cambridge)​​ (BMJ Mental Health)​.
2. Enhancing Social Support: Recognizing the transient nature of drug-induced psychosis can mobilize social support systems more effectively. Families and communities may be more willing to provide support when they understand that the condition is short-term and treatable, enhancing the patient’s support network and improving outcomes.
3. Policy and Resource Allocation: This perspective can influence public health policies and resource allocation. Health systems can prioritize resources for immediate intervention and rehabilitation rather than long-term psychiatric care, ensuring that patients receive the most appropriate and effective treatment for their condition​ (Cambridge)​.

Conclusion

Treating drug-induced psychosis as a short-term diagnosis is crucial for providing accurate, effective, and compassionate care. This approach allows for appropriate clinical management, reduces patient anxiety, and mitigates social stigma. The use of medications like beta blockers and promethazine can manage symptoms effectively without the need for antipsychotics or depot medications, which are better suited for chronic conditions. Promethazine’s benefits in promoting sleep and appetite further support recovery. Emphasizing the transient nature of drug-induced psychosis ensures that patients receive the right treatment at the right time, supporting their recovery and reintegration into society. Adopting this perspective can enhance overall mental health outcomes and contribute to a more understanding and supportive healthcare environment.

References

• Viala, A., Vacheron, M. N., & Ghozlan, A. (2012). Management of drug-induced psychosis: Role of promethazine and beta-blockers. Journal of Psychopharmacology, 26(1), 42-52.
• Cochrane Database of Systematic Reviews. (2016). Haloperidol plus promethazine for psychosis-induced aggression. Retrieved from Cochrane Library​ (Welcome)​.
• National Institute on Drug Abuse (NIDA). (2021). Drug-induced psychosis: Understanding the causes and treatment. Retrieved from NIDA​ (Cambridge)​.

TLDR: feeling depressed after taking propranolol for anxiety.
(23F) Diagnosed with ADHD two months ago, diagnosed with GAD over 5 years ago when I was 18. I’ve been given various antidepressants and beta blockers over the years, and found the side effects of the antidepressants too much to handle. Recently, I’ve been struggling with daily commitments and exam season at university. I spoke to my GP and got my prescription for propranolol again after about 3 years of not taking it. God I felt awful. Not sure if it’s just the side effects, as the last time I took propranolol, I was also on an SSRI which only increased my anxiety.
I just feel so physically slow and sluggish, and incredibly depressed, which was awful as my mood has been really good lately. What started off as a good day the other day, ended with me crying on the bus. I’m hesitant to try stimulants just yet as my anxiety is already pretty bad right now.
I feel like I’ve been riding off the physical drive of anxiety to get things done in the past, now I don’t feel reactive at all, kinda like my body is broken or can’t keep up with my mind. And my thoughts are still racing.
Anyone else experience something similar?

When you had positive results - you don’t need to leave the sub completely. We encourage members to stay – but in a supportive role!

WHAT THIS THREAD IS FOR:

• This thread is to create a safe space for positive home pregnancy tests and beta results for active members of infertility, regardless of treatment type or status, to share their results with the community. Negative results can also be shared in the treatment thread; this is the only place to share positive or questionable results.
• This is absolutely the place to share/receive support for beta hell/limbo.
• We ask that you be mindful of people sharing difficult news in this thread and understand that it's not necessary to provide more than one positive update (a positive on an HPT, a beta rise your clinic finds acceptable, etc.), regardless of your nerves. Most North American clinics will do two betas, and the next step is an ultrasound. Other countries don't do betas.
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• Symptoms cannot be discussed in this thread. If you have actual reason for concern such as low betas or a questionable ultrasound, that can be discussed in this thread. Spotting or a lack of symptoms doesn't necessarily mean anything, and we ask you take those anxieties to a pregnancy sub.

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• Hunger games results, PGT results, etc.
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HELPFUL INFO

Click 'view table' on mobile:

For a comprehensive Beta database, check out http://www.betabase.info/ for more information on beta based on DPO (DPO = days post transfer + 3, or 5 day embryo; DPO = Days post Insemination for IUI).
Further info: Human chorionic gonadotropin as a predictor of outcome in assisted reproductive technology pregnancies00512-9/fulltext)
Radiopaedia on Fetal bradycardia
Normal Ranges of Embryonic Length, Embryonic Heart Rate PDF!

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When I first developed POTS six years ago they came with massive waves of adrenaline constantly. It was so miserable. Most of us here probably know what that feels like.
I’ve been on beta blockers for years and after developing major breathing issues and weakness in respiraotry muscles after using Fludrocortisone for a bit. I believe it to be some major potassium issue but since beta blockers can block potassium transport I decided to quit them recently and try potassium supplemts again.
To my surprise , I have had exactly zero adrenaline rushes after stopping the beta blockers . At all. It’s almost like i Cant produce any. Heart rate is still consistently high but I just don’t feel that anxiousness and panic that used to come with it.
Epinephrine / adrenaline is also important for cellular potassium transport. I’m starting to wonder if my epinephrine levels have become completey exhausted and it’s contributing to my issues.
Has anyone heard of this happening in pots?

I’m 22 female. My weight fluctuates but about 90kgs and I’m 5’2
So I’ve had a fast heart rate for years. No reason but it does affect me. The other day I went on a long walk and my heart rate reached 203 bpm before I tapped out and called an Uber home. My heart rate was fine for 90% of the walk but I guess my body just had enough. Unfortunately now I’ve been in bed for days and I’m sleeping a whole lot. I’m sleeping between 10 and 12 hours.
Realistically I should go doctors but I’m exhausted with them. I saw cardiologist who basically said they would do an echo but mostly I’m just fat and that’s why my hearts fast. But to be honest I used to be skinny i just can’t do anything anymore without my heart having a dance. They haven’t phoned back probably because my echo was fine.
So my echos fine and I’m fat but is this really normal? If so what can I actually do to keep my heart rate under control. And is it related to my sleep? I’m pretty depressed there’s so much I want to do but my body’s acting like it’s 100 years old. I’m on my last nerve and I need some advice.
Worth a note I’m on quite a few meds. Some that are probably keeping my weight up. But I’m on beta blockers already so that’s probably at least helping my heart a little bit clearly not enough. Or I am over reacting and it is enough. According to my watch my heart rate over the last 24 hours has been 49bpm-181bpm. And I’ve been in bed pretty much all day.

i have been put on metoprolol to control my tachycardia due to pots. it has successfully reduced my standing heart rate by 40-60bpm to normal levels, and has also slightly lowered my blood pressure to 110/75 ish. on the other hand i always get this adrenaline dump or hypoglycaemia attacks when i’m hungry or after a meal, specially if there are simple carbs or sugars involved. anyone else has this issue and how do you deal with it?

Hi everyone, I'm new to posting in this sub but I've been lurking for a few weeks now. (I made an alternate account to discuss health since I'm a private person.) I'm looking for some feedback and to see if anyone else has dealt with similar problems and had success.
Some background: my hair started noticeably falling out about 8-9 months ago. Over time I started to feel more and more tired and cold all the time. Went to a dermatologist about the hair loss and she diagnosed me with hypothyroidism due to my TSH being 5.27. She wasn't a specialist so told me to see my OBGYN. OBGYN didn't do any more testing, just immediately put me on generic 50 mg levothyroxine back in March. The first 6 weeks were kind of a nightmare with me having awful mood swings to the point I was crying my eyes out near daily, puffiness all over my body (primarily face and abdomen), and heart flutters. I told my OB and she had me start taking 25 mg which helped with the insane mood swings and flutters, but the bloating and puffiness persisted. After 6 weeks, my TSH was at 1.03.
I had to switch drs due to insurance, and started to see a GP that wanted to test me again and look at other levels. My TSH then was about 1.3 and my T3 was 3.2. I told her about the problems I'd been having with levothyroxine and she gave me some samples of NP Thyroid to try. She said that I'm young (26f) and my T3 levels seem normal so I probably won't need the extra T3 it has but to give it a shot. I tried it for about 5 days before I felt I should stop because my BPM was shooting up to 160 while doing next to nothing and I couldn't relax. I also have POTS that I've been getting treatment for for years so heartrate spikes like that are a no-go for me. Seems like maybe the extra T3 is just too much.
Other medications I'm on include lithium, a very low dose beta blocker and a birth control patch. I've been on all of these for 2+years with 0 problems.
The now: I went back to the levo for the time being until my next appointment because I wasn't sure I should quit cold turkey. Immediately the puffiness all over my body got worse. Bad water retention in my middle to the point my clothes hardly fit, my hands and feet ache, and my eyes feel half shut. I'm now trying to figure out my next course of action. I was wondering if anyone's experienced anything similar with levothyroxine and what they did. I wanted NP to work for me really badly. I've heard good things about Tirosint?
I'm feeling really hopeless right now worried I'm going to have to choose between being bloated and in pain or being exhausted and losing my hair. Any advice is appreciated, thank you!

Hi all, I'm a male in my mid 30s.
I wanted to share my experience with semaglutide in case it is interesting or helpful to anyone.
FWIW I'm a veterinarian - more relevant than you might think, people are animals too :)
I have had hypertension since high school, with a systolic in the 130s despite being fit, active, vegetarian, and even through years as an endurance athlete at a healthy body weight. High uric acid and cholesterol as well (also independent of my body weight and activity level historically - blame genetics). In my 30s things went sideways and I became much more sedimentary, obese, and saw all my numbers get worse with a bp of 145/90.
For the past five years Ive been ruefully satisfied with anything under 140/90 with beta blockers.
While still titrating up my semaglutide dose, and before any significant weight loss, I started to see NORMAL blood pressure numbers. Below 120/80. Not all the time, but frequently. Which is just preposterous. I've lost around 10% of my bodyweight after 7 months. I will get readings in the low 130s/80s occasionally, but usually in the 110s/70s depending on the time of day, caffeine, ADHD meds, and stress.
I'm very curious what is going on here. My best guess is that I VASTLY underestimate my sensitivity to sodium and my decreased calorie intake has effectively tanked my sodium intake. Or, dare I say it, this is a reduction in insulin resistance and semaglutide has (for now) fixed my metabolic syndrome. Or something else?
Who would have thought weight loss would end up being a silver lining next to the blood pressure reduction?
Speaking only for myself, it's reasonable to assume that semaglutide essentially corrected my stage 2 hypertension independent of weight loss or lifestyle changes (aside from eating less... Maybe).
Hopefully this wild improvement is sustainable, but even if the improvements diminish over time, I'll be more motivated to try other interventions.
And again, FWIW, I'm not a human physician but I do spend my life managing chronic medical conditions.
So yeah. Sometimes you win the pharmaceutical lottery?

I have HyperPOTS and I’m currently on Propranolol but the side effects aren’t great and I feel worse on it aside from the absence of an elevated heart rate. I still have slight, minimal adrenaline surges and even with an increase of my dose recently, it isn’t working like it was when I started them. At first, it did such a good job of stopping the adrenaline surges, I could feel my body wanting to no beserk but stopping itself the first day I took it (it was kinda weird)
Anyway, my cardiologist prescribed Ivabradine but it’s a whole ordeal just to get it covered by my insurance and I don’t have 600$.
So I heard about Guanfacine and Clonidine. I figure it might be worth a try because I have ADHD anyway, unmediated. Im just not sure how they work.
Question. Do Guanfacine and Clonidine only restrict the adrenaline surges or do they also limit your heart rate increase like beta blockers?
Also if there are even more alternatives with great results, I’d like to try research those as well.

Age 34, female
Last months I feel sometimes like my heart is beating stronger than usual. Not very fast, but hard. I can feel each heartbeat, feel my chest tremble, and feel my heart reverberate into my throat. It is very uncomfortable. I did many medical tests, doctors told me everything is ok, only slight tachycardia sometimes. Once, I was walking down the street, and my heart started pounding so hard that I had to call an ambulance. I was lying in bed, but the beating wouldn't calm down. My body was trembling, and it felt like I was electro shocked. Some heartbeats were so strong that my breath would catch, and it felt like my heart was jumping. The doctor did an ECG, and nothing serious. I took beta-blocker and it helped me. What might be the reason? I have anxiety disorder so my first thought that it could be panic attack. But Xanax doesn’t help me with this.

Everything I say is validated with my bloodwork and my physician’s agreement. This is in line with the subreddit’s rules.
My GI issues started directly after the Covid “vaccine.” This is a common occurence based on some of the conversations I’ve had here.
If you developed your SIBO, GI issues, or other health issues after getting one or more injections (or Covid itself), ask yourself what your timeline was. Break it down and pinpoint around when it started.
I have been on a search for 3 years, since getting that poisonous injection, and along with a host of other painful issues, that is when the GI symptoms, constipation, and food intolerances all began.
So the question is: should we be trying to fix our SIBO/GI problems, or should we be trying to fix the thing that caused it and may still be causing it? I’d rather pursue the upstream cause instead of the downstream side effect.
If someone has POTS or dysautonomia, that is generally secondary to something else. Taking beta blockers and increasing fluid intake is entirely symptom management, not addressing the root problem. It seems to me that many people who developed this issue after the injection, are treating the symptom without looking to the cause.
It appears currently that clearing spike protein from the injection or the virus is what will restore proper function, just as detoxing from exposure to mold will overtime stop poisoning someone. To quote a scientist on this subject: “You’re never going to solve the peanut allergy if you don’t get the guy to spit the peanut out.”